GP practices and PCNs
Significant events, complaints, audit cycles, governance meetings, CQC framework evidence — managed end-to-end rather than spread across a SharePoint site that nobody owns.
← PortikoActive alpha
01.1 — Cadence
Clinical governance,
run as one system.
Cadence runs the cadence of governance work — risks, significant events, complaints, audits, decisions, and CQC-aligned evidence — as one connected operating system. Built for clinical governance leads who want to lead, not chase.
- Status
- Active alpha
- For
- UK governance leads
- Modules
- Eight, integrated
- Pricing
- Free during alpha
A — Who Cadence is for
Built for governance leads, not for IT departments.
Cadence is calibrated for the person whose desk every governance item lands on. The clinical governance lead at a GP practice or PCN. The registered manager at a care home. The medical director at a private clinic. People with judgement, time pressure, and a week that always has more items than working hours.
Care home groups
CQC-aligned evidence library, incident and safeguarding workflows, risk register tied to controls, audit cycles closed properly. Suitable for single homes through to multi-site groups.
Private clinics and DSOs
Independent practices and dental service organisations needing structured clinical governance distinct from the NHS workflows their staff may be used to.
B — How it works
Four pillars, applied consistently.
Cadence is organised around four working principles. Each pillar maps to specific modules; every module reinforces at least two of the four.
01
Capture
Significant events, complaints, audits, and incidents land in a single intake. One form, one queue, one source of truth — replacing the email-and-spreadsheet pattern that loses items between weekly meetings.
02
Triage
Each item is categorised, scored, and routed to the right register or owner. Cadence carries the schema; the governance lead carries the judgement. The result is fewer items left as 'someone should look at this'.
03
Decide
Governance meetings produce named decisions and dated actions, not minutes. Each decision references the specific items that drove it. Each action carries an owner, a due date, and a follow-through test.
04
Embed
Decisions update the risk register, policy library, and SOPs. Actions are tracked to closure. The next governance meeting opens with last meeting's actions, not from a blank page.
C — Modules
Eight modules, one operating system.
Each module addresses one governance domain. They share a common spine — actions, evidence, decisions — so an item flowing from incident to audit to policy never falls through the cracks between systems.
- 01
Incidents
Significant events with severity scoring, root-cause analysis, and learning capture.
- 02
Complaints
Complaint handling with the response timeline, the substantive position, the changed practice, and the closure record.
- 03
Audits
Audit cycles with standards, findings, action plans, re-audit, and impact measurement.
- 04
Risks
Risk register with likelihood × impact scoring, controls, owners, and review cadence.
- 05
Actions
Every action across every register, with owners, due dates, and closure tests.
- 06
Meetings
Governance meeting agenda → decisions → action items, threaded through Cadence.
- 07
Evidence library
CQC-aligned evidence repository — every artefact tagged to the framework it supports.
- 08
Policies
Policy library with currency tracking, review cycles, and version history.
D — Honest notes
Things worth saying explicitly.
Cadence is not a clinical record system.
It does not hold patient-level clinical data and is not a replacement for EMIS, SystmOne, or equivalent. Cadence holds operational governance data — incidents, decisions, audits, evidence — alongside whatever clinical system you already use.
Cadence does not write your policies.
Policies are documents authored by your clinical team or commissioned externally. Cadence tracks their currency, surfaces overdue reviews, and records the decisions made about them — but the substance is yours.
Cadence will not pass a CQC inspection on its own.
It makes the evidence of safe practice visible and explainable. The underlying practice — the actual standards of clinical care — is what the inspector judges. Cadence makes that judgement easier; it does not change it.
Closed alpha is closed.
We accept a small number of new partners through the alpha application. We do not do open trials, free tiers, or self-service onboarding during this milestone. Onboarding is white-glove and personal because the feedback loop matters.
E — Access
Free during alpha. Application-only.
Cadence — closed alpha
£0
Free during alpha. General-availability pricing TBD.
- · Founder-level support throughout the alpha period
- · Manual onboarding tailored to your governance structure
- · Single-tenant hosting on UK/EU infrastructure
- · Influence over the general-availability roadmap
- · Preferential GA pricing when published
In exchange, alpha partners commit to approximately two hours per month of feedback time across the first three months — a structured implementation review at month one, a workflow walkthrough at month two, an escalation review at month three.
Apply for alpha partnershipF — Common questions
Frequently asked.
- Is Cadence available now?
- Cadence is in closed alpha. A small number of named UK practices have access; new partners are accepted via the alpha partnership form. Full general availability follows once the closed-alpha milestone closes — see the launch frame for criteria.
- What does it cost during alpha?
- Free during alpha, in exchange for structured feedback — typically a monthly call with the founder for the first three months and a written implementation review at month one. General-availability pricing will be informed by alpha conversations and published when validated.
- Where does our data live?
- On UK or EU infrastructure with single-tenant hosting per partner organisation during alpha. Multi-tenant SaaS infrastructure is post-general-availability. Each partner has a written data-processing addendum.
- Does Cadence replace our policy library?
- Cadence's policy module tracks currency, review cycles, and decisions made about each policy — it does not author policy text for you. Policies remain documents you write or commission; Cadence ensures they are reviewed on schedule and that decisions about them are captured.
- How does Cadence relate to CQC inspection readiness?
- Every artefact in Cadence is tagged to the CQC framework domains it supports. Pulling a CQC-ready evidence pack out of Cadence is a single action rather than a two-week scramble. Cadence does not, on its own, make a service safer; it makes the evidence of safe practice visible and explainable.
- Will Cadence integrate with our clinical system (EMIS, SystmOne, etc.)?
- Native clinical-system integration is post-general-availability. During alpha and through general availability, Cadence runs alongside the clinical system — operational data, not patient data, is the substance of the system.