Structured pre-operative screening, Montgomery-aligned informed consent, and post-operative follow-up — in a single auditable platform for aesthetic and plastic surgery clinics.
In aesthetic surgery, clinical risk decisions are often undocumented, inconsistent, and — when things go wrong — indefensible.
Post-operative complaints increasingly centre on inadequate pre-operative risk disclosure. Without structured documentation, "the patient was told" is not a defence.
Clinics treating UK, EU, or US patients are held to the standards of the patient's home jurisdiction. Inconsistent paperwork from abroad is a significant complaint trigger.
Regulatory inspections (CQC, accreditation bodies) require demonstrable, reproducible decision processes — not ad-hoc checklists or free-text notes.
Without a standardised rule set, the same patient profile can yield a different decision depending on who conducts the assessment that day.
Since the UK Supreme Court ruling in Montgomery v Lanarkshire Health Board (2015), clinicians are legally required to disclose all risks that a reasonable patient in that individual's circumstances would consider material — not just risks the clinician considers significant.
This creates a documentation obligation that generic consent forms cannot satisfy. Each patient's risk profile must be individually assessed and recorded.
Not a communication tool. Not a bloated EHR.
Paper consent forms and WhatsApp-based patient follow-up are not a standard — they are a liability. Large clinic management systems, on the other hand, take months to implement and are built for scale your clinic doesn't need. SurgiCheck fills the gap between the two: a lightweight risk governance engine that requires no installation, goes live in 48 hours, and protects the surgeon against clinical and medico-legal complications.
Every HARD and SOFT flag in SurgiCheck is grounded in a published clinical guideline: ASA, ISAPS, ESAIC, BAPRAS, RCOG, or BSH. The system does not generate a decision — it structures the clinician's decision process and supports it with documented rationale.
When a post-operative complaint arises and a patient's solicitor asks "Why was this patient cleared for surgery?", the answer is not "the system approved it" — it is "this specific risk profile was evaluated against these published criteria, the clinician reviewed the flags, and the decision was recorded with documented rationale."
SurgiCheck does not constitute medical advice. Clinicians must exercise independent professional judgement in all cases.
Pre-operative to post-operative — documented risk management at every stage.
Standardised rule engine generates Suitable / Conditional / Not Suitable classification at patient intake — with full flag rationale and guideline references.
Procedure-specific consent forms auto-generated from the patient's individual risk profile. Digital signature, timestamp, and immutable Firestore archive.
Structured follow-up questionnaires at defined intervals (Day 1, 3, 7, 14, 30). Abnormal responses trigger clinician alerts automatically.
Rule set versions, decision timestamps, and the data behind every clinical outcome are recorded automatically. Immutable by design.
Separate permission layers for surgeon, nurse, clinic coordinator, and medical director. Role-based access enforced at database level.
All data in transit over TLS. Special category health data handled under GDPR Art. 9(2)(h) — lawful basis documented in privacy notice. No third-party data sharing.
Eight structured steps — seamless perioperative workflow in a single platform.
Standardised online form with procedure context, medical history, and medications.
System generates initial risk flags from patient-reported data. Case record created.
Clinician completes CV fields: ASA class, smoking status, anticoagulants, measured BMI.
Flags re-evaluated with CV data. Clinician records Suitable / Conditional / Not Suitable with mandatory rationale.
Procedure-specific consent form generated from patient's individual risk profile. Digital signature captured and archived.
System locks case record. Printable clearance report generated. All data immutable from this point.
Structured patient follow-up at Day 1, 3, 7, 14, 30. Accessible without login.
Responses exceeding alert thresholds trigger clinician notification immediately.
SurgiCheck's rule set and documentation architecture are aligned with the regulatory frameworks relevant to clinics treating UK and European patients.
The platform's individual patient risk assessment and per-profile consent generation directly supports the clinician's duty to disclose material risks to the specific patient — not a generic checklist.
Health data is processed under the lawful basis of medical purposes. No third-party data sharing. Immutable records support data integrity obligations. Privacy notice provided at patient intake.
HARD and SOFT flag rules are sourced from BAPRAS, ISAPS, ASA, ESAIC, RCOG, BSH, and ADA guidelines — published sources cited within each flag for clinician reference.
The platform's mandatory rationale field and clinician verification steps support the GMC documentation standard: decisions must be recorded, explainable, and traceable to clinical criteria.
Case records, consent documents, and follow-up responses cannot be modified or deleted after creation. Rule set versions are logged at decision time — a complete, defensible audit trail.
A typical cross-border patient assessment — UK patient, rhinoplasty, multiple risk flags.
Risk Signals Identified
✓ All flag sources are named clinical guidelines — documented and defensible.
Personalised Risk Items (Montgomery-aligned)
🔔 Next follow-up: Day 14 — scheduled per rhinoplasty protocol. All responses logged to immutable audit trail.
Aggregate risk signal data and decision outcomes — available to clinical directors and quality managers.
SurgiCheck provides decision support — final surgical decisions remain entirely under clinician control.
| Feature | Paper Forms / WhatsApp | SurgiCheck |
|---|---|---|
| Standardised assessment criteria | ✗ Variable | ✓ Always |
| Immutable audit trail | ✗ Manual notes | ✓ Automatic |
| Decision explainability | ✗ Implicit | ✓ Guideline-referenced |
| Triage time | 15+ min | ✓ <3 min |
| Montgomery-aligned consent | ✗ Generic form | ✓ Per risk profile |
| Post-op complication monitoring | ✗ Patient calls in | ✓ Structured protocol |
| GDPR-compliant design | ~ Variable | ✓ Privacy-first |
Three tiers designed for every stage of clinical adoption. GBP pricing available on request.