RAG Patient Segmentation Model Resource Package
At Foundry Healthcare Lewes, we developed our RAG Patient Segmentation Model to address the challenges of complexity and continuity in primary care. As a merged practice and Primary Care Network serving 28,000 patients, we needed a system that ensured those with complex needs received the right care from the right clinician. Traditional search-based approaches were retrospective and inefficient. To address this, we took a different path—creating a real-time, clinician-led system where patients are dynamically categorised as Red, Amber, or Green at the end of each consultation. This simple yet powerful model allows practices to proactively manage continuity of care, engage the whole team in decision-making, and improve outcomes for both patients and clinicians.
The Benefits
💼 Stronger workforce – Improved staff morale, recruitment, and team sustainability.
💰 Financial sustainability – Increased practice profitability and reduced locum reliance (720 fewer sessions over three years).
📉 Fewer avoidable appointments – Reduced to 6.5% (compared to 27% elsewhere), optimising General Practitioner time.
🏥 Reduced hospital strain – 12,480 fewer bed days, 751 fewer Accident & Emergency visits, and 170 fewer ambulance callouts.
🌱 Recognised impact – Featured in the Fuller Stocktake and Primary Care Access and Recovery Plan.
What’s Included in the Resource Package
✅ Comprehensive introduction – Learn how the model works and the benefits it brings.
✅ Step-by-step implementation guides – Written and video tutorials for setting up the model in SystmOne and EMIS.
✅ Accelerated setup instructions – Get your practice up and running quickly.
✅ AI chatbot support – Instant answers to your questions.
✅ Direct support – Need further help? Contact us via email or phone.
Get started today and transform how your practice manages continuity of care.
