How To Achieve 100% Smartcard Reliability

How To Achieve 100% NHS Smartcard Reliability

Do you long for the day when smartcards work perfectly or are even a thing of the past? Is it frustrating when smartcard authentication fails for no apparent reason? NHS Smartcard Reliability is a problem for many, but it’s not something you just have to put up with anymore.

We’ve been working with the NHS for fifteen years now and originated from an IT security background around smartcards and secure authentication. We have over 40,000 iO users (our smartcard identity agent) and as a result have seen thousands of local use-cases for the NHS smartcard, some hugely successful… some not so much.

If you’ve somehow wandered here by accident and aren’t sure what we’re talking about, NHS smartcards are similar to chip and pin cards that allow our healthcare professionals here in the UK to access the patient information that’s relevant to their role. Smartcard authentication is required for access to clinical applications – no smartcard authentication, no access.

Smartcard Failures

Historically, smartcards have been seen as a hindrance – they can slow down the process of clinicians getting access to a patient’s records in potentially critically time-sensitive situations, albeit in the name of security. But, they can fail to authenticate for what appears to be no explicable reason. Sometimes, it will fail two or three times and then just work.

This centres around the cumbersome and slow process but also because a physical smartcard with a physical reader can be prone to glitches.

Would it surprise you to know that up to 20% of smartcard authentications fail because of the physical nature of smartcards and readers? Although it may not come as a total surprise, I suspect most of you don’t know what the failure rate is in your specific trust?

If you use iO Identity Agent, you can find this out by visiting our Analytics Portal which we introduced in March last year. Analytics allows managers to view all the data that is passively collected through iO like which cards fail most frequently, or which devices and precisely how long each authentication takes.


What Can You Do About Your NHS Smartcards?

We repeatedly heard about smartcard frustrations from our users and as a result developed iO Virtual Smartcard. Virtual Smartcard solves both cumbersome and temperamental problems by virtualising the smartcard into the Cloud. When linked to a user’s Active Directory account, you can simply log in to Windows and become simultaneously authenticated. As the process is virtual, there are no physical gremlins to interfere with now defunct card or reader.

What’s more, our Analytics Portal can show unequivocal data of the much improved Launch Time (Windows logon to clinical application being ready) and also 100% reliability on Virtual Smartcard authentication.

You will find our Virtual Smartcard brochure on our website for more information and you can also contact us to request a demo.

Are Biometrics The Future For The NHS?

Biometric Technology in the NHS

After the huge launch at the Apple Event last night, everyone is talking about the leap in biometric technology to drop the fingerprint scanner in favour of facial recognition.

Biometrics are physiological reference points that are unique to every individual. The most commonly used are fingerprint and iris scanners, or facial recognition infrared technology.

It made us think here at Isosec, that fingerprint scanners are commonplace in all industries: Timekeeping sign-in systems are often fingerprint scanners, they’re used in HR and payroll and even some schools to take out library books; biometrics are widely accepted everywhere except the NHS.

As mounting economic and political pressure on the NHS forces IT leaders to adopt new technology to be more resourceful, one of the biggest worries is cybersecurity and the ways digital records can best be protected. Some Trust’s already use biometrics for restricted access areas and equipment. Could using biometrics to authenticate clinical staff be a sensible adoption for the NHS?

NHS Biometrics Iris Scan

What are the Advantages of Using Biometric Technology in the NHS?

  • Time Savings – In the NHS time is critical and by not having to waste time entering passcodes every time you authenticate, or having to reset your details with the registration authority more time can be spent on patient care.
  • Cost Savings – There would be no need for specialist printers or materials to print smartcards on, and no more buying smartcard readers. Smartphone’s are in everyone’s pockets and software could be set-up where code is shared with your personal device from the workstation and you authenticate using your biometrics on there.
  • Less Errors – Biometric data doesn’t change, so there’s less chance of duplicated records when you change your surname, or locked accounts when you forget or mistype your passcode.
  • Improve Security – Reduce reliance on secondary info like passcodes and high risk methods like smartcards that can both be shared or misplaced.
  • More Audits and Data – With new technology data is captured in real-time and can be easily shared and compiled to reveal new key learnings for an organisation which could be very beneficial to improving care in the NHS. Biometrics are unequivocal, providing clear audit trails for which users have done which tasks without wondering if a smartcard has been borrowed or passcode shared.
  • Integrated Care Pathways – If the NHS as a whole were to adopt biometrics as a patient identifier, for example, then those patients who are geographically shared by Trusts or have more complex healthcare in a range of settings could share their information more easily. With a biometric-accessed record a patient could take their health record with them wherever they go, be it social care, community care, or acute. They can also give consent to share their information in real-time, rather than waiting for paperwork to be processed.

Are Biometrics the Future of Cybersecurity in the NHS?

Whether the whole NHS will opt to use biometric data alone like Apple have done is hard to tell, the technology needs more thorough user testing first. Current NHS security standards demand dual authentication (e.g. a biometric plus a passcode) for an added layer of security, but as technology marches forward perhaps we will see a change in the UK’s digital healthcare technology, especially with the advantages stacking up. There is certainly no reason for Trust’s to wait to investigate their options, the technology is already here and waiting to be used to it’s full potential.

If you would like to talk to us more about our smart authentication products for the NHS please visit our website where you will find brochures and videos on our iO Virtual Smartcard.

5 Unsafe Workaround Tactics With The NHS Smartcard

Isosec and the NHS Smartcard

Okay, firstly there will be no naming and shaming here, so if you were hoping to see organisations with poorer processes than yours, shame on you. Cybersecurity is no joke, especially when it comes to the NHS smartcard and protecting patient data.

What we are going to share are five very real examples of unsafe working practices involving NHS Smartcards.

We’ve been working with the NHS for fifteen years now and originated from an IT security background around smartcards and secure authentication. We have over 40,000 iO users (our smartcard identity agent) and as a result have seen thousands of local use-cases for the NHS smartcard, some hugely successful… some not so much.

If you’ve somehow wandered here by accident and aren’t sure what we’re talking about, NHS smartcards are similar to chip and pin cards that allow our healthcare professionals here in the UK to access the patient information that’s relevant to their role.

Here’s five ways we’ve seen organisations abuse the power of the NHS smartcard.


 5 Unsafe Workaround Tactics With The NHS Smartcard

  1. Passcode strength – Pretty obvious one to start with, but setting a secure passcode really is important! We’ve had people volunteer that their passcode is ‘passcode’,‘1234’, even ‘doctor’. It may be quicker to type 1234 in a hurry, but it belittles the whole authentication process if you fail to keep your personal security standards high.
  2. Card sharing – Again, it might seem easy enough to pass your card onto a colleague when they’re in a hurry, but it’s hard to criticise cybersecurity standards of an organisation if individuals don’t adhere to explicit security processes.
  3. Leaving a cut card in a reader – Possibly the worst offender on this list, but sadly we have seen it in action! The explanation we were given was that Information Governance colleagues would regularly walk around and check on how things were running. In order to avoid detection of card sharing whilst still having quick shortcut access, one card was left in a reader and then cut off, so IG couldn’t see the card in the reader or even know that the behaviour was going on.
  4. Robot smartcards – By having a machine with a smartcard permanently in a reader which automatically logs in with a fixed passcode poses an IG risk and most trusts are completely oblivious to this. Our analytics dashboard highlights this behaviour straight away so it’s not something we see with iO.
  5. Single sign on passcode manager software – By using software to remember your passcode and have it key them in for you, you’re no longer using two-factor authentication, you take the security level down to just one factor, which doesn’t adhere to NHS security standards and doesn’t stop someone else jumping on your card should they pick it up.


What Can You Do About It?

Some people don’t think NHS smartcards are the best and from the list above it’s clear to see that there is some education around the issue of cybersecurity to be done generally. It’s a strong case for how sometimes poorly managed technology can hinder users rather than benefit them, but sadly there are often unsafe workaround tactics like these that harbour high risk behaviour.

However, we think when smartcards are used properly they do the job for the NHS and we’ve even developed ways to maximise the security and efficiency with them.

From our experience with IT departments in the NHS we listened to these extensive issues some Trusts have with the smartcard. From there we expanded our iO identity agent capability and iO Virtual Smartcard was created. There are a wealth of benefits to using our Virtual Smartcard product, but most importantly we built it to maximise the security around authentication whilst still addressing the user issues we have witnessed along the way.

By creating an innovative technology that meets both the practicality of everyday working practices as well as high-level security standards we hope to further the efficiency of the NHS whilst still maintaining the necessary safeguarding of patient data in the modern world.

NHS smartcard cybersecurity image of padlocks and code

To find out more about how to avoid these high risk behaviours in your organisation you can download our Virtual Smartcard brochure or watch our explainer video on our website.

The WannaCry ransomware and how it (doesn’t) affect us

There’s been a great deal in the news over the past few days about the already infamous “WannaCry” (AKA “WannaCrypt”, “WanaCrypt0r”, “Wanna Decryptor” etc.) malware that’s spread like wildfire across the world, most notably infecting numerous NHS trusts. You may not already know that Isosec was built from a security background, we have cybersecurity expertise spanning 50 years. With this in mind we thought we’d let you know just what on earth is going on, how it might affect you, and how it, thankfully, doesn’t affect Isosec (despite the similarities in the name of other companies involved!).

What is it?

First and foremost we go onto the question that’s on most people’s minds; just what exactly is this thing? Well, “WannaCrypt” is a type of malware (malicious software) known as “ransomware”, which is software that will encrypt all of your most important files and folders, and then quite literally hold them ransom, asking you to make a payment in order to decrypt them for use (which more often than not is the worst possible thing you can do).

Now that the technical jargon is out of the way, a practical example. You receive an email with an attachment, you open this attachment and it runs a program on your computer, this program locks away all of your files with a password you don’t know, and then demands a sum of money in return for that password. Sound bad? It is! Ransomware has been around for many years in various forms, but what’s getting worse is not so much the programs themselves, but the way in which they spread.

In the case of “WannaCry”, the evidence thus far suggests that it’s capable of spreading across the entirety of a local network with ease, infecting every other computer on the network that isn’t up to date enough to protect against the vulnerability. Now if the “not up to date” part of that spiked your interest, that’s for good reason…

Staying safe

Whilst the usual security principles come into play here – always run an active anti-virus and keep a malware scanner to hand, don’t open unknown attachments, stay away from unfamiliar websites etc. – there is one that rises above all others in terms of importance; keep your computer up to date. The vulnerability in Microsoft’s Windows product that allowed the “WannaCry” attack to take place was fixed back in March of this year, meaning that the average computer was already safe by the time the attack began. But if you don’t regularly update – and don’t have automatic updates switched on – then you were, and possibly still are, at risk.

How this (doesn’t) affect Isosec

Due to the nature of Ransomware, attacks such as these are unlikely to affect us as a company. Our internal security policies keep us out of harms reach, and the fact we ship software rather than hardware means we’re not in the crosshairs of these sorts of attacks. But that doesn’t mean we can wash our hands of any responsibility, instead, it’s important to look at how we can help you to prevent these problems from happening.

Let’s use MIA Maternity as an example. MIA Maternity is completely offline-capable, and while that’s important for midwives who use our software in areas of limited or no connectivity, it’s even more important when a large scale cyber attack such as this one occurs.

This is because even though the Trust owned servers that hold the all important patient data might be compromised, the mobile devices remain functional, with a recent copy of all the patient data required to work. Midwives can continue to work without issue, and patient care isn’t compromised. Better yet, there’s no need to revert to older paper-based backups, midwives can continue to enter data into MIA Maternity, and it will be sent back to the server once the issue has been resolved by the Trust.


Here at Isosec we take security very seriously. It’s baked into how we make software, and is something on the minds of everyone here constantly.

Introducing: iO Virtual Smartcard

Isosec’s iO Virtual Smartcard

We’d like to introduce the latest innovation from Isosec – iO Virtual Smartcard, the smart NHS identity agent.

Virtualising your NHS smartcard into the cloud means you can access it using a more convenient form of authentication, like your smartphone. iO Virtual Smartcard works with your NHS issued HR card, an RFID tag or even a biometric like your thumbprint.

With iO Virtual Smartcard you can walk to up to any desktop, scan a QR code with your smartphone, enter the passcode and you’re authenticated to use clinical applications.

Cool, right?

iO Virtual Smartcard by Isosec

Challenges without iO Virtual Smartcard

iO Virtual Smartcard addresses problems the NHS is currently facing with managing smartcards.

Smartcards are issued from your Trust’s Registration Authority (RA). Issuing physical cards takes a long time and requires expensive specialist printers for production.

Junior Doctor Intake
Taking on a new cohort of junior doctors, for example, becomes a logistical and resource-intensive undertaking. RAs travel to different locations to process new starters where they set up the RA system and printer and process each doctor one by one.

Agency Workers
A common approach with Agency Staff is to issue generic smartcards and distribute them across departments. When needed by an agency worker, a manager has to reset the passcode of an existing ‘pool’ card and update a spreadsheet with the agency worker’s details. After the shift is over, that agency worker should hand the card in. The manager then has to repeat the process of deregistering the card and updating the spreadsheet.

This process is inefficient and high risk for your Trust. In clinical system records, for example, details often read “Agency Worker 31291” instead of the specific agency worker’s name. This is usually resolved by reverting back to the spreadsheet for clarification, assuming the process was followed and records are up to date.

This longwinded process for a simple task creates a serious Information Governance issue and wastes valuable staff time that could be better spent elsewhere.

Smartcard User Woes
Smartcards can be a general inconvenience post-registration, especially if you accidentally lock your card. When this happens, you probably have to track down the RA, which may be on a different site or even unavailable in the middle of the night. You sit together whilst the RA unlocks your card. This re-registration is at least 30 minutes of valuable clinical time lost.

Isosec Virtual Smartcard QR Code Desktop

iO Virtual Smartcard

Isosec’s iO Virtual Smartcard leverages the strength of the existing RA process and eliminates the inefficiencies illustrated above. Known as eGIF Level 3, Virtual Smartcard mandates a strong identity check of the person requesting a smartcard.

  1. Once the user’s identity is asserted, the RA issues a virtual smartcard instead of a physical one. The virtual card is created in the Virtual Smartcard Cloud.
  2. The user downloads the Virtual Smartcard Authenticator App on their smartphone straight from the app store.
  3. The RA enrols the user’s smartphone for use with the virtual smartcard using a QR code displayed on their virtual smartcard portal.
  4. The user scans the QR code with the Virtual Smartcard App, enters their passcode on the smartphone and they are enrolled and ready for use… It’s as easy as that!

iO Virtual Smartcard using a smartphone
After the Virtual Smartcard is set up as above, it’s ready for everyday use. The user simply clicks Login on the iO identity agent on any workstation: Scan the QR code with the Virtual Smartcard app, enter passcode and authentication completes. iO will also launch any Spine clinical applications if configured to do so.

Please note that this is still two-factor authentication – something the users knows (the passcode) and something they have (the enrolled smartphone).

A user can still insert a physical smartcard if they wish – iO works with both physical and virtual smartcards.

Using the Virtual Smartcard using an HR card
Alternatively, an HR issued NFC card can be enrolled for use with the user’s Virtual Smartcard. In much the same way that a physical smartcard can be used with NFC, as can the HR card.

Self Service
Virtual Smartcard can be reset using self-service to avoid previously mentioned issues surrounding locked cards. After visiting the Self-Service Portal, a user enters their NHS email address to which a reset link is provided. The linked page asks the user to answer at least two security questions specified during the registration process. This allows the Virtual Smartcard to be unlocked and the passcode reset.

Each reset saves approximately 30 minutes and can be done whenever, wherever.

As the Virtual Smartcard is held in the cloud, there is nothing to physically lose, share or leave in a reader. The Virtual Smartcard technology is improving a previously complex process, so compliance and risk are greatly improved. Users no longer have to battle the technology to do their jobs, they work productively together.

The Virtual Smartcard Cloud service is built into the Isosec cloud-based analytics platform. With Virtual Smartcard it is easy to track when, where and how each Virtual Smartcard is used. This enables Trusts to learn from best practice and identify where any issues may arise. It also provides a rich set of data on how Spine applications are used; data which has not been readily available before. Isosec Analytics also enable Information Governance audits at the touch of a button.


  • Enables the use of devices that don’t have a Smartcard reader e.g. an iPad using a virtual desktop client, or users working from home
  • Simple to adopt, solving the Information Governance issues with agency staff, bank smartcards and lack of traceability
  • No generic cards in the wild
  • Audits and analytics available at the touch of a button
  • Enables rapid access to systems for new starters or temporary/agency staff once they have a virtual card – managers can authorise their access via a management console
  • Provides a much improved user experience by enabling self-service reset of passcodes, thereby avoiding periods where cards are locked and can’t be reset due to unavailability of RAs

Future Use
Future plans for iO Virtual Smartcard include using other authentication methods. We are always looking to improve the iO Identity Agent and RFID tags and biometrics (e.g. fingerprint and iris) will be added. Authentication methods will be policy driven by individual Trust preference.

Using Virtual Smartcard for other purposes is also under consideration, like the possibility of Two Factor Authentication (2FA) for remote access over the public internet. Virtual Smartcard streamlines the authentication process by using a single two factor authentication from any device for internet access, Windows AD logon and Spine authentication for access to clinical apps.

Release Date
A number of pilots began in April 2017. A full case study with benefits realisation and business case process will be available soon. To register your interest and request a demo please visit our website or email and quote this blog. Virtual Smartcard will be readily available to all existing and new iO customers from June 2017. Please visit to download the iO brochure for information on our other Identity Agent software. You can keep up to date with the release by following us on Twitter @isosec.

Streamlining Windows and clinical application logon with the NHS Smartcard

As part of our product roadmap, we are about to release our next iO product – iO Logon. I always get a little excited when we release something new and innovative, especially as it’s something I’ve wanted to do for a long time – make the NHS Smartcard able to log on to Windows and the Spine seamlessly.

First some history.

Back in the NPfIT days, we used to joke that Spine SSO (Single Sign On) was the only single sign-on system where a user had to log on twice – once for Windows with username and password (AKA AD Credentials) and then with a smartcard to access Spine clinical applications. This has been the norm for a long time resulting in delays for users wanting to get or update patient information or order tests.

We introduced Spine Session Persistence back in 2012 – the ability to keep clinical applications running even when disconnected from a virtual desktop, saving at least 30 seconds every time a user re-connected back to their virtual desktop. This helped in a big way to improve the experience for clinical users through integrating the technology better.

So, the current user experience goes something like – turn up to work, log in to Windows with username and password. Wait. Virtual desktop appears a few seconds later. Insert smartcard. Enter passcode. Select role. Clinical app starts. Wait. Wait some more. Still waiting. Clinical application now available. After some time using the clinical application, the user disconnects from the virtual desktop to return some time later. Log on to Windows again. Wait. Insert smartcard. Continue using clinical application.

Our vision is about enabling clinicians to do what they do best – treat patients using efficient supporting IT systems. Not the other way round of battling with IT systems to then deliver patient care.

iO Logon delivers just that – a fast and streamlined access to clinical applications.

The new process goes like this:

1. User walks up to a workstation and presents their NHS smartcard – either inserting it or placing it on a contactless reader


2. User is prompted for their NHS smartcard passcode – not their Windows username and password!


You’ll notice that there is a remember passcode tickbox meaning that user doesn’t need to enter it again until some policy defined period or event – simply presenting the card next time will allow them straight in.

And that’s it – the user is signed in to Windows and their Spine applications launch. Then, simply remove the smartcard and the user is returned to Step 1. Removing the smartcard disconnects them. Re-presenting the smartcard then simply gets them back to their applications where they left of – a matter of approximately 1 second.

From an administration point of view we’ve designed this to be as simple as possible. Registration for the iO Logon service is done by the user by simply enrolling their card when they present it for the first time:


Obviously, there is still a management interface for setting up the various policies and de-registering cards, but that’s it.

One of the really great aspects of this new iO Logon product is around the analytics. As Edward Demming famously observed, “without data, you’re just somebody else with an opinion”. Which in the case of user log on time is very true. Just how long does it take to log on and get access to a clinical application? Isosec has his its own cloud based analytics platform that collects this information to give an unequivocal view. This view breaks down in detail to the individual aspects of the authentication process and how long it takes before the clinical app is ready. It also can show a macro view of all authentications for a particular user as well as across groups of users. This then allows bottlenecks to be identified and improvements made. I’ll discuss more about the analytics another time as we release more of our analytics roadmap functionality.

On a final note, iO Logon is part of an exciting and ambitious roadmap for iO. We are busy working through R&D for our next iO solution aimed at agency staff. More on that soon.

New Pilot Analytics Service Announced

We are preparing the next set of Isosec products as part of our Isosec Roadmap and would like to announce a pilot Analytics service. This first instalment will enable trusts to access all their user authentication records for all Isosec products.

Initially the analytics service information available is limited to:

    Authentication Timestamp, Isosec Product, Isosec Product Version, Device Id, User Certificate Id, Platform Operating System

This applies to our MIA platform and MIA applications such as MIA Maternity as well as iO and iO Local which is embedded as part of RiO Store and Forward and Open RiO.

As part of the roadmap, we’ll then look to add a rich set of additional information, including user information, GPS location information, clinical application information and detailed device information.

This will culminate with an analytics dashboard providing key business insights and governance information on the usage of clinical applications by users on desktop, virtual or mobile devices.

What can Analytics do?

Analytics provides a complete and detailed view of how users access which applications from which device and where. This can be done directly through inspecting a specific user, device or application or even location. It can also be done indirectly by identifying patterns in this information.

This can enable:

  • Uncovering of Information Governance issues directly or indirectly through unusual behaviour such as the sharing of smartcard credentials
  • Identifying where applications are or not being used by certain users

A glimpse of things to come:

Isosec Analytics Dashboard Screen

If you would be interested in being part of a pilot for the analytics service email to register your interest.

5 Ways Better Mobility Boosts Business Performance

Here are 5 ways Isosec’s mobile app MIA has proven that better business mobility will make your business more efficient and productive.

Savings In Time

Everybody is busy. Perhaps you think that improving the mobility of your workforce is something you just don’t have time for. We’ve heard before that there just aren’t enough hours in the day, someone will get the work done by next week at the earliest or they forgot to reply to your email because they’ve been rushed off their feet.

What if all the time you spend going through arduous paper processes, copying bits of information down, addresses, notes etc. could suddenly be freed up to do more important things?

For example, instead of someone going out on appointments and collecting information on paper, then travelling back to the office in lunchtime traffic (we’ll get to that bit), then typing it all into the computer, or possibly even someone else typing it in- duplicating the already wasteful efforts, THEN filing it away in a cabinet and kept to gather dust for years to come… The alternative is that you could take a mobile device and input the data securely straight into the system.

A lot of people say that can’t work for them because it’s a specific program they use on the computer and it doesn’t integrate with other apps or systems. That’s not true. It doesn’t matter whether it’s an iPhone or a Win10 tablet- Apple, Android or Windows there is mobility software out there that can change the way your organisation works. That time spent writing on paper can be better spent having a cup of tea, or, you know, more important things if you’re a doctor perhaps, like seeing another patient.

Savings In Expenses

All of that unproductive time is pricey, too. Duplication of admin means someone else gets paid to do what you’ve already done once and a successful mobile solution can feed your info straight back into the back end system in seconds.

Then there’s all the time spent travelling back and forth from appointments, which you don’t have with a smart GPS feature in your mobility software that can calculate the most efficient routes and order your appointments for the day based on travel economy. In turn this will save petrol money, and possibly even more time that you might have spent in a traffic jam you were previously unaware of. Not to mention the huge savings for the environment when a business can go paperless.

More Staff Available/Less Agency Staff Needed

With time and money saved on a day-to-day basis it all adds up. According to our latest MIA information a team of 100 full-time staff are currently saving at least 5 hours a week… each. Yes, each. That’s 500 hours to be spent improving productivity and performance. The time saved also means less need for temporary staff. This gives more job security to the full time employees and saves businesses from having to pay for added staff on a last minute basis without the resources for thorough training.

Boosts Staff Morale

With an extra 5 hours on their hands staff can not only be more productive but they can relax a little. Some organisations are pushed to cut corners on staff health and wellbeing, which is equally damaging to employee and employer and certainly doesn’t boost business performance.

If an employee feels guilty for taking time off when they are under the weather it’s much more damaging in the long run when they’re even more worn down and they’ve spread their cold across the whole team. That is a basic example, but it’s commonly accepted now that staff perform better when they are happy in their job, and especially when they’re not pushed to breaking point because of staff shortages.

Increased Data Quality

When someone is capturing information at the point of contact, rather than sending it through a longwinded process where it’s subject to change, it takes less time to get where it needs to go- so the quality of that data will be much more accurate with a mobility app.

With a process redesign, which is often needed to transform these inefficient paper processes into fresh mobile solutions, the most necessary and accurate data capture points can be codified into the system. This means everyone will be answering on the same scale from a drop down menu or toggle selection, rather than handwriting 10 lines of vague text that isn’t the same as the next person’s idea because they’ve interpreted the question differently. So that Doctor we mentioned earlier has to select that Jimmy’s temperature is exactly 38.2 degrees Celsius, rather than ‘a bit warm’, because his version of a bit warm is not the same as the next doctor who goes to visit and thinks Jimmy’s temperature is just fine.

Staff are held more accountable for their work this way, so it’s easy to see where non-compliance may be occurring or where they may be an issue. There is also the ability to collect rich metadata of management information on performance, which can in turn be used to inform decisions and boost business performance on an on-going basis.



business performance meeting using ipad graphs