X-On

What X-On does

X-on Health Ltd is a UK-based cloud telephony and digital health provider that delivers an integrated care navigation platform to NHS primary care. Operating as a specialist division of Southern Communications Group (SCG), the company serves more than 3,500 GP practices across the United Kingdom, reaching an estimated 24 million patients through its flagship Surgery Connect telephony system. Founded in 2003 (originally as Storacall Technology Ltd, rebranded to X-on Health in 2022), the company is headquartered in Melton, Suffolk, and employs over 100 staff.

The company's product portfolio spans four core offerings: Surgery Connect (cloud telephony with clinical system integration), Surgery Assist (an AI-powered 24/7 care navigation chatbot built on Microsoft Azure AI), Surgery Intellect (an ambient voice technology scribe powered by TORTUS that automates clinical documentation and SNOMED coding), and Surgery Insights (a benchmarking analytics dashboard). Supporting products include Voice Agents for automated inbound and outbound patient interactions, Phonebar (a unified desktop communications app), X-Flow (a drag-and-drop call flow editor), and Workflow Agent (a Class I UK MDR-certified medical device). The technology is natively integrated with the major UK clinical systems — EMIS Web, TPP SystmOne, INPS Vision, and Medicus EHR — and complies with NHS-specific frameworks including DTAC, DCB0129, DSPT "standards exceeded," and Surgery Intellect's first-of-kind UKCA Class IIa certification.

X-on Health operates a subscription-based recurring revenue model, with monthly fees for telephony, AI assistants, and analytics modules, augmented by tiered managed-service packages (Gold and Platinum Access Optimisation support priced up to £60/month per practice, and Social Media packages from £150 to £300/month). Distribution is conducted primarily through direct enterprise sales to GP practices, Primary Care Networks (PCNs), and Integrated Care Boards (ICBs), supplemented by NHS framework procurement channels (NHS England Advanced Telephony Better Purchasing, CCS G-Cloud 13, NHS SBS) and integration partnerships with clinical system vendors. The company targets a strictly domestic UK footprint, with sales-led enterprise motions, dedicated customer success advisors, and an Academy training program supporting upsell and retention.

Name

X-On

Legal name

X-on Health Ltd

Website

https://x-on.co.uk

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

51–100 employees

Short description

X-on Health is a UK-based cloud telephony and AI care-navigation provider serving more than 3,500 NHS GP practices, Primary Care Networks, and Integrated Care Boards with integrated telephony, AI assistants, ambient voice documentation, and analytics built on Microsoft Azure AI.

Ownership category

akta.pro rank

Product category

Healthcare Communication Software

NAICS

Health Care and Social Assistance (62), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)

SIC

Services-Telephone Interconnect Systems (7385), Services-Health Services (8000), Services-Computer Integrated Systems Design (7373)

akta.pro primary industry

Care Navigation, Referral & Digital Front Door Platforms (HLALABAH)

akta.pro secondary industries

Virtual Visit & Scheduling Platforms (EHR-integrated) (HLALABAA), Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ), Healthcare On‑Demand Platforms (Telehealth, Home Care, Nursing) (BPAMAHAH)

Keywords

• Cloud telephony
• AI care navigation
• Primary care communications
• Ambient voice scribe
• Clinical system integration

Headquarters

HQ city

Melton

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Surgery Connect (Cloud Telephony): Subscription-based cloud telephony service for GP practices with monthly rental fees covering all upgrades and features. Provides unlimited lines, call recording, clinical integration, and ongoing support. Pricing varies by practice size and configuration requirements.
2. Surgery Assist (AI Assistant): AI-powered digital assistant subscription for 24/7 patient care navigation. Reduces administrative burden and call volumes. Pricing included within broader platform or as add-on.
3. Surgery Intellect (AVT Scribe): Voice-enabled AI consultation assistant with ambient voice technology. Free trial available (reduced to 1 month). Subscription pricing for ongoing use with clinical documentation and coding features.
4. Surgery Insights (Analytics): Centralised dashboard for practice data analytics and benchmarking. Included as part of integrated platform or available as standalone subscription.
5. Access Optimisation Support: Expert-led support packages (Gold and Platinum tiers) providing data-driven recommendations and ongoing optimisation. Platinum tier priced at £30-60/month with quarterly meetings, configuration support, and training discounts.
6. Social Media Managed Service: Managed social media services for GP practices with three package tiers: Social Lite (£150/month), Social Pro (£225/month), and Social Pro+ (£300/month). Includes content creation, community management, and video production.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core offering

X-on Health delivers cloud-based telephony and AI-powered care navigation solutions tailored for UK GP practices, Primary Care Networks (PCNs), and Integrated Care Boards (ICBs). Its integrated suite spans cloud telephony (Surgery Connect), AI patient assistants (Surgery Assist), ambient voice clinical scribes (Surgery Intellect), voice agents, analytics dashboards, and managed services, all integrated with major clinical systems such as EMIS, TPP SystmOne, INPS Vision, and Medicus EHR.

Differentiator

Problem solved

Functional benefit

Brands

• Surgery Assist: AI-powered care navigation assistant for GP practices, providing 24/7 patient support, appointment booking, and digital self-service.
• Surgery Connect
• Surgery Intellect
• Surgery Insights
• Voice Agents
• Phonebar
• X-Flow

Products and services

• Surgery Connect Cloud-based phone system for primary care supporting over 3,500 GP surgeries. Provides intelligent call routing, unlimited phone lines, callback options, integrated SMS, clinical system integration (EMIS, SystmOne, Vision), call recording, and real-time reporting to improve patient access and manage demand.
• Surgery Assist AI-powered 24/7 care navigation assistant for GP surgeries that helps patients book appointments, request callbacks, and access key services without staff intervention. Reduces inbound patient workload by 30%, supports dynamic translation in 100+ languages, and integrates with NHS App and online consultation tools.
• Voice Agents for General Practice AI-powered voice agents that automate routine phone requests, capturing structured patient information at first contact. Includes Inbound Agent (Omni Consultations) for automated triage and Outbound Agents for appointment reminders and test results delivery.
• Surgery Intellect Voice-enabled AI assistant powered by TORTUS using ambient voice technology (AVT) to listen, transcribe, and generate clinical notes, referral letters, and SNOMED coding in real-time for face-to-face and telephone consultations. Saves up to 4 minutes per appointment. UKCA Class IIa certified.
• Surgery Insights Centralised dashboard providing real-time surgery-level data on patient access, digital tool uptake, and performance metrics. Tracks appointment trends, call wait times, NHS App adoption, and benchmarks against national and local averages.
• Access Optimisation Support Expert-led support packages (Gold and Platinum) providing data-driven recommendations, workflow optimisation, and ongoing customer success advisory services to maximise digital tool impact at GP practices.
• Social Media Managed Service Managed social media service for GP practices including content creation, community management, and strategic reporting across Facebook, Instagram, and LinkedIn platforms.
• Academy & Training Expert-led training hub providing eLearning courses, on-demand resources, live webinars, and on-site training to help GP practices maximise digital tool adoption and improve patient access.
• Workflow Agent Self-certified Class I Medical Device that automates collection, transcription, and summarisation of preliminary patient data using text-to-speech and speech-to-text technology for structured triage data gathering, reducing cognitive load for clinicians.

Quantifiable outcome

• Supports 3,500+ GP practices across the UK
• +7 more outcomes

Named customers13 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

AI capability10 records

Feature8 records

Partnerships

Eight partnerships are on record, tiered core, supporting and flagship.

• Medicus HealthcoreTechnology or Integration · 1 January 2026Partnership to embed Surgery Connect into the Medicus EHR, creating a fully integrated workflow for day-to-day general practice. The integration combines telephony and electronic health record systems for seamless patient communication and documentation.
• TORTUScoreTechnology or IntegrationTORTUS provides the ambient voice technology (AVT) powering Surgery Intellect. The partnership delivers real-time consultation transcription, clinical coding, and automated letter generation. TORTUS technology has achieved UKCA Class IIa certification (first AVT solution to do so) and is registered with MHRA. X-on Health and TORTUS are both self-certified suppliers on the NHS England AVT Registry.
• Microsoft Azure AIsupportingTechnology or IntegrationSurgery Assist is built on Microsoft Azure AI services. Azure provides the underlying AI infrastructure for the care navigation assistant's natural language processing, translation capabilities (100+ languages), and scalable cloud hosting.
• EMIS HealthcoreTechnology or IntegrationClinical system integration with EMIS Web enables instant patient identification, click-to-dial, call recording linkage, and patient record access during calls. X-on Health is an EMIS accredited partner. Integration enables streamlined workflows and improved data quality.
• TPP (SystmOne)coreTechnology or IntegrationClinical system integration with TPP SystmOne enables seamless patient record access, call logging, and documentation during telephony interactions. Surgery Intellect achieved IM1 assurance for file-to-record functionality with SystmOne.
• INPS VisionsupportingTechnology or IntegrationClinical system integration with INPS Vision provides patient identification and record access during calls for practices using the Vision clinical system.
• NHS EnglandflagshipStrategic or Co-development PartnerX-on Health is an approved supplier on the NHS England Advanced Telephony Better Purchasing framework and is recognised on the NHS England AVT Self-Certified Supplier Registry. Products include Clinical Authority to Release from NHSE's Clinical Safety Group.
• Crown Commercial ServiceflagshipChannel Partner/ Reseller/ DistributorX-on Health is named as a supplier on the CCS G-Cloud 13 Framework for messaging, voice, and combined solutions. Also on the Crown Commercial Service Digital Support and Inclusion Framework, enabling public sector organisations to procure cloud-based services.

Scale indicators18 records

Recent moves7 records

Expansion highlights6 records

Emerging players

• Heidi Health: AI medical scribe expanding into the UK primary care market with ambient documentation, competing for the same per-appointment time-savings value proposition as Surgery Intellect.
• Livi: Digital GP provider operating NHS-branded video consultation services, increasingly overlapping with X-on's digital front-door and triage capabilities at the patient access layer.
• TORTUS: AI ambient voice scribe partner powering Surgery Intellect, but also an emerging direct AVT vendor to NHS trusts — partly collaborator and partly competitor in clinical documentation.

Direct peers

• Accurx: UK-based patient communication platform purpose-built for GP practices, offering messaging, online consultations, and remote triage directly integrated with EMIS and SystmOne — the closest direct overlap with X-on's Surgery Assist and Surgery Connect footprint in NHS primary care.
• eConsult: Provider of online consultation and triage tools widely adopted across UK GP practices, competing with Surgery Assist for the same 'digital front door' budget and integrated with the same EMIS/SystmOne workflows.
• Netcall: UK cloud communications and patient engagement vendor with a Liberty platform serving NHS trusts and primary care, directly competing with Surgery Connect on cloud telephony and care navigation in the same NHS framework ecosystem.
• MJog: Long-established UK patient messaging and appointment reminder service used by hundreds of GP practices, overlapping with X-on's SMS, callback, and patient engagement capabilities within the same primary care customer base.

Others

• EMIS Health: Dominant UK GP clinical system vendor and core X-on integration partner; could evolve into a competitor by bundling native telephony or AI navigation into its EMIS Web platform.
• TPP: Provider of SystmOne, the second major UK GP clinical system deeply integrated with Surgery Connect — a strategic partner today but a potential bundling competitor tomorrow.

Broad incumbents

• RingCentral: Global cloud UCaaS incumbent with a UK healthcare go-to-market, competing with Surgery Connect on core cloud telephony features and increasingly on AI-driven patient engagement for enterprise healthcare buyers.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/xonuk
• Facebookfacebook.com/XonTel

Compliance16 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about X-On