ECG On-Demand

What ECG On-Demand does

ECG On-Demand (trading name of Technomed Limited, part of DHC Group) is a UK-based healthcare technology company providing outsourced 12-lead ECG interpretation and ambulatory Holter monitoring services to NHS hospitals, GP federations, primary care networks, mental health providers, private healthcare organizations, and sports bodies. Founded around 2010 and headquartered in Farsley, West Yorkshire, the company operates with 11–50 employees including a directly employed clinical team of 14 UK-based cardiac physiologists registered with SCST/AHCS, supported by consultant cardiologist governance.

The core platform combines licensed Cardiologs machine learning (trained on 500,000+ consultant-annotated ECGs) for first-pass abnormality detection with mandatory human cardiac physiologist refinement, producing reports delivered within 24 hours. Hardware consists of reusable, waterproof Bittium Faros Holter monitors (24-hour to 14-day recording), an ECG-OD Diary mobile app for patient symptom capture, and the proprietary Traffic Light ECG risk rating system. Distribution is hybrid: NHS HSCN network access with native EMIS Web integration for B2B clinical workflow, complemented by direct-to-patient mail order Holter service with 14-language self-fit instructions and courier logistics.

Revenue derives from fixed per-test pricing (e.g., £99 per 7-day Holter versus NHS tariff of £151), equipment rental (including the newly added GE MAC 5 ECG machine), and consumables (Ambu BlueSensor electrodes) sold via online shop. The company reports performing 1 in 6 of all UK Holter studies, has been CQC inspected with Outstanding for Leadership, and holds NHS England DTAC, ISO 9001, ISO 14001, ISO 27001 hosting, Cyber Essentials Plus, and NHS Digital IG Toolkit compliance.

Name

ECG On-Demand

Legal name

Technomed Limited

Website

https://ecg-od.com

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

11–50 employees

Short description

ECG On-Demand is a UK-based healthcare technology company providing AI-assisted 12-lead ECG interpretation and Holter monitoring services to NHS hospitals, GP federations, private healthcare providers, mental health trusts, and sports organisations, delivering reports within 24 hours at less than NHS tariff.

Ownership category

akta.pro rank

Product category

Cardiac Diagnostics Services

NAICS

Medical and Diagnostic Laboratories (62151)

SIC

Services-Medical Laboratories (8071)

akta.pro primary industry

Cardiac Monitoring (ECG/Holter/Event/Patch, Loop Recorders) (HLAHACAB)

akta.pro secondary industries

Cardiology Telemedicine Platforms (HLALAGAB), Clinical-Grade Vital Signs Monitoring (ECG, SpO2, BP, Temp, Respiration) (HLACAPAI)

Keywords

• Cardiac diagnostics services
• ECG interpretation services
• Holter monitoring services
• Ambulatory ECG monitoring
• Telehealth cardiology

Headquarters

HQ city

Fawley

HQ country

United Kingdom

HQ region

Europe

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. 12-Lead ECG Interpretation Services: Expert interpretation of 12-lead ECGs by UK-based cardiac physiologists with consultant cardiologist oversight. Reports delivered same day or next day within 24 hours.
2. Holter Monitoring Services: Ambulatory ECG monitoring from 24 hours to 14 days with flexible service packages. Fixed cost per test model at £99 (24hr), significantly less than NHS tariff of £151. Analysis by AI-assisted cardiac physiologists.
3. ECG Equipment and Consumables: Sale of ECG electrodes (Ambu BlueSensor range), crocodile clips, and other consumables via online shop. Products priced £1.85-£31.50 for healthcare providers.
4. Point-of-Care Equipment Rental: Portable ECG machines (including GE MAC 5) and Holter monitors provided to healthcare providers for in-clinic use with associated analysis services.

Pricing tiers

Go-to-market motion2 records

Distribution channels6 records

Marketing channels7 records

Core offering

ECG On-Demand provides 12-Lead ECG interpretation and Holter monitoring (ambulatory ECG) services to NHS trusts, GP federations, primary care networks, mental health providers, sports organisations, and private healthcare providers across the UK. The service combines AI-assisted ECG analysis (Cardiologs ML) with human cardiac physiologist review to produce consultant-validated reports, delivered via an NHS HSCN-connected cloud platform with EMIS integration. Reports are issued within 24 hours with traffic light risk-flagged findings at pricing below NHS tariff.

Product overview

ECG On-Demand provides a healthcare diagnostic service combining ECG interpretation and ambulatory Holter monitoring, delivered through a hybrid AI-assisted workflow. The core offering consists of two main services: 12-Lead ECG Interpretation and Holter Monitoring (Ambulatory ECG), both analyzed by UK-based cardiac physiologists with machine learning pre-screening. Supporting these services are the Bittium Faros hardware (reusable waterproof monitors), the ECG-OD Diary mobile app for patient symptom tracking, and the proprietary Traffic Light Risk Rating System. Consumable ECG electrodes (Ambu BlueSensor products) are sold through the online shop. All services are accessed via separate NHS and private provider web portals integrated with EMIS and NHS HSCN networks.

Differentiator

Problem solved

Functional benefit

Brands

• ECG On-Demand: Primary brand for ambulatory ECG Holter monitoring and 12-lead ECG interpretation services

Products and services

• 12-Lead ECG Interpretation Outsourced 12-Lead ECG interpretation service combining AI-assisted analysis (Cardiologs machine learning) with UK-based cardiac physiologist review. Delivered to NHS trusts, GP federations, primary care networks, sports organisations, and private healthcare providers, producing consultant-validated reports with traffic light risk flags, typically within 24 hours, accessed via NHS HSCN-connected portal with EMIS integration.
• Holter Monitoring (Ambulatory ECG) Ambulatory ECG monitoring service using reusable Bittium Faros 180/90 IP67 waterproof Holter monitors for continuous recording over 24-hour to 14-day periods. Includes direct-to-patient mail order fitting, point-of-care in-clinic fitting, click and collect, and drive-through channels, with companion ECG-OD Diary mobile app for symptom tracking. AI-assisted analysis with cardiac physiologist review and 95% patient self-fit success rate.
• ECG-OD Diary Mobile App Companion iOS and Android application enabling patients to record symptoms in real-time during Holter monitoring by tapping symptom icons when experienced. Acts as a digital diary that complements the Holter recording by synchronising symptom events with the ECG trace, supporting diagnostic correlation.
• Direct-to-Patient Mail Order Holter Monitoring Service Mail-order Holter monitoring service shipped directly to the patient's home with multilingual fitting instructions, enabling remote cardiac monitoring without in-clinic visits. Built around the reusable Bittium Faros IP67 waterproof monitor, supports a 95% patient self-fit success rate and is designed for sustainability by eliminating the need for in-clinic fitting or single-use hardware.
• ECG Consumables and Accessories (Online Shop) Online shop supplying Ambu BlueSensor electrodes and other ECG accessories to healthcare providers purchasing consumables for in-clinic ECG testing using ECG On-Demand or compatible third-party equipment.
• Enhanced 12-Lead ECG Service with GE MAC 5 Enhanced version of the 12-Lead ECG reporting service incorporating the GE MAC 5 device for primary care and NHS customers, broadening device compatibility and supporting providers standardising on GE hardware.

Quantifiable outcome

• 1 in 6 of all UK Holter studies performed by ECG On-Demand
• +7 more outcomes

Named customers9 records

Segments5 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

AI capability2 records

Feature5 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• BittiumcoreTechnology or IntegrationSupplier of Bittium Faros reusable, waterproof, rechargeable Holter monitors. Bittium committed to environmental sustainability with devices designed for extended lifecycle, repairability, and recyclability. Monitors feature IP67 waterproof rating and are used for both point-of-care and direct-to-patient services.
• CardiologscoreTechnology or IntegrationMachine Learning technology partnership for ECG processing. Cardiologs provides AI algorithm trained on 500,000+ consultant cardiologist-annotated ECGs. ECG On-Demand uses ML as first-pass analysis before cardiac physiologist refinement.
• EMIS HealthcarecoreTechnology or IntegrationEMIS Web integration enables direct booking of Holter appointments in shared federation diary; reports delivered digitally and attached to patient record. Won 2021 EMIS Patient Partner of the Year award for partnership work.
• NHS Digital / NHSxcoreStrategic or Co-development PartnerFeatured in NHSx digital playbook for remote ECG monitoring. ECG On-Demand's HSCN-connected services demonstrate best practice for cardiology diagnostics in primary and community care settings.
• DHC Group (Parent Company)coreStrategic or Co-development PartnerECG On-Demand is part of DHC Group. Sister company Venturi Cardiology provides specialist consultant cardiologists and community echocardiography services. Group provides shared infrastructure, governance, and complementary cardiac services.
• Dr Singh / Modality ResearchminorStrategic or Co-development PartnerResearch partnership for atrial fibrillation detection algorithm study. Participants with CHA2DS2-VASc score 6+ undergo 12-lead ECG and 7-day Holter monitored by ECG On-Demand. AF detected in 1 in 5 patients screened.
• Rugby Football League (RFL)minorStrategic or Co-development PartnerCardiac screening programme partnership for professional rugby players. Direct-to-patient Holter monitors enable nationwide coverage across geographically dispersed clubs. Dr Richard Lawrence, RFL Consultant Cardiologist, leads programme in memory of Danny Jones.

Scale indicators16 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Broomwell Healthwatch: UK-based ECG interpretation service for NHS and private providers. The closest direct competitor, also offering remote cardiac physiologist analysis to GP and hospital networks, positioned similarly to ECG On-Demand at the same addressable NHS segment.
• iRhythm Technologies: US-based cardiac monitoring company offering the Zio patch and AI-assisted arrhythmia detection service. Comparable in combining wearable cardiac hardware with cloud-based interpretation, although focused primarily on US healthcare market.
• AliveCor: Maker of KardiaMobile personal ECG devices with AI interpretation. Comparable business model pairing consumer/clinical ECG hardware with AI-driven analysis and clinician review, although skewed more toward consumer and primary care than hospital Holter services.
• Preventice Solutions (Boston Scientific): Acquired by Boston Scientific in 2021, provides BodyGuardian remote cardiac monitoring services including Holter, MCT and Event. Directly comparable in providing outsourced cardiac monitoring interpretation services to healthcare providers.
• CompuMed: US-based provider of remote ECG and Holter monitoring interpretation services to clinics and hospitals. Direct service model overlap offering outsourced cardiac diagnostic interpretation with cloud-based workflow.

Broad incumbents

• BioTel (Philips Cardiac Diagnostics): Philips now owns both Cardiologs (ECG On-Demand's AI partner) and BioTel cardiac monitoring. As a broader incumbent in cardiology diagnostics, Philips is both a potential partner and competitor for outsourced ECG/Holter interpretation globally.
• HeartFlow: Specialty cardiac diagnostics company using AI and imaging for coronary disease assessment. Adjacent cardiology diagnostics player with similar hospital-channel and AI-driven interpretation model, although focused on CT-derived FFR rather than ECG/Holter.
• GE Healthcare (MUSE / cardiology): Major incumbent manufacturer of ECG machines (including GE MAC 5 used by ECG On-Demand) and MUSE cardiology information system. Provides both the hardware ECG On-Demand supplies and competing ECG management/interpretation tools integrated with NHS estates.

Others

• Venturi Cardiology: Sister company under DHC Group providing consultant cardiologist cover and community echocardiography services to NHS partners. Same parent and shared NHS customer base, with complementary (not competing) services and joint bids on community cardiology contracts.

Emerging players

• Heartbeat Health: US-based cardiology-focused telehealth platform combining remote diagnostics with virtual specialist consultations. Compares on business model of remote cardiac diagnostics and cloud delivery, with overlap in arrhythmia/Holter use cases serving a primary care audience.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/ecgon_demand

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 ECG On-Demand