CLEO SYSTEMS 24 LTD

What CLEO SYSTEMS 24 LTD does

CLEO Systems 24 Ltd is a UK-based digital healthcare technology company and wholly-owned subsidiary of IC24 (Integrated Care 24), a social enterprise. The company develops interoperable software for urgent care, electronic prescribing, and patient management, targeting NHS Trusts, Integrated Care Boards, community pharmacies, and independent sector providers across England. Its product portfolio centres on CLEO EPS (a standalone electronic prescribing solution with NHS Digital accreditation), CLEO Urgent Care (a patient management system for NHS 111, CAS, and UTC workflows), and supporting modules including CLEO CAS, CLEO UTC, CLEO Virtual Waiting Room, and the CLEO NHS 111 Contingency Module. The platform is built on an interoperability-first architecture using FHIR messaging standards with native integration to NHS Spine, GP Connect, Care Connect, PaCCS, NHS Pathways, and Directory of Services, deployed on AWS public cloud infrastructure.

The company's underlying technology incorporates several differentiated features: the first clinical system to directly integrate what3words location technology, a CPR metronome for NHS 111 cardiac arrest calls, AI-powered queue management via the Virtual Waiting Room (acquired from Ummanu in 2025), speech and text analytics, and the Augmented Intelligence CAS SingleQ Technology. CLEO holds an extensive certifications portfolio including NHS Digital accreditation, NHS England SCAL, CareConnect, Cyber Essentials Plus, ISO 27001, SOC 2, NHS DSP Toolkit, BaRS, ECDS, and PRSB accreditation.

CLEO generates revenue through subscription-based software licensing to NHS and healthcare organisations, sold via direct enterprise sales, the G-Cloud 14 procurement framework, and channel partnerships with technology integrators (Access, EMIS, Econsult). The company reports 25% UK market share in electronic prescription solutions, ~25-30 NHS Trust customers, and ~190 community pharmacies live through the NHS England Pathfinder Programme. It has processed over 1 million prescriptions and supported 915,000 NHS 111 calls. Headcount is 11-50 employees, with leadership including Managing Director David Brown, Medical Director Dr Paul Perry, Product & Technology Director Karen Ventura, and Product Director for IUC Adnan Riaz (ex-NHS England).

Name

CLEO SYSTEMS 24 LTD

Legal name

CLEO Systems 24 Ltd

Website

https://cleosystems.com/

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

CLEO Systems 24 Ltd is a UK-based digital healthcare technology company developing interoperable electronic prescribing, urgent care, and patient management software for NHS Trusts, Integrated Care Boards, community pharmacies, and independent sector providers across England.

Ownership category

akta.pro rank

Product category

Healthcare Software

NAICS

Software Publishers (5132), Computer Systems Design and Related Services (54151)

SIC

Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373)

akta.pro primary industry

Urgent Care + ePrescribing & Lab/Imaging Ordering Telehealth Platforms (HLALAJAL)

akta.pro secondary industries

ePrescribing, Lab/Imaging Orders & Results Integration (HLALAKAJ), Data Aggregation, Interoperability & APIs for RPM (FHIR/IoMT Gateways) (HLACAFAO)

Keywords

• Electronic prescribing software
• Urgent care software
• Patient management systems
• Healthcare interoperability
• NHS digital health

Headquarters

HQ city

Ashford

HQ country

United Kingdom

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Healthcare Technology Licensing: Subscription-based licensing of digital healthcare solutions to NHS Trusts, Integrated Care Boards, and healthcare providers. Solutions include electronic prescribing (CLEO EPS), patient management systems (CLEO Urgent Care), and related modules. Revenue generated through software licensing agreements with public sector healthcare organizations in the UK.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels10 records

Core offering

CLEO Systems 24 Ltd designs, develops, and licenses interoperable digital healthcare software for NHS and UK healthcare providers. Its core offerings are standalone electronic prescribing solutions (CLEO EPS / CLEO SOLO EPS) that replace paper FP10 prescriptions and send them electronically to community pharmacies via NHS Spine, and a comprehensive patient management system (CLEO Urgent Care / CLEO CORE) for NHS 111, Clinical Assessment Services, and Urgent Treatment Centres. The portfolio is unified by FHIR messaging, NHS Spine integration, GP Connect, and an interoperability-first architecture designed to work alongside existing EPR systems.

Product overview

CLEO Systems 24 Ltd offers a modular digital healthcare platform focused on urgent care, emergency care, and electronic prescribing. The core offerings include CLEO EPS/CLEO SOLO EPS as the standalone electronic prescribing solution for secondary care outpatient and community pharmacy settings, and CLEO CORE/CLEO Urgent Care as the comprehensive patient management system for urgent care delivery. Supporting modules include CLEO CAS for appointment booking, CLEO UTC for urgent treatment centers, CLEO Virtual Waiting Room for AI-powered patient flow automation, and the CLEO NHS 111 Contingency Module for business continuity. The portfolio operates across multiple NHS settings including urgent care, NHS 111, community pharmacy, secondary care outpatients, and independent sector providers, unified by FHIR messaging standards, NHS Spine integration, and interoperability-first design.

Differentiator

Problem solved

Functional benefit

Brands

• CLEO EPS: Electronic prescribing solution offering powerful prescribing functionality across secondary care outpatient and community pharmacy settings.
• CLEO Urgent Care
• CLEO CAS
• CLEO UTC
• CLEO Virtual Waiting Room
• CLEO NHS 111 Contingency Module
• CLEO SOLO EPS

Products and services

• CLEO EPS (Electronic Prescribing Solution) Standalone, NHS Digital accredited electronic prescribing solution enabling quick, seamless prescribing across all prescriber roles in secondary care outpatient and community pharmacy settings. Replaces paper FP10s by sending digital prescriptions to a patient's nominated community pharmacy via NHS Spine.
• CLEO SOLO EPS Independent electronic prescribing solution designed for Secondary Care Outpatient settings and Independent Sector providers that integrates with electronic patient record systems to stream FP10 prescriptions to community pharmacies. Holds approximately 25% of the UK EPS market and is live across 25+ NHS Trusts.
• CLEO Urgent Care Comprehensive Patient Management System that navigates patients through the entire Urgent Care journey from first point of contact to discharge or referral. Includes digital front door integration, clinical triage, virtual consultations, speech and text analytics, and a built-in Patient Tracker for live visibility of referrals and outcomes.
• CLEO CORE Patient management system supporting Urgent and Primary Care providers delivering out-of-hospital services. Features CareConnect accreditation, PaCCS integration, GP Connect access, and clinical triage capabilities for NHS 111, CAS, and UTCs.
• CLEO CAS (Clinical Assessment Service) Functionality enabling direct appointment booking into in-hours GP practices, providing faster access to care and reducing pressure on Integrated Urgent Care services. Includes AI-enabled SingleQ Technology for Clinical Assessment Service optimisation.
• CLEO UTC (Urgent Treatment Centre) Digitally supports Urgent Treatment Centre front doors with safe, structured clinical workflow, enabling streamlined patient assessments, consistent documentation, patient streaming, and redirection capabilities.
• CLEO Virtual Waiting Room AI-powered automation solution that intelligently orchestrates patient flow by automatically calling patients, placing them in a virtual queue, and connecting them to the next available clinician without manual intervention. System-agnostic and does not disrupt existing infrastructure.
• CLEO NHS 111 Contingency Module Independent solution ensuring NHS 111 services can continue operating safely and digitally when the host clinical system is unavailable. Provides seamless ITK referrals, DoS access, and uninterrupted access to Pathways during outages.
• CLEO Community Pharmacy Digital solution specifically for community pharmacists delivering independent prescribing; currently the only accredited pharmacy system designed for community pharmacist electronic prescribing, supporting the sector-wide transition to independent prescribing ahead of the September 2026 deadline.

Quantifiable outcome

• 100% elimination of lost, stolen, or illegible FP10 prescriptions
• +10 more outcomes

Named customers15 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

AI capability9 records

Feature8 records

Partnerships

Eleven partnerships are on record, tiered acquisition, strategic and core.

• UmmanuacquisitionStrategic or Co-development Partner · 1 January 2025Acquisition of The Waiting Room technology from Ummanu. CLEO Systems acquired the technology to preserve and enhance a virtual waiting room solution that had shown remarkable results in NHS pilot projects. Acquisition included the talented development team behind the technology.
• Urgent Health UK (UHUK)strategicStrategic or Co-development Partner · 1 January 2025Collaborative innovation partnership for development of CLEO Virtual Waiting Room. UHUK represents social enterprise healthcare professionals across the UK. The collaboration identified digital solutions to improve operational efficiency and patient experience.
• Health Innovation Consortium (HIC)strategicStrategic or Co-development Partner · 1 January 2025Founding partner in UK's first dedicated EPR (Electronic Patient Records) Network. Network created to transform healthcare digitisation by fostering collaboration between EPR suppliers, healthcare providers, and policy makers.
• NHS EnglandcoreStrategic or Co-development Partner · 1 August 2024Strategic partnership to deliver electronic prescribing functionality for the Independent Prescribing in Community Pharmacy Pathfinder Programme. NHS England signed contract in August 2024 with CLEO Systems. Programme supports September 2026 requirement that all newly registered pharmacists qualify as independent prescribers. Around 190 pharmacies live with system, facilitating nearly 63,000 patient consultations.
• AWS (Amazon Web Services)coreTechnology or Integration · 1 January 2023Cloud infrastructure partnership through UCL CDI Impact Accelerator programme. CLEO transitioned CLEO SOLO EPS from private cloud to scalable public cloud-hosted infrastructure on AWS. Partnership enables expansion beyond urgent care into secondary care, mental health, and community care settings while improving deployment speeds, cybersecurity, and clinical efficiency.
• UCL Centre for Digital Innovation (CDI)strategicStrategic or Co-development Partner · 1 January 2023CLEO Systems selected to join Cohort 4 of UCL CDI powered by AWS Impact Accelerator Programme. Joint initiative between UCL and AWS aims to produce evidence-based, commercially sustainable technological innovations in healthcare and education.
• University of WarwickstrategicStrategic or Co-development Partner · 1 January 2021Innovation partnership through UHUK collaboration for development of The Waiting Room (now CLEO Virtual Waiting Room). University of Warwick Innovation Department collaborated on identifying digital solutions to improve urgent care efficiency.
• what3wordscoreTechnology or Integration · 1 January 2019First clinical system to directly integrate what3words location technology (not as standalone app). Enables precise 3-metre location identification for NHS 111 callers, helping emergency responders find and reach patients faster.
• AccesscoreTechnology or IntegrationPartnership focused on interoperability to provide truly joined up integrated care. Access provides healthcare software solutions and CLEO solutions integrate to deliver connected care across settings.
• EMIScoreTechnology or IntegrationPartnership for interoperability and integration with EMIS clinical software systems. Supports seamless data flow across healthcare services using EMIS platforms.
• EconsultcoreTechnology or IntegrationTechnology partnership providing integrated digital consultation capabilities. Econsult offers digital consultation and triage solutions that integrate with CLEO patient management systems.

Scale indicators18 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• EMIS Group (EMIS Health): EMIS is the dominant supplier of GP clinical systems and electronic prescribing software to the NHS, with EMIS Web widely deployed across English primary care. CLEO explicitly partners with EMIS for interoperability but also competes for NHS prescribing and patient flow workloads in acute and urgent care settings.
• TPP (The Phoenix Partnership): TPP supplies SystmOne, one of the principal NHS GP and shared-care EPRs covering secondary care, mental health, and community services. TPP overlaps directly with CLEO in NHS prescribing, urgent care, and community pharmacy patient management.
• Cegedim Healthcare Solutions: Cegedim supplies Vision and other clinical systems to NHS primary care and provides prescribing and workflow software used in UK healthcare. It is a direct competitor to CLEO's EPS and patient management offerings in NHS-aligned deployments.

Emerging players

• Accurx: Accurx provides NHS-accredited digital consultation, triage and patient messaging tools used by the majority of English GP practices and increasingly in urgent care. It competes with CLEO for clinical communication and triage workflows and is expanding into secondary care prescribing pathways.
• DXS International: DXS International provides prescribing decision support and formulary management tools used in NHS primary care. It competes in the electronic prescribing and medicines-management category alongside CLEO EPS, particularly for GP and community deployments.
• Doccla: Doccla is a UK virtual care and remote monitoring platform deployed in NHS urgent care, virtual wards, and integrated care services. It overlaps with CLEO in NHS urgent and integrated care workflows, particularly virtual waiting room and remote consultation use cases.

Broad incumbents

• System C Healthcare: System C is a major UK EPR supplier to acute NHS Trusts (CareFlow) with growing footprint in urgent care, electronic patient record, and prescribing. It competes with CLEO in NHS Trusts seeking integrated EPR-plus-prescribing platforms.
• Advanced Health & Care: Advanced (formerly Advanced Health & Care) supplies clinical and patient management software across NHS community, urgent care, and social care settings, including Carer Management and Adastra-style out-of-hours solutions. It overlaps with CLEO's urgent care, community and EPS footprint.
• Hicom (Civica): Civica (which acquired Hicom) supplies clinical and patient management software to NHS trusts and community providers, including diabetes and electronic patient record solutions. It is an adjacent incumbent in the same NHS customer base as CLEO, especially across community and outpatient settings.

Regional players

• HealthNet Homecare: HealthNet Homecare delivers clinical homecare services including nurse-led administration of medicines in patients' homes across the UK. It is a regional player adjacent to CLEO's community pharmacy and NHS Trust outpatient prescribing footprint, where paper-to-digital transitions are similarly under way.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/CleoSystems
• LinkedInlinkedin.com/company/cleo-systems

Compliance11 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 CLEO SYSTEMS 24 LTD