Enlivio Health

EMIS - OCM Keystone

Keystone is a simple, reliable clinical data administration system that helps healthcare teams send, receive and track clinical information. It automatically processes test results and other data, alerts users to issues, and supports easy configuration for different partners and message types, making secure, accurate data sharing effortless across NHS services.

Features

• Web-based system for healthcare data messaging and transfer.
• Supports multiple NHS messaging standards and formats.
• Automated translation of clinical data into national formats
• Scheduled actions for importing, processing, and sending data.
• Realtime monitoring of system status and processing activity
• Tracker tool for detailed message search and auditing.
• Configurable Partners, Senders, Formats, and Code Sets.
• Local-to-national clinical code mapping functionality.
• User access control with rolebased permissions.
• Error logging with email alerts for critical events.

Benefits

• Ensures accurate, consistent data transfer between healthcare systems.
• Reduces manual processing and administration workload.
• Improves reliability of clinical result delivery to recipients.
• Enhances patient safety via validation and error detection.
• Provides full audit trail for investigations and compliance.
• Minimises delays with automated scheduling and processing.
• Supports interoperability across varied NHS systems.
• Reduces data quality issues through code mapping controls.
• Enables rapid troubleshooting via detailed error logs
• Ensures secure access through authentication and permissions.

Service documents

• Pricing document

  PDF

• Service definition document

  PDF

• Terms and conditions

  PDF

Request an accessible format

If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at info@emishealth.com. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 15

Service ID

715465498662908

Contact

Bid Team
0113 380 3000
info@emishealth.com

About the service

• Service categories:

  Applications

  Production and operations

  Service industry and public sector operations

  • Healthcare
  • Other
• Multi cloud support: No

Service scope

• Software add-on or extension: Yes
• What software services is the service an extension to: EMIS Web and EMIS - X.
• Cloud deployment model: Public cloud
• Service constraints: N/a
• System requirements: Service provided from instanced Cloud Hosted Application in AWS

User support

• Email or online ticketing support: Yes
• Support response times: 9am-5pm Monday-Friday.
• User can manage status and priority of support tickets: Yes
• Online ticketing support accessibility: WCAG 2.2 AA
• Phone support: Yes
• Phone support availability: 9 to 5 (UK time), Monday to Friday
• Web chat support: Yes
• Web chat support availability: 9 to 5 (UK time), Monday to Friday
• Web chat support accessibility standard: WCAG 2.2 AA
• Web chat accessibility testing: N/a
• Onsite support: Yes, at extra cost
• Support levels: All support cases are managed through ServiceNow and prioritised based on severity levels ranging from Severity 1 (critical) to Severity 5 (minor), as communicated to the customer. Customer-Facing Documentation: Available within the Optum Help Centre to assist customers with guidance and troubleshooting. Internal Support Documentation: Maintained in ServiceNow as knowledge base articles. These are updated regularly as new issues arise and resolutions are identified.
• Support available to third parties: Yes
• AI chatbot: No

Onboarding and offboarding

• Getting started: To be agreed and advised on application.
• Service documentation: Yes
• Documentation formats: PDF
• End-of-contract data extraction: To be agreed and advised on application.
• End-of-contract process: To be agreed and advised on application.
• Documentation accessibility standard: WCAG 2.2 AA

Using the service

• Web browser interface: Yes
• Supported browsers:
  • Microsoft Edge
  • Chrome
  • Other
• Application to install: No
• Designed for use on mobile devices: No
• Service interface: No
• User support accessibility: WCAG 2.2 AA
• API: Yes
• What users can and can't do using the API: Working with any third party supplier and our interface specifications are available. Accreditation is achieved by the third party supplier passing technical assurance for each product that is to interface with EMIS Web and a commercial agreement between Optum and the third party supplier.
• API documentation: No
• API sandbox or test environment: No
• Customisation available: No

Scaling

• Independence of resources: Optum are well placed to provide ongoing support to the large number of existing customers across our entire product portfolio. We have the ability to upscale our offering to meet demands that potentially could occur within our existing support structure. Therefore we are confident that our operations are not affected by the demand other users are placing on our services.

Analytics

• Service usage metrics: Yes
• Metrics types: Up time; Down Time; No of Issues by category; Response Times; Resolution Times; Plus customer specific metrics as required.
• Reporting types:
  • Real-time dashboards
  • Regular reports
  • Reports on request
• Resource tagging: No
• FOCUS resource tagging: No

Supplier type

• Supplier type: Not a reseller

Staff security

• Staff security clearance: Other security clearance
• Government security clearance: Baseline Personnel Security Standard (BPSS)

Asset protection

• Knowledge of data storage and processing locations: Yes
• Data storage and processing locations: United Kingdom
• User control over data storage and processing locations: No
• Datacentre security standards: Complies with a recognised standard (for example CSA CCM version 4.0)
• Penetration testing frequency: At least once a year
• Penetration testing approach: ‘IT Health Check’ performed by a CREST-approved service provider
• Protecting data at rest:
  • Physical access control, complying with SSAE-18 / ISAE 3402
  • Other
• Other data at rest protection approach: Protecting data at rest.
• Data sanitisation process: Yes
• Equipment disposal approach: Complying with a recognised standard, for example CSA CCM v4.0, CAS (Sanitisation) or ISO/IEC 27001
• Data sanitisation type:
  • Degaussing
  • Physical Destruction / Hardware containing data is completely destroyed

Data importing and exporting

• Data export approach: To be agreed and advised on application. Typically, csv or pdf formats.
• Data export formats: CSV
• Data import formats: CSV

Data-in-transit protection

• Data protection between buyer and supplier networks:
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway
• Data protection within supplier network:
  • TLS (version 1.2 or above)
  • IPsec or TLS VPN gateway

Availability and resilience

• Guaranteed availability: Service Availability to be agreed through SLA Contract at the time.
• Approach to resilience: The data centres have multiple power feeds allowing maintenance without service disruption; backed up by on-site UPS systems. There are multiple diverse communication links into each data centre. All cooling is N+1. Data centres are linked with multiple diverse cross site links. All cabling is managed and labelled. All devices are labelled and managed in an ISO 20000 configuration management database with full strict change control. All devices have redundant paths and components, virtualisation is widely used allowing local HA and resilience to be included in any service. Data can be synchronously replicated between systems for DR and minimal disruption in the event of a failure. The up time of the system is provided by a combination of an active/active load balanced Supplier Solution tier that runs across both of our data centres and the use of SQL 2012 Enterprise 'always on' availability groups using synchronous replication. The system is also 'self-healing'. Where a page corruption is detected post commit, the SQL servers in the group are interrogated for the non-corrupted page and are restored over the damaged page. N3 Connectivity is provisioned utilising one pair of resilient circuits configured in an active/passive arrangement at each of our data centres.
• Outage reporting: Alert notifications and Email to administrators.

Identity and authentication

• User authentication needed: Yes
• User authentication:
  • Multi-Factor Authentication (MFA)
  • Public key authentication (including by TLS client certificate)
  • Username or password
• Access restrictions in management interfaces and support channels: To be defined.
• Access restriction testing frequency: At least once a year
• Management access authentication:
  • Multi-Factor Authentication (MFA)
  • Public key authentication (including by TLS client certificate)
  • Username or password

Audit information for users

• Access to user activity audit information: Users contact the support team to get audit information
• How long user audit data is stored for: User-defined
• Access to supplier activity audit information: Users contact the support team to get audit information
• How long supplier audit data is stored for: User-defined
• How long system logs are stored for: User-defined

Security governance

• Named board-level person responsible for service security: Yes
• Security governance certified: Yes
• Security governance standards: ISO/IEC 27001
• Information security policies and processes: Optum follow robust information security policies and processes aligned with international standards such as ISO 27001, NHS Data Security and Protection Toolkit, and Cyber Essentials Plus. Our Information Security Policy covers data protection, access control, incident management, and risk assessment. Oversight is provided by a dedicated Security team led by the Chief Information Security Officer (CISO), with local security leads reporting into this structure. Compliance is ensured through regular audits, mandatory staff training, and automated controls. Any incidents or breaches are reported and investigated via a formal process. Policies are reviewed annually and updated as needed to reflect regulatory changes and best practice. This approach ensures consistent protection of client and patient data across all Optum operations.
• Software Security Code of Practice: Yes

Operational security

• Configuration and change management standard: Complies with a recognised standard, for example CSA CCM v4.0 or SSAE-18 / ISAE 3402
• Configuration and change management approach: The company operates a continuous development and improvement process with new functionality and features being released to all customers at the same time. New code is developed, peer assessed, tested via automated systems where possible and formally quality assured by a specialist software tester before being made live. All changes are tracked via an internal release control processes.
• Vulnerability management type: Complies with a recognised standard, for example CSA CCM v4.0 or SSAE-18 / ISAE 3402
• Vulnerability management approach: Optum have a vulnerability management programme, including a policy and supporting processes. Regular vulnerability scanning is conducted in internal and continuously on external IP's. Threat intelligence feeds are integrated into the processes including NHS Cyber alerts & CVE databases for emerging threats. Critical operating patches are applied within 14 days.
• Protective monitoring type: Complies with a recognised standard, for example CSA CCM v4.0 or SSAE-18 / ISAE 3402
• Protective monitoring approach: Compliance with an accreditation to ISO 27001 audited twice yearly by BSI.
• Incident management type: Complies with a recognised standard, for example, CSA CCM v4.0 or ISO/IEC 27035:2011 or SSAE-18 / ISAE 3402
• Incident management approach: Optum have an incident response process/plan in place with clearly defined roles and responsibilities, and there are run books available for common events. This is available to all employees on the Group Document Management system and is part of training and awareness for relevant employees, and all employees are advised how to report incidents. Reports are provided where applicable.
• Post-quantum cryptography secure: Yes

Secure development

• Approach to secure software development best practice: Independent review of processes (for example CESG CPA Build Standard, ISO/IEC 27034, ISO/IEC 27001 or CSA CCM v4.0)

Public sector networks

• Connection to public sector networks: No

Pricing

• Discount for educational organisations: No
• Free trial available: No

Discount percentage by annual call-off contract value (excluding VAT)

• Less than £250,000: 1%
• Between £250,000 and £500,000: 2%
• Between £500,001 and £1,000,000: 3%
• Between £1,000,001 and £2,500,000: 4%
• Between £2,500,001 and £5,000,000: 7.5%
• Over £5,000,001: 10%

Standards and certifications

• ISO/IEC 27001 certification: Yes
• ISO/IEC 27001 accredited by: BSI
• ISO/IEC 27001 accreditation date: Wednesday 10 September 2025
• What the ISO/IEC 27001 doesn’t cover: Our Information Security Management System complies with the requirements of ISO/IEC 27001:2022 for the following scope:; The Information Security Management in relation to the provision and subsequent support in information and management systems to healthcare and non healthcare professionals. Information Security Management within the supply and deployment of ICT infrastructure and support services.
• ISO 28000:2022 certification: No
• ISO 9001 certification: Yes
• ISO 9001 certification accredited by: BSI
• ISO 9001 accreditation date: Friday 16 February 2024
• What the ISO 9001 doesn’t cover: Our Quality Management System complies with the requirements of ISO 9001:2015 for the following scope:; The design, planning, development and support if information technology software and services to the healthcare market and other public and private sector organisations.
• Quality management systems (QMS): Yes
• CSA STAR certification: No
• PCI certification: No
• Cyber essentials: Yes
• Cyber Essentials Certificate Number: 674cd1a3-3629-469c-b25f-d94897cd8771
• Cyber essentials plus: Yes
• Cyber Essentials Plus Certificate Number: Dc0f68d0-958d-42f3-8116-ad8ddc3fbe51
• Other security certifications: No

Social value

• Mission: Kick start economic growth:

  To secure the highest sustained growth in the G7 - with good jobs and productivity growth in every part of the country making everyone, not just a few, better off.

  Policy Outcome 1: Fair work: That offers fair wages and good working conditions. Help people get a job, stay in work, and progress in their careers, with good employment opportunities across the country. Notes: Where there is a large proportion of labour costs in the contract, commercial teams should consider MAC in Outcome 1 as a priority

  • New apprenticeships on the contract workforce in the relevant area that meet the criteria set out in MAC 1b
  • Activities that support an environment where staff are educated about, and feel empowered to, address their physical wellbeing
  • Activities that support an environment where staff are educated about and feel empowered to report and address bullying and harassment
  • Payment of more than the National Minimum Wage or National Living Wage (as appropriate) to the contract workforce
  • Understanding of in-work progression issues affecting the market, industry or sector relevant to the contract, and in the supplier’s own organisation and those of its key sub-contractors
  • Support for educational attainment relevant to the contract, including training schemes that address skills gaps and result in recognised qualifications
  • Outline policies and practices to be applied to or put in place for the contract to mitigate and manage modern slavery risks, including: Pre-employment checks, recruitment practices. Workplace conditions, safeguarding plans and processes in place and regular monitoring with relevant groups considered, which may include sampling

  Policy Outcome 2: Skills for growth: Supporting growth sectors and addressing skills gaps.

  • Understanding of employment and relevant skills issues, and of the education and training issues relating to the contract. Illustrative examples: demographics, skills shortages, new opportunities in high growth sectors, geographic/local community and skills/employment challenges
  • Activities to support relevant sector related skills growth and sustainability in the contract workforce. Illustrative examples: careers talks, curriculum support, literacy support, safety talks and volunteering

  Policy Outcome 3: Resilient, innovative and flexible supply chains: Support economic growth through enabling resilient businesses, opportunities for small businesses and voluntary, community and social enterprises

  • Plans for engaging a diverse range of businesses in engagement activities prior to appointing subcontractors (including activities prior to award of the main contract and during the contract term)
  • Understanding of local demographics, needs and opportunities for the co-design of the goods, services and works to be delivered under the contract
  • Methods for engaging with different parts of the community (including the education system and charities representing the community) and how communities come together to inform decisions, strategy and projects to leave a positive legacy for future generations
  • Plans for positive actions with community groups.
  • Measures to engage users and communities and build relationships to increase community integration build trust and influence how the contract is delivered
  • Plans to respond flexibly and adapt approaches to community engagement and initiatives
  • Support for community-led initiatives relevant to the contract. Illustrative examples: improving transport links; reducing loneliness; helping with English language proficiency; and facilitating social mixing among people with different backgrounds
• Mission: Make Britain a clean energy superpower:

  To cut bills, create jobs and deliver security with cheaper, zero-carbon electricity by 2030, accelerating to net zero

  Policy Outcome 4: Sustainable procurement practices: Reducing carbon footprints, minimising waste, and promoting the use of clean energy and green technologies.

  • Understanding of opportunities for additional environmental benefits delivery in the performance of the contract, including working towards net zero carbon emissions and use of clean energy and green technologies
  • Collaborative ways of working with the supply chain to deliver additional environmental benefits in the performance of the contract, including working towards net zero carbon emissions and use of clean energy and green technologies
  • Delivery of additional environmental benefits through the performance of the contract, including working towards net zero carbon emissions and use of clean energy and green technologies
  • Understanding of how to influence staff, suppliers, customers, communities and/or any other appropriate stakeholders through the delivery of the contract to support climate and nature protection and improvement
  • Activities to reconnect people with the environment and increase awareness of ways to protect and enhance it
• Mission: Break down barriers to opportunity:

  By reforming our childcare and education systems, to make sure there is no class ceiling on the ambitions of young people in Britain

  Policy Outcome 6: Employment and training: For those who face barriers to employment

  • Understanding of employment and skills issues, and of the skills and employment shortages of high growth sectors relating to the contract
  • Understanding of the issues affecting the representation of disabled people in the workforce in the market, industry or sector relevant to the contract, and in the supplier’s own organisation and those of its key sub-contractors
  • Working conditions which promote an inclusive working environment and promote retention and progression
  • Inclusive and accessible development practices, including guidance for line managers on recruiting, managing and developing people with a disability or health condition

  Policy Outcome 7: Creating a pipeline of opportunities: For the contract workforce, reducing barriers to entry for under-represented groups.

  • Understanding of the issues affecting the development of new skills by target cohort
  • Understanding of the underlying factors affecting improvements to reduce barriers to entry and training schemes for the target cohort(s) related to the contract workforce
  • Other measures to offer development opportunities for the target cohort(s) in the contract workforce
  • Advertising, promotional and outreach activities designed to raise awareness of the offer to reach the target cohort
  • Understanding of issues relating to entering the contract workforce
  • Creation of outreach activities to create a pipeline of employees for the future contract delivery
  • Content of the outreach activity is designed to suit the target cohort
  • Advertising, promotional and outreach activities designed to raise awareness of the offer to reach the target cohort
• Mission: Build an NHS fit for the future:

  That is there when people need it; with fewer lives lost to the biggest killers; in a fairer Britain, where everyone lives well for longer.

  Policy Outcome 8: Increasing productivity through physical and mental wellbeing: In the supply chain and communities in the relevant area.

  • Understanding of issues relating to health and wellbeing, including physical and mental health, in the contract workforce
  • Understanding barriers to access to health and social care services or employment opportunities e.g. digital inclusion

Service documents

• Pricing document

  PDF

• Service definition document

  PDF

• Terms and conditions

  PDF

Request an accessible format

If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at info@emishealth.com. Tell them what format you need. It will help if you say what assistive technology you use.