CDMtools
NHS primary care · Clinical decision support

"The right guidance,
at the right moment."

CDMtools translates NICE guidelines and UK specialty clinical guidelines into structured, actionable summaries at the point of care — reducing cognitive load in the chronic disease management clinic and improving continuity across your practice team.

NICE-aligned Point-of-care summaries Built by NHS GPs UK specialty guidelines
The framework

A framework built for multimorbidity

Chronic disease management clinics carry some of the highest clinical and administrative burden in general practice. Multimorbid patients require simultaneous management across renal, cardiovascular, metabolic, and hepatic domains — each governed by its own guideline set, each with its own monitoring interval. CDMtools brings those pathways together in a single consultation tool.

PRISM
Preview v1.0
Primary care Review and Intervention Scorecard for Multimorbidity

Inspired by the Balanced Scorecard framework (Kaplan & Norton, 1992) — adapted for structured clinical review in NHS primary care. PRISM translates the multi-domain performance review concept into a clinical decision support framework, mapping evidence-based guideline targets across clinical domains to generate an actionable review summary for use by the treating clinician.

© Gupta R, Gupta A (2026) · CDMtools
The navigators

Clinical navigators for primary care

Covering renal, cardiovascular, metabolic, hepatic, haematological, and musculoskeletal pathways.

Each PRISM navigator takes a patient's current clinical data, maps it against the relevant NICE or specialist guideline, and returns a structured management summary with cited evidence — ready to copy into the consultation record.

Renal
PRISM CKD Navigator
CKD staging, BP targets, RASi, SGLT2i eligibility, anaemia, statin, referral and monitoring — in one structured summary.
NICE CG182 · NG136 · NG238 · TA739
Metabolic
PRISM Diabetes Scorecard
Six-domain diabetes review covering HbA1c, lipids, BP, CKD, foot risk, and liver — with SGLT2i and GLP-1 decision support.
NICE NG28 · NG203 · NG238 · TA739
Cardiology
Heart Failure Navigator
HFrEF/HFpEF classification, GDMT optimisation across four pillars, device therapy criteria, and referral decision support.
ESC HF Guidelines · NICE NG106
Hepatology
MASLD Scorecard
FIB-4 calculation, FibroScan interpretation, hepatotoxic medication review, and fibroscan referral pathway.
BSG/BLT MASLD Guidelines 2023
Cardiovascular
PRISM Hypertension
ABPM/HBPM confirmation, A/C/D treatment pathway, secondary hypertension flags, and resistant hypertension management.
NICE NG136
Haematology
Blood Count Navigator
Full blood count interpretation across four modules — anaemia, polycythaemia, thrombocytopenia, and leucocytosis.
BSH Guidelines · NICE NG12
MSK
MSK Navigator
Musculoskeletal assessment with anatomical decision support, referral criteria, and red flag screening.
NICE MSK Guidelines · BSUK
Neurology
Headache Navigator
SNOOP4 red flag screening, MIDAS/HIT-6 scoring, cluster headache toolkit, and patient referral letters.
BASH Guidelines · NICE NG193
Beyond the consultation

Turning clinical activity into population intelligence

Every PRISM review contributes an anonymised data point to a practice-level research ledger. Aggregate those across your chronic disease register and you have a real-time picture of guideline adherence, prescribing gaps, and referral patterns — turning routine CDM activity into population intelligence and supporting continuous quality improvement.

Access

Built for the practices that will shape it

CDMtools is expanding by clinical invitation. We are prioritising NHS primary care practices running structured CDM clinics. Register your interest and we'll be in touch.

We'll be in touch via your NHS email shortly after reviewing your request.

Thank you — interest registered.
We'll review your request and be in touch via your NHS email shortly.