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AI to the bone.
Audited 2026-08-18 · RXed table v1.0

TORTUS

Visit tortus.ai
“Every word captured. Every patient seen. The clinical AI partner to NHS systems - safe, regulated, proven at scale.” — the vendor’s own words

The only ambient voice technology certified UKCA Class IIa, with published safety science to back it. Narrow by design: no MCP, no A2A, desktop-only, and one independent NHS pilot found 20% of licensed users never logged in once.

Best for: NHS trusts and GP federations that need an ambient scribe which will survive a clinical safety review on someone else's evidence rather than their own, and that are willing to invest in licence-utilisation management after go-live.
Scope14/20
Quality6/10
Where the quality sits
7Reactive
3Retrieval & Memory
5Orchestration
6Validation
7Models
SpecialistHealthcareVoice & SpeechProductivitySecurity & ComplianceFreemium
Vendor
TORTUS AI LTD · tortus.ai
Origin
United Kingdom — London
Pricing
Per user £100–£200/user/mo · Enterprise Custom
Users (official only)
Over 2.5 million consultations processed across 1,000+ NHS organisations, 4 years live, 50+ clinical settings (source, 2026-08-18)
Per user£100–£200/user/moG-Cloud 14 published band, free trial available
EnterpriseCustomlicence includes capped organisation audio hours, overage rolled into next contract or payable on termination

TORTUS publishes no pricing on its own site. The band above comes from its live G-Cloud 14 listing on the UK Digital Marketplace, which is a vendor-supplied public procurement figure. EUR values are converted from GBP and move with the rate. Third-party directory Elion lists 'from $200/user/month', consistent with the top of the G-Cloud band. The 1,000+ NHS organisations figure includes GP practices reached through the X-on Health partnership rather than direct contracts.

checked 2026-08-18 · vendor pricing page

Element scores

Reactive
Retrieval & Memory
Orchestration
Validation
Models
Primitives
Pr6
Prompts
Em
Embeddings
Cx6
Context
Tr6
Tracing
Lg7
LLM
Compositions
Fc7
Function calling
Vx
Vector store
Rg7
RAG
Gr9
Guardrails
Mm6
Multimodal
Deployment
Ag7
Agents
Ft3
Fine-tuning
Fw6
Frameworks & harnesses
Ev7
Evaluations
Sm
Small models
Emerging
Ma
Multi-agent
Sy
Synthetic data
Pc2
Protocols
In4
Interpretability
Th
Thinking models
Tap or hover any element to see why it got that score.

Strengths

TORTUS became the first ambient voice technology certified as a UKCA Class IIa medical device on 24/06/2026, which means an Approved Body reviewed the clinical evidence rather than the vendor self-declaring, and the company now carries mandatory active post-market surveillance. The safety engineering is real and measured: the Shell validates each statement against the consultation audio and removes 93.1% of detected hallucinations before a clinician sees the note, lifting hallucination-free notes from 34% to 86% in production. The evidence base is the best in the category, with three peer-reviewed papers, a hallucination ontology in npj Digital Medicine now used as evaluation methodology across nine NHS sites, and a 17,000-patient multi-site NHS England evaluation reporting 13.4% A&E productivity gain and 23.5% more direct patient-care time. Certifications stack up: ISO 13485, ISO 27001, Cyber Essentials Plus, NHS DTAC, and MHRA AI Airlock Phase 2 participation.

Honest dings

The platform surface is thin. There is no MCP server and no A2A support, independently scored 0/12 and 0/4 on 03/08/2026, so this does not plug into an agent stack. The Embed SDK mounts TORTUS's own iframe rather than exposing composable pieces. It is a desktop application for macOS and Windows with no browser interface and no mobile support, which rules out ward rounds on a phone. There is no fine-tuning and, per the G-Cloud listing, no customisation beyond templates, while the GOSH study recorded clinicians asking for exactly that. Adoption is the honest worry: an independent Unity Insights evaluation across Kent and Medway found 20% of primary care users never logged in at all and weekly unique users ran between 19% and 42% of issued licences, which at £100–£200 per seat per month is a large amount of shelfware. Capitalisation is thin too, roughly $8.5M raised against Corti's $88.9M and far more for US rivals, in a market where the NHS AVT Supplier Registry keeps lowering the barrier for competitors.

Prices and details change — this passport is re-verified at least quarterly.
Sources (15) — every claim traceable

Every audit lists the research it rests on — transparency and traceability are the product. Tools evolve: each audit is a snapshot of its audit date, and re-audits supersede older versions (kept below for reference).

  • tortus.ai — Official: >2.5M consultations, 1,000+ NHS organisations (incl. X-on GP practices), 4 years live, 50+ clinical settings; UKCA Class IIa, ISO 13485, ISO 27001, Cyber Essentials Plus; +13.4% A&E productivity, +23.5% direct patient-care time, +15% ambulance hub throughput (accessed 2026-08-18)
  • tortus.ai/years-in-the-making — Official: first AVT certified UKCA Class IIa on 24/06/2026; Class I self-declaration vs Class IIa Approved Body review; ISO 13485 QMS audited annually; active post-market surveillance mandatory (accessed 2026-08-18)
  • shell.tortus.ai — The Shell: per-statement validation against source context, 93.1% of detected hallucinations removed before note completion, hallucination-free notes from 34% to 86% in production (accessed 2026-08-18)
  • tortus.ai/labs — Three peer-reviewed publications, 380+ citations, >2.5M consultations processed; MHRA AI Airlock Phase 2 selection; Phase IV trial 9 sites / 17,000 patients / £500k NHS England backing (accessed 2026-08-18)
  • nature.com/articles/s41746-025-01670-7 — npj Digital Medicine (Nature): first clinical ontology of hallucination and omission in ambient scribes, evaluation methodology now used across nine NHS sites (accessed 2026-08-18)
  • pmc.ncbi.nlm.nih.gov/articles/PMC11452835 — Peer-reviewed GOSH Phase II (Future Healthcare Journal): >2x documentation quality increase for notes and letters; pre-study hallucination testing 0.5% minor / 0.21% major, post-improvement 0.21% minor / 0% major; clinicians requested specialty customisation (accessed 2026-08-18)
  • healthinnovation-kss.com/wp-content/uploads/2025/11… — Independent Unity Insights evaluation for Health Innovation Kent Surrey Sussex: 20% of primary care users never logged in, weekly unique users 19–42% of issued licences, 24-hour audio deletion complicates bug tracing, expectation-setting criticised (accessed 2026-08-18)
  • applytosupply.digitalmarketplace.service.gov.uk/g-cloud/… — UK Digital Marketplace G-Cloud 14 listing: £100–£200 per user per month, free trial, 99.5% SLA, private cloud, macOS/Windows desktop app only, no browser interface, not designed for mobile, 'Customisation available: No' (accessed 2026-08-18)
  • docs.tortus.ai/reference/api — Embed SDK API reference: @tortus-ai/embed-client, publishable key, sandboxed iframe, production/sandbox environments, consultation artifacts (medicalNotes, letters, medicalCodes, transcriptions) (accessed 2026-08-18)
  • apis.io/providers/tortus — Independent API-surface assessment scored 03/08/2026: agent readiness 16/100, MCP Server 0/12, A2A 0/4; EHR integrations Epic, EMIS Health, TPP SystmOne, Oracle Health, Access Rio, Medicus (accessed 2026-08-18)
  • elion.health/products/tortus-osler — Third-party directory: OSLER described as an agent that sees the screen and uses mouse and keyboard across any EHR without backend integration; pricing from $200/user/month (accessed 2026-08-18)
  • tech.eu/2024/02/12/tortus-secures-4-2m-seed-funding… — $4.2M seed led by Khosla Ventures, February 2024; founded 2022 by Dr Dom Pimenta and Christopher Tan out of Entrepreneur First (accessed 2026-08-18)
  • tracxn.com/d/companies/tortus/__ow8bX2sQ1A-MlQBbxIG… — Independent company profile: $8.54M total raised across two rounds, London, seed stage (accessed 2026-08-18)
  • x-on.co.uk/blog/x-on-health-and-tortus-ai-launch-am… — X-on Health partnership launching 'Surgery Intellect' for primary care; X-on telephony carries 40M+ GP calls per month; confirms the indirect route behind the 1,000+ NHS organisations figure (accessed 2026-08-18)
  • england.nhs.uk/long-read/guidance-on-the-use-of-ai-… — NHS England AVT guidance and Supplier Registry: DTAC completion and MHRA registration expectations, DCB0160 and DPIA requirements, EPR integration and monitoring framework context (accessed 2026-08-18)