Healthcare ยท NHS-oriented pilot

COMPASS

COMPASS, powered by Carina, is a compliance copilot for policy classification and audit-ready agent summaries. Status: in development. It is not deployed in NHS production and is not a medical device.

Powered by Carina In development

The problem

Healthcare operations teams need agents that respect policy templates, human approval for high-risk actions, and traceable summaries. Ad-hoc LLM chat lacks tool governance and pack-scoped knowledge boundaries.

COMPASS explores decision support for internal evaluation: helping staff navigate policy text and draft audit notes, not diagnosing patients or replacing clinical systems.

Solution with Carina

Packshealthcare (@carina/pack-health), legal-uk (policy reference skills)
Toolsfile-read, approval policy middleware, scoped file-write
MemoryRAG over approved policy markdown (synthetic/public sources in pilot)
ChannelsWeb gateway for pilot UI; API for integrations

Important: COMPASS provides decision support only. It does not provide medical advice, diagnosis, or treatment recommendations. No real patient data belongs in pilot packs.

Scout (planned)

Scout integration is planned when the pilot expands beyond internal evaluation. Scout adds commercial audit, kill switch, and injection protection for governed tool calls. See the Scout case study.

Results

No NHS production metrics to publish. COMPASS has not completed a live NHS trust deployment. Metrics on this page will appear only after verified pilot outcomes and appropriate sign-off.

Build on Carina

Design governed healthcare workflows on the MIT kernel with explicit human-in-the-loop policies.

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