local_hospital IThirtyFour - Your Digital Transformation Partner

Software that
powers better
patient care

IThirtyFour deliver bespoke software solutions and expert consultancy, exclusively for NHS organisations and healthcare providers — from patient-facing portals to complex system integrations built on NHS England standards.

SUPPORT NHS organisations and healthcare providers
TRANSFORM Teams, projects and efficiency
DELIVER Improved outcomes and better patient care
Core Capabilities
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Patient Portal Development
End-to-end NHS and local-branded portals
api
FHIR R4 API Integration
HL7 FHIR standards & NHS APIs
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Bespoke Applications
Project discovery, design and delivery
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Learning Management Systems
Education & workforce training
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Training
Best practice and modern development fundamentals
Built for NHS standards
verified NHS England API Programme
verified HL7 FHIR R4
verified Cyber Security
verified DCB0129 / DCB0160
What We Build

Services designed
around NHS needs

Every solution we deliver is shaped by deep knowledge of NHS digital standards, clinical workflows, and the regulatory landscape governing health software in England.

api

FHIR API Development

Implementation of HL7 FHIR R4 resources and RESTful APIs aligned to NHS England's published profiles — enabling interoperability between clinical systems, third-party applications, and national infrastructure.

FHIR R4 HL7
hub

NHS England Integrations

Connecting your systems to the national APIs and services that underpin NHS care delivery: PDS, e-Referral Service, NHS Notify. We can also provide streamlined integration to the Wayfinder and Patient Care Aggregator programmes.

PDS e-RS NHS Notify Wayfinder Patient Care Aggregator
school

Learning Management Systems

Purpose-built LMS platforms and integrations for NHS workforce training, mandatory learning compliance, competency tracking, and clinical education.

SCORM ESR Integration xAPI e-Learning Blended learning
security

Clinical System Security & Compliance

Security architecture reviews, penetration testing coordination, support with Data Security and Protection Toolkit submissions, and clinical safety case support for health software under DCB0129 and DCB0160.

DSP Toolkit DCB0129 Pen Testing IG
analytics

Data & Analytics Support

Reporting dashboards, population health analytics, and operational intelligence tools built on NHS data standards — helping trusts and ICBs make faster, evidence-based decisions.

SQL SSRS Qliksense
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Bespoke Applications

Discover, design, and deliver bespoke applications with support from our expert team.

Web Mobile Desktop
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Training

Mentoring and training support for your development teams. Follow best practice and modern development fundamentals.

OAuth JWT JSON Async
Why IThirtyFour

NHS expertise,
not just software development

A core understanding of how digital services can transform how NHS organisations operate. Our team combines expert software engineering knowledge with genuine understanding of NHS processes, clinical governance, and data standards.

  • domain_verification

    Digital Transformation Partner

    We work exclusively with NHS organisations and healthcare providers. Every member of our team understands the unique pressures and regulatory obligations of NHS digital delivery.

  • speed

    Accelerated Delivery

    Built on many years of dedicated NHS service and over a decade of software engineering expertise, you can rely on us to efficiently plan, develop and improve delivery timelines for your project without compromising standards.

  • support_agent

    Embedded Partnership

    We embed within your team, attend stand-ups, and participate in governance reviews — not just delivering results but genuinely sharing ownership of outcomes.

verified_user
Standards & Compliance
Everything we build is designed to pass NHS assurance
  • check_circle NHS England API Programme onboarding
  • check_circle HL7 FHIR R4 UK Core conformance
  • check_circle WCAG 2.2 AA accessibility compliance
  • check_circle Data Security Protection Toolkit
  • check_circle Clinical Safety (DCB0129 / DCB0160)
  • check_circle NHS Login integration & certification
  • check_circle Cyber Essentials Plus aligned
How We Work

A process built around
NHS delivery cycles

We understand that NHS projects involve procurement timelines, governance checkpoints, and clinical stakeholders. Our approach is designed for that reality.

Discovery

Understand your landscape

We start by mapping your clinical workflows, existing systems, data flows, and integration points — building a shared understanding before a line of code is written.

Design

Architecture & prototyping

Technical architecture aligned to NHS standards, user research with clinical staff, and interactive prototypes that can be tested before full development begins.

Build

Iterative delivery

Agile sprints with regular clinical reviews, continuous integration pipelines, and transparent progress — keeping your governance and oversight teams informed throughout.

Assure

Compliance & safety

We guide solutions through NHS assurance pathways, DSP Toolkit submissions, clinical safety documentation, and penetration testing before go-live.

Launch & Support

Stable, supported rollout

Managed deployment, staff training, and ongoing support — with clear escalation paths and SLA-backed maintenance packages tailored to NHS operational needs.

Latest Thinking

Insights & News

Practical guidance, technical deep-dives, and updates on all things digital in healthcare.

Work With Us

Let's talk about your NHS project

Whether you're scoping a new patient portal, navigating a complex FHIR integration, or looking for a trusted long-term digital partner, we'd love to hear from you.

  • email hello@ithirtyfour.co.uk
  • schedule Mon – Fri, 09:00 – 17:30 GMT

Send us a message

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