The NHS has a flow problem, not a therapy problem.

Every day, people try to access NHS services through routes that were not designed for them. Static web forms. GP appointments used as holding patterns. Self-referral portals with no clinical logic. By the time someone reaches a clinician, the system has already failed them several times over.

Cerina Health was built to fix the layer that does not yet exist in the NHS: the pre-clinical infrastructure that sits between public demand and formal care pathways. We call it Stage 0.

Stage 0 is structured intake, intelligent routing, and active waiting support, operating before referral begins, across every pathway, at system level. It is not a therapy platform. It is not another app. It is the governed digital infrastructure that makes everything downstream work better.

We deliver this through three products. 

Chat Assist is a bespoke (any conversation with empathy), clinical grade AI "chatbot" deployed on NHS websites, GP portals and via SMS that applies validated clinical screening, detects safeguarding risk in real time, and ensures every contact arrives structured before any referral is made. 

WIRE, our referral engine, replaces fragmented manual triage with a single rule-based routing infrastructure that allocates every referral to the right pathway automatically, with full audit trail and real-time commissioner visibility. 

Cerina Companion is a CBT-based digital therapeutic that activates post-referral, keeping people engaged during the wait and escalating deterioration back into clinical workflows before it becomes a crisis.

Deployed together, they create a continuous care pathway from first contact to clinical appointment where no one falls through the gap.

The infrastructure gap is being filled.

Cerina Health

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Cerina Health

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