Problem or mechanism
NHS, UK or peer-reviewed evidence establishes that the underlying discrepancy, oversupply or pathway opportunity can occur.
Methodology
Prove the problem. Prove the action. Prove the outcome.
Every Sitora product follows the same evidence discipline, but each keeps its own denominator, safety boundary and definition of success.
01
Observe
Use source-system data, timestamps, supply history and pathway activity.
02
Detect
Identify a medication discrepancy, avoidable-supply signal or resource opportunity.
03
Validate
Clinical and operational experts confirm that the signal is real and appropriate to act on.
04
Intervene
Assign the smallest governed action to a named owner.
05
Verify
Measure closure, dispensing outcome or actual resource recovery and classify the benefit correctly.
Common evidence ladder
Existing evidence supports the hypothesis. Local data must prove Sitora's effect.
Operational intelligence
Ownership, acknowledgement, prioritisation, reconciliation, pre-dispensing review or whole-pathway measurement.
Local effect
Observed outcome, safety, workload, reusable capacity and any validated financial effect in the participating service.
Evidence discipline
Every number has a status.
- Measured: directly observed activity or outcome.
- Published: external NHS/UK/peer-reviewed evidence with setting and limitation.
- Modelled: calculated scenario based on explicit assumptions.
- Verified Sitora outcome: locally observed after governed intervention.
- Unknown: important but not adequately measured.
Benefit discipline
Keep unlike outcomes apart.
- Clinical closure: discrepancy safely reconciled.
- Cost avoidance: unnecessary future spend prevented.
- Cash-releasing: expenditure genuinely removed and finance-validated.
- Capacity-releasing: staff/facility time demonstrably reusable.
- Patient benefit: time, travel, waiting or unnecessary treatment burden reduced.
What Sitora does not claim
We do not claim one national medicines-waste number, that every unresolved discrepancy causes harm, that every repeat prescription is unnecessary, that published resource effects automatically apply locally, or that released workforce time automatically becomes cash. Those questions require local measurement.