Lean Canvas — Clinical Coding AI Copilot
Lean canvas for an AI copilot that drafts clinical coding for NHS trusts, pricing 310,000 episodes a month against GPU inference and safety-case costs, with coder acceptance rate and hallucinated-code rate as the metrics that decide the product.
Make it your own.
title "Ledgerly — AI copilot for clinical coding"
layout lean
currency GBP
problem: "Clinical coders read 40 pages to assign one HRG" !, "Under-coding costs a mid-size trust 4-7m a year" !, "Coder vacancies sit open for nine months" !
segments: "NHS trust coding departments, 120-400 beds" !, "Private hospital groups billing insurers" ?, "Coding outsourcers" ?
uvp: "Every suggested code arrives with the sentence it came from" !
solution: "Retrieval over the discharge summary, then a constrained code proposal" !, "The coder accepts, edits or rejects in one keystroke" !, "Every rejection becomes a labelled training example" !
channels: "NHS Shared Business Services framework" !, "Coding manager peer network and the national conference" !, "Published case study with the first two trusts" ?
revenue: "Per coded episode 0.62/episode x 310k/mo" !, "Annual platform fee 45k/yr x 9" !, "Audit-mode retrospective sweep 18k per trust"
costs: "GPU inference 31k/mo" !, "Engineering and ML team 1.1m/yr" !, "Clinical safety case and DCB0129 compliance 190k/yr" !, "Implementation consultants 22k/mo" !
metrics: "Coder acceptance rate 71.3%" !, "Hallucinated code rate 0.4%" !, "Minutes saved per episode 6.8" !, "Secondary diagnoses per episode 4.9" !
advantage: "180k coder-verified episode and code pairs nobody else holds" !, "Information governance approval already granted at nine trusts" ?