Release notes

We’re a small and focused team delivering regular improvements to hopefully improve your experience of using Concentric. These product release notes share the key updates with each software release.

Our priorities are shaped by what our clinician and patient users tell us, so if there are updates you’d love to see, but they haven’t made it into a release yet, let us know at hello@concentric.health.

If you’re looking for our content release notes - outlining the key additions and changes made to the Concentric ontology (i.e. the treatment templates), visit our content release notes page.

74 - Infrastructure and database upgrades

27 Jan 2024

This release was a little unusual for us, in that it involved more than a few moments of downtime. If you logged in within the 16 minutes of downtime you’ll have been one of the first ever to see our ‘down for maintenance’ page. To minimise disruption we completed the update on a Saturday night as it’s the time we see the least app traffic during the week.

The downtime was required to update some infrastructure – the software run on our application servers and optimisation of our databases. All incidents and planned maintenance are reported on the Concentric status page. You can subscribe to status updates on that page should that be helpful in your role.

73 - Read-only access and announcement banners

19 Jan 2024

Two highly requested improvements and features make it into release 73, read-only access and announcement banners! Who wants all their presents in December anyway… 🎁

Read-only

Read-only access is set in the Concentric admin application and does what it says on the tin. ‘Read-only users’ can see consent episodes within the deployment but cannot create new episodes or make changes to existing episodes. We expect this access level to be widely assigned to those who are involved in the consent pathway but don’t have consent conversations with patients themselves, e.g. ward nurses and theatre staff.

Those with read-only access will see a banner at the top of the page within Concentric:

Read-only banner

The current state of the consent episode is shown, but no modifications can be made, for example:

Read-only state

Announcement banners

An announcement is a banner shown at the top of the Concentric application to logged in clinicians. It is usually used to share incident details; for example integration issues, and relevant business continuity information. For example:

Announcement banner in clinician view

Announcement banners are managed from within the Concentric admin application, where announcements can be created, edited, and withdrawn.

72 - Annual penetration testing

15 Dec 2023

As discussed in release 57, we undertake annual penetration testing, where a professional external team of friendly ‘hackers’ try to find the data security chinks in the Concentric armour. This release contains some improvements put in place prior to and as part of that process.

Other minor user-facing changes include additional anaesthetic options that can be added to templates, and a banner that is shown in place of recent episodes if there are none, to improve the onboarding process.

No recent episodes info banner

71 - Internal polishing

14 Nov 2023

You’re unlikely to spot the changes in this release – mostly internal polishing. Some subtle user-facing changes, such as; improvements to how non-template indications/alternatives/risks are added; and improvements to how we manage signing options on small non-touchscreen screens.

70 - Lay descriptions added to clinician view

13 Oct 2023

Clinician view (i.e. the editable interface) is designed as a ‘power-user’ interface – delivering flexibility to do what is needed, and is more information dense than the patient-facing views. Prior to release 70, however, the majority of lay descriptions (for the treatment itself, indications, alternatives, and anaesthetic options) were not visible without switching to consult view.

These lay descriptions have now been added into clinician view, with the first paragraph of the treatment lay description shown (expandable), and within expander toggles for the other elements (to mirror how risks have always behaved).

Treatment lay description

Treatment lay description in clinician view

Lay description expanders

Element lay description in clinician view

69 - Select all ‘patient information’

19 Sep 2023

Unnecessary clicks are annoying, and the more efficient Concentric is for clinicians the more time is released for valuable shared decision making conversation. Mirroring the approach for treatment risks, the ‘patient information’ section now also has a ‘select all’ button. This brings what had often been a few clicks down to one, whilst maintaining the flexibility to add non-template resources for individual patients.

Patient info select all

68 - Design system polish

24 Aug 2023

Some nice-to-haves didn’t quite make it into release 67 and have been mopped up over the next 20 days. Buttons that were a few pixels off centre, spacing that wasn’t quite as it should have been, clickable areas that were a bit small, that sort of thing. Now fixed.

67 - Clinician app design system

4 Aug 2023

Over the last few months we’ve been rebuilding the Concentric clinician application to make it easier to use, more consistent, and a little nicer on the eye. There are some mentions of this reasonably big project - known internally as our clinician app design system release - in previous release notes, and it’s now landed! 🥳

Whilst under the covers quite a bit has changed, our aim has been that the transition should feel effortless (almost unnoticeable) for our clinician users.

Functionality is essentially unchanged, but some elements and buttons have moved to different places in the user interface. The video within the onboarding guides has been updated should it be useful to watch through.

Same. But different.

66 - Additional consents added

21 Jul 2023

This release sees the addition of 3 key additional consent options which will be used by the majority of our UK-based deployments - the National Bariatric Surgery Registry, National Hiatal Surgery Registry and National Vascular Registry - easing the workflow for enrolment onto these registries for patients and clinicians.

65 - Alignment with our new website

21 Jun 2023

Our new website has an updated structure and approach to onboarding and login guides. This release aligns the Concentric clinician application with that structure and the relevant URL’s.

64 - Simplifying the hidden stuff

18 May 2023

Thankfully most of our users don’t need to be exposed to the complexity that sits beneath the surface. Nevertheless, the more complex the base, the harder it is to iterate and improve the visible stuff. Building on releases 62 and 63, this release simplifies the way Concentric runs, moving to more industry-standard tools. Going forward we should therefore be able to spend more time doing stuff that noticeably improves the Concentric experience.

63 - Spring cleaning continues!

27 Apr 2023

Whilst we work though a significant update in terms of the look and feel of Concentric (more on that soon…), this release just keeps a few bits of code tidy, up-to-date, and secure.

62 - Spring cleaning

19 Mar 2023

This release doesn’t have anything exciting for our users, just internal spring cleaning and improvements to some individual organisations’ integrations. Continue with your day!

61 - Configurable inactivity timeouts and session duration

21 Feb 2023

Healthcare systems are complex, and with clinical systems there’s a balance to strike between security controls, usability, and processes. Inactivity timeouts is one example. What is appropriate and acceptable may vary significantly depending on how you authorise in the first place (password, SSO, 2FA etc.), and which devices are used - for example, are shared devices used on the wards, or does everyone within the organisation login via their own mobile device with Face ID or similar used for device unlocking?

This release makes it possible for each organisation to configure what’s right for them in terms of inactivity timeouts and session duration.

60 - NHS Personal Demographics Service

13 Jan 2023

Until today, to integrate with patient demographics at an NHS organisation we’ve needed to integrate with the local system, meaning custom work for both us and the NHS organisation’s IT/integrations teams, which takes time. We’re delighted to say that we are now, following completion of the necessary NHS Digital approvals and testing, integrated with NHS Digital’s Personal Demographic Service (PDS) via their FHIR PDS API!

This means that when an organisation is happy to use the NHS number as the primary identifier in Concentric (i.e. no need to be able to search for or show a local hospital number within Concentric), this can be enabled at a moment’s notice, with no custom integration needed!

59 - NHSmail

16 Dec 2022

Continuing the theme of easing access and removing the burden of multiple logins (see releases 51 and 55), release 59 introduces NHSmail integration for SSO! So if it’s an NHS.net email address that’s associated with your Concentric account you can now use your NHSmail account to log in to Concentric 🥳

Signature pad

This release also improves how non-surgical treatments are managed throughout the application - previously there were a few places where the word surgery was used regardless of the type of treatment. This is now resolved, with the correct wording used regardless of whether it’s an operation, procedure, treatment or investigation.

58 - Signature pads!

25 Nov 2022

Since day 1 we’ve been asked about using signature pads with Concentric, and whilst we’ve seen some clinicians try to use various devices the experience has always been a bit hit and miss. We now formally support the Wacom STU-430 🎉, which we believe is the best signature pad option on the market. Head to https://app.concentric.health/stu-setup for guidance of how to set up the signature pad ready for use.

Signature pad

57 - Improving security

3 Nov 2022

Mainly internal and tenant integration specific tweaks in this release, but some changes also made in terms of cyber security in preparation for our annual, independent penetration testing.

56 - Improved log-out for single sign-on users

26 Oct 2022

For those using SSO, previously a log out of Concentric wasn’t triggering a log out of the SSO session (which might be being used by more than 1 application), meaning that it was possible to re-login to Concentric without re-entering credentials. This can cause issues particularly on shared devices. On log-out of Concentric, if signed in using SSO, we now redirect to the SSO provider’s log-out page where the user can confirm whether they do indeed mean to log out of their SSO session.

55 - Increasing delivery of information digitally

14 Oct 2022

For a number of our integrations, phone contact details are not divided into mobile and landline fields on the healthcare organisation’s side. This was leading to messages being sent to landlines - and therefore unsurprisingly not successfully reaching the patient in any usable format. Validation has been added to the information sharing pages to warn the clinician if they are trying to send to a landline.

Building on release 54, the British Spine Registry has been added as an additional consent option.

Having introduced single sign-on / active directory (AD) via Microsoft Azure in release 51, ADFS login (basically a local version of Azure AD) is now formally supported in production with our first users - this is the reason for the new ‘More ways to log in’ on the login page.

For many clinicians, titles are neither known within active directories or particularly useful to include within the Concentric workflow. Previously Concentric required titles for all clinician users and this was causing issues for project teams in terms of finding out the right title for large numbers of users. This requirement is now dropped.

27 Sept 2022

The next few releases will see a number of additional consent options being added - many of these are specialty registries (currently we have a small number such as the National Joint Registry embedded), but the first to be added is a ‘sensitive disposal of pregnancy tissues’ consent (often called an SD1 form). This has been enabled at the organisations where its use within Concentric has been approved. Enabling SD1 has laid the foundations for broadening what we can do via additional consents, with more flexibility around multiple linked questions and form logic.

NHS number formatting has also been updated to match the requirements of the relevant data standards, and validation has been introduced to ensure that NHS numbers on patient records (either fetched from integration or manually added by clinicians) are genuine NHS numbers - to reduce the risks associated with miskeying and data errors.


Earlier releases

53 - Improving the onboarding experience

9 Sept 2022

Test patients get used a lot at some Concentric deployments - some of our test patients have many hundreds of consent episodes on their record. The amount of data being loaded on landing on these records was getting a bit silly and was slowing the experience down. We’re not keen on anything feeling slow within Concentric and were sad that this was often clinicians’ onboarding experience of Concentric… so we sorted it out.

52 - Improved account switching

24 Aug 2022

For those of you working across different organisations it’s always been a bit annoying to switch between Concentric accounts - needing to log out and back in. You can now just click ‘Switch organisation’ in the top right account menu.

There are a few other little improvements and bug fixes in this release. We noticed that when clinicians were adding custom indications rarely was any useful additional information added in the previously required ‘description’ field, usually just copy and paste of the indication name. You’ll be pleased to know this field is now optional. And those of you using Grammarly will have noticed an issue with the treatment search page - this is now fixed so you can re-enable Grammarly on concentric.health pages.

51 - Single Sign-On Is Here!

8 Aug 2022

If it’s been set up be your healthcare organisation you can now log in to Concentric using your Microsoft account. That’s one less username and password to remember 👌

SSO

50 - User authentication improvements

27 July 2022

As part of a larger package of work around user authentication that will span more than one release, release 50 improves the interaction between Concentric and password managers, and improves the error messages across a number of different authentication related scenarios.

49 - Improving the feedback experience

4 July 2022

We’ve moved our clinician feedback, improving the feedback experience and making it easier for us to analyse and respond to feedback.

48 - ‘Spring’ cleaning

23 June 2022

Internal tidying up and some prep work for things coming soon!

47 - Bye bye IE11!

17 June 2022

We’re pretty pleased to see this release. Microsoft have now formally retired IE11 which means we’re dropping our support for this legacy browser. If users try to access Concentric via IE11 they’ll now get a page directing them to use a modern browser. This is good news - it means we can start to do some nicer things in the user interface that would previously have caused issues in IE11.

46 - TOTP (no not Top Of The Pops…)

18 May 2022

Admin Concentric accounts have always required two factor authentication (2FA) but now healthcare organisations have the option to enable this for all clinician users. This is done via TOTP codes (Time-based One-Time Password not Top Of The Pops!) via an authenticator application so it’s more secure but adds a step to login flows and requires clinicians to have their mobile phone available to login.

45 - Your most requested feature

13 May 2022

In our clinician survey earlier this year there were two clear front runners in terms of changes that would make a difference to clinicians’ experience of using Concentric. Top of the list was quick access to your personal most used templates, alongside the ability to search templates. And so here we are… 🙂

Most common treatments selection

44 - Clearer comms, better onboarding

20 April 2022

A few small but important tweaks in this release. To improve the trust that patients have in emails received from clinicians via Concentric we now reference both the clinician sending the information and the patient’s consultant (if they are different people) and also add a link to information on the healthcare organisation’s website about their use of Concentric.

To improve the onboarding experience for clinicians we now embed important healthcare organisation specific onboarding information into clinician account setup emails.

43 - Making integrations more robust

30 March 2022

Not many user-facing changes in this release - mostly integration related changes to make these more robust, handle integration failures better, and share clearer messaging with clinicians when these occur.

42 - Notas de lanzamiento

22 March 2022

That’s ‘release notes’ in Spanish! Both clinician and patient app are now fully functional across both Google and Apple automated browser translations, meaning that Concentric can be instantly translated into over 100 languages to support consent conversations in the patient’s preferred language. Our knowledge bank has more details about language translation and continued vital role of an interpreter.

We started writing public release notes with release 42, but if you require information regarding a prior release just get in touch at support@concentric.health.

Further reading

Content updates

These content updates summarise the key improvements and changes made with each ontology release.

Read

Release processes

A guide to the different types of Concentric releases, and the process followed for each.

Read