Accelerating medication fitness decisions
When SanoMedSolutions approached us, they were tackling a time-critical challenge in the railway industry. Occupational health teams supporting safety-critical roles, such as train drivers, needed fast, reliable medication safety decisions. Yet the existing process relied on emailing a chemist on call and waiting for a response, often taking over an hour.
In safety-critical environments, that delay creates operational disruption and risk. Railway managers needed clear, defensible medication guidance in under 30 minutes, without compromising clinical oversight or falling into complex medical device regulation territory. The ambition was to build a secure, scalable digital platform that standardised assessments while remaining firmly clinician-led.
The Challenge
The core problem was speed and consistency.
Railway managers were submitting medication queries manually and waiting for individual responses. There was no structured workflow, no audit trail, and no standardised classification system. With one client generating 188 inquiries in 30 days, scale quickly became a factor.
At the same time, regulatory constraints added complexity. The platform needed to avoid classification as a medical device under MHRA guidance, meaning all decisions had to remain clinician-approved. Data protection requirements were equally stringent, with GDPR compliance and controlled data retention essential.
This was also SanoMedSolutions’ first digital product of this scale. The solution needed to be robust enough for enterprise licensing, but simple enough to support occupational health professionals working under pressure.
What We Did
We designed and built SanoMedCheck, a web-based platform for occupational health medication safety assessments.
At the heart of the system is a traffic light classification model, categorising medications as Green, Amber, or Red depending on safety considerations for safety-critical roles. Each inquiry moves through a structured workflow, from submission to completion, with clear status indicators and assignment functionality.
The platform supports multiple user roles, including super administrators, customer administrators, occupational health users, and customer users, ensuring secure access control and clear attribution. Automated email notifications alert users to submissions and completed assessments, without transmitting sensitive data.
To support rapid responses, we implemented a curated medication database of hundreds pre-classified medications, alongside response templates aligned to each risk light category. This enabled standardisation without removing clinical oversight. All outputs remain clinician-approved, ensuring regulatory compliance.
Technically, the platform was built using React for the frontend, Firebase and Firestore for backend services, Algolia for search, and Resend for transactional email. Firebase Auth provided secure, GDPR-compliant authentication, with EU data storage and minimal data retention policies applied throughout.
Transforming the Experience
Before SanoMedCheck, medication safety decisions relied on informal email exchanges, individual judgement, and manual tracking. Response times exceeded one hour, and there was limited transparency or accountability.
With SanoMedCheck in place, occupational health teams can submit inquiries through a structured interface and receive standardised, clinician-reviewed responses within a target of 30 minutes. The traffic light system provides immediate clarity for managers, while maintaining professional oversight.
Every inquiry is logged, attributed, and timestamped, creating a complete audit trail. The platform supports both internal occupational health teams and external SanoMed clinicians through a dual-routing model, enabling flexible enterprise licensing.
For SanoMedSolutions, the product represents a shift from reactive email advice to a scalable, licensable digital service that can support multiple organisations simultaneously.
Results
Sub-30 minute response capability:
Standardised assessment framework:
Enterprise-ready architecture:
GDPR-compliant data handling:
Since working with GearedApp, we now have a fully functional app and admin system that has transformed our idea into a tangible, demonstrable product. This has allowed us to engage with stakeholders, showcase the platform to potential partners, and begin exploring commercial opportunities. What once felt abstract is now real, usable, and scalable. The speed and quality of the development process have exceeded my expectations.
What really stood out was the team’s dedication, communication, and collaboration. They listened carefully to my ideas, asked thoughtful questions, and provided guidance without ever pushing their own agenda. They were responsive, patient, and flexible, always adapting to feedback while maintaining clear structure and timelines. It truly felt like a partnership rather than a client-service relationship.
Dr Constantin Coltofean
Next Steps
Following launch, SanoMedSolutions is entering a pilot phase with selected clients to gather validation data and refine workflows. Discussions are planned with regulatory and industry bodies, including DfT, RSSB, and ORR, to explore wider endorsement opportunities.
SanoMedCheck now provides a credible foundation for broader expansion into other safety-critical sectors and occupational health service providers, positioning SanoMedSolutions as a digital leader in medication safety advice for regulated industries.