Clinical AI Deployed Inside Your Private Healthcare Environment

Your data protection officer has a simple rule: no PHI leaves this network. Not cloud, not SaaS, not API - regardless of the contract. That rule has blocked your AI roadmap for two years. Meta Llama running in your VPC is the first clinical AI architecture your DPO can actually approve.

Trusted by Fortune-500 brands and ambitious startups across 36 countries
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What changes for you

We sell outcomes,
not models.

Three things we sign up to before we write a line of code. All measurable. All agreed upfront.

  • Zero PHI egress by architecture

    Llama runs in your VPC, your data centre, or your sovereign cloud tenant. Every inference call stays inside your network boundary. The DPO, IG lead and CISO sign off on a network diagram - not a vendor promise.

  • Clinical accuracy via fine-tuning

    We fine-tune on your institution's de-identified records - your clinical notes, your formulary, your documentation style. The result outperforms a general model on your specific tasks by 10–20 percentage points. Accuracy is measured on your eval set, reviewed by your clinicians.

  • Full IP ownership

    The fine-tuned weights, the de-identification pipeline, the eval suite, the deployment config - all yours. Your clinical IT team operates it. You retrain when your documentation conventions change. We leave nothing that requires our ongoing involvement.

Where most integrations break

The graveyard is full of prototypes.

We see the same failure modes every engagement. Our delivery model is built to avoid all of them.

Who we work with

Built for the person on the hook.

Most engagements start with one of these six people. The pitch is calibrated to the metric they're judged on.

DPO · Data Protection Officer

I've reviewed every cloud AI vendor's BAA. The answer is still no.

Llama in your VPC. The network diagram shows zero external data flows. No vendor subprocessor for PHI.
  • Network diagram: zero external PHI flows
  • No vendor subprocessor for clinical data
  • De-identification at the edge for any external lookups
CISO · Head of NHS Digital Security

We operate under IG Toolkit requirements. No AI vendor has passed our assessment.

Llama in your existing Azure NHS tenant or on-premise. The IG assessment becomes: "does our own VPC meet our standards?"
  • NHS Azure tenant deployment · no new vendor relationship
  • Air-gapped deployment for highest-sensitivity networks
  • Full audit log within your existing infrastructure
CTO · VP Engineering · NHS Trust

Clinical IT says self-hosted LLMs are a 12-month infrastructure project.

Our repeatable playbook deploys Llama in 1-2 weeks on NHS Azure. The infrastructure sprint is the shortest part.
  • 1-2 week infrastructure sprint · repeatable playbook
  • NHS Azure, on-premise GPU, air-gap all supported
  • Full IP transfer · your team operates it after handoff
CMO · Chief Medical Officer

Physicians spend 45 minutes a day on documentation. We need AI. Compliance keeps blocking it.

Fine-tuned Llama in your VPC. IG-ready architecture doc in week one. Clinician-reviewed eval by week four.
  • IG-ready architecture doc before any code
  • Clinician-reviewed eval suite before production access
  • ↓ 45min → 8min documentation burden target
Head of Information Governance

Every AI project hits my desk and I have to say no. I need an architecture I can approve.

We bring the IG architecture document to the first meeting. Answers: where does it process, who has access, what's logged, how do we audit it.
  • IG architecture doc answers all four standard IG questions
  • Audit log per inference call · access controls documented
  • DPIA-ready · DSPT-aligned · clinician access log
Head of Revenue Cycle

Our coders are backlogged and accuracy is slipping. We can't use cloud AI for coding.

Fine-tuned Llama on your de-identified coding history generates ICD-10/CPT suggestions. Coders review. Zero cloud egress.
  • ↑ 2.1× coder throughput
  • ICD-10/CPT suggestions with supporting text from clinical note
  • Coder review workflow · override logging · audit trail
Production workflows we've shipped

In daily use - not open in a demo tab.

Across industries. Each with a specific mechanism and a specific metric.

Ecommerce
Clinical documentation

SOAP note structuring

Physician dictation → structured SOAP note → ICD-10 suggestion → EHR field population. Zero cloud egress.

↓ 12min → 90sec intake
B2B SaaS
Revenue cycle

Prior authorisation

Clinical notes + payer criteria → PA letter with evidence citations. Flags likely denials. On-premise.

↓ 4d → 4h per PA request
Healthcare
Patient safety

Drug interaction check

Prescribed medications → RxNorm interaction scan → contraindication flags. Runs on-premise.

↓ missed interaction rate 34%
Finance
Revenue cycle

ICD / CPT coding

Clinical notes → ICD-10/CPT suggestions with confidence score. Coder reviews, not codes from scratch.

↑ 2.1× coder throughput
Legal
Discharge

Discharge summary

Patient record → discharge summary with medications, follow-up, red flags. In-VPC.

↓ 45min → 8min per summary
Logistics
Research

De-identification pipeline

Clinical notes → de-identified text for research datasets. 99%+ PHI detection. Audit log per record.

Research partnership unblocked
services
Pathology

Report structuring

Pathology dictation → structured report with SNOMED-coded findings.

↓ 8min → 90sec per report
Education
Nursing

Nursing note summary

Shift notes → structured handover summary. On-premise. No data leaves the ward network.

↓ 20min → 3min handover prep
Cross
Internal

Clinical knowledge agent

Clinician Q → Llama retrieval over clinical guidelines + formulary → cited answer. In-VPC.

↓ 2.1 hrs/wk per clinician
The delivery sprint

From whiteboard to production,
with a number on the dashboard.

Week 1-2 · IG & infra

IG architecture + VPC setup

IG architecture document. DPIA support. VPC or NHS Azure tenant configuration. GPU sizing. De-identification pipeline setup and validated.

DeliverableIG architecture doc · DPA signed · VPC configured · GPU sized
Week 2-5 · Fine-tuning & eval

De-ID + fine-tune + clinician eval

De-identification of training data. QLoRA fine-tuning on de-identified records. Eval suite built and reviewed by practising clinicians.

DeliverableFine-tuned model · clinician-reviewed eval suite · accuracy report
Week 5-7 · EHR integration

EHR connector + clinical workflows

HL7 FHIR API integration. Clinical workflow integration. Confidence thresholds. Clinician review queue. Audit logs.

DeliverableEHR integration live · clinician review queue live · audit logs active
Week 7-8 · Clinical pilot & hand off

Supervised pilot + ownership transfer

Supervised clinical pilot. Prompt and threshold tuning. Governance review. Runbooks. Retraining pipeline handover.

DeliverableProduction clinical AI · governance docs · runbooks · retraining pipeline
STACK-SPECIALIZED

Built with the right stack for every AI product.

We don't force technologies. We choose the stack that best fits your AI workflows, scalability goals, integrations, and long-term product vision.

AI & Frontend
Deep integrations.
Maximum performance.
React / Next.js
Angular / Vue.js
HTML5 / CSS3
JavaScript
React Native
Swift / Kotlin
Intelligent interfaces built for modern user interactions.
Backend & AI Systems
Scalable. Secure.
Production-ready.
Node.js / Laravel
Python / FastAPI
Azure DevOps
Docker / Jenkins
AWS / Google Cloud
Microsoft Azure
Secure, scalable architectures powering intelligent systems.
Data & Enterprise Systems
One codebase.
Many platforms.
MongoDB / MySQL
SQLite / SQL Server
WordPress / Magento
Shopify
Vector Databases
AI Retrieval Systems
Reliable data foundations for automation and intelligence.
No vendor lock-in Pause, pivot or stop anytime.
Tailored to your goals Tech that fits your roadmap.
Built for speed & scale Deliver value, faster.
Secure by default Best practices, every time.
AI PRODUCTS, IN PRODUCTION

Intelligent systems built for real-world impact.

Carefully crafted AI-powered platforms designed to deliver real business impact, seamless user experiences, and intelligent automation across industries.

Industry expertise

We've shipped here. Many times over

Deep teams with industry context - not generalists googling compliance acronyms. Each industry below has 30+ shipped projects and a partner who knows the regulator.

Word of mouth

What clients tell their peers.

Real names, real companies, real numbers. Video on the left, written notes on the right - choose whichever feels more honest.

trieval

"They feel like our team — not a vendor."

RH
Ismail Abualsmah
CEO, Trieval
01:18
Repeat client
Although regulations prevented the site's launch, it met all requirements in terms of form and function. Fullestop's project plan charted a clear course to completion. The team's flexible, diverse talent pool enabled them to manage each stage of the project with consistent levels of skill.
Fast turnaround
Weekly demos, no surprises, and they push back when we're wrong. That last part is rare. Cut our cloud bill 47% in the first audit.

News & insights

Check Out the Latest Trends and Tech Discussions

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Frequently Asked Questions

The questions every founder asks us.

  1. Meta Llama’s large-scale architecture and open-source nature allow it to handle complex medical data with high accuracy, transparency, and customization.

  2. We deploy Meta Llama solutions on-premise or in private clouds with HIPAA-compliant security measures to guarantee full data sovereignty and privacy.

  3. Yes, we specialize in fine-tuning Meta Llama on your clinical notes, research papers, or trial data for specialized, context-aware AI performance.

  4. Meta Llama can assist with diagnostics support, patient communication, medical research summarization, and clinical documentation automation.

  5. Robust on-premise servers or private cloud setups with GPU acceleration are required, and Fullestop manages the infrastructure lifecycle end to end.

  6. Yes, it can process large volumes of medical data in real-time, supporting clinicians with timely insights and recommendations.

  7. Solutions are designed to scale from small clinics to large hospital networks, adjusting compute needs and deployment strategies accordingly.

Pick your starting line

Three ways to get Llama running on your infrastructure.

Replacing an OpenAI bill that keeps growing or building a regulated product that can't send data to external APIs we have a low-risk first step for both.