PAC Interoperability Services UK

Fast, secure, and standards-compliant PACS interoperability services for healthcare providers across the UK.

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Unlock True Imaging Interoperability

Healthcare organisations generate a vast amount of imaging data every day. However, siloed Picture Archiving and Communication Systems (PACS) often make it difficult for clinicians to access the right study at the right time. Cabot’s PAC Interoperability Services UK solve this challenge by integrating disparate systems into a single, seamless imaging ecosystem. Our team leverages industry standards such as DICOM, HL7, and FHIR to provide real-time data exchange, eliminating manual workarounds and accelerating clinical decision-making.

From initial assessment to live deployment, we act as an extension of your IT and radiology departments. We handle interface development, data migration, and vendor-neutral archives while ensuring full compliance with NHS Digital, GDPR, and ISO 27001 requirements. The result is faster workflows, improved patient outcomes, and confident clinicians who can focus on care instead of chasing images.

Whether you manage a single hospital, a multi-site trust, or private imaging centres, Cabot customises a roadmap that aligns with your infrastructure, risk posture, and budget. With transparent communication and measurable milestones, we bring predictability to complex interoperability projects.

OUR TECHNOLOGY STACK

Integration Standards
DICOM, HL7 v2, FHIR, IHE XDS/XDS-I

Programming Languages
C#, Java, Python, JavaScript

Frameworks & Libraries
.NET Core, Spring Boot, Node.js, React

Cloud Platforms
Microsoft Azure, AWS, NHS Approved G-Cloud

Databases
SQL Server, PostgreSQL, MongoDB, Azure Cosmos DB

Messaging & Queueing
Mirth Connect, RabbitMQ, Azure Service Bus

Security Tools
Azure Key Vault, HashiCorp Vault, Fortinet NGFW

Containerisation
Docker, Kubernetes, Azure AKS

CI/CD
Azure DevOps, Jenkins, GitHub Actions

Monitoring
Prometheus, Grafana, Azure Monitor

Testing
JUnit, NUnit, Postman, Selenium

Compliance Frameworks
ISO 27001, GDPR, NHS DSP Toolkit

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Why Choose Cabot for PACS Interoperability?

Cabot has delivered mission-critical healthcare technology for over 15 years, partnering with NHS Trusts and private providers alike. Our certified interoperability engineers combine deep radiology workflow knowledge with cutting-edge integration skills. We approach each engagement with a consultative mindset—gathering clinical insights, mapping data flows, and aligning with organisational goals before writing a single line of code.

Security is embedded in our DNA. All environments are hardened to ISO 27001 standards, and our development lifecycle follows OWASP and NIST best practices. We conduct rigorous penetration testing and maintain full audit trails to give stakeholders absolute confidence.

Transparency sets us apart. You receive a dedicated project manager, fortnightly progress reports, and direct access to senior architects. Fixed-fee or agile commercial models let you choose the risk profile that fits your board’s requirements. From pilot to enterprise-wide roll-out, Cabot stays by your side, ensuring your imaging ecosystem delivers lasting value.

Our Proven Process

  1. Discovery & Assessment – We document existing PACS architecture, workflows, and compliance requirements.
  2. Solution Design – Detailed integration blueprint, mappings, and risk register approved by your governance board.
  3. Development & Configuration – Interfaces built in our ISO-27001 development environment, followed by rigorous testing.
  4. Deployment & Migration – Phased roll-out with parallel-run strategies to ensure zero disruption to clinical services.
  5. Optimisation & Support – Continuous monitoring, performance tuning, and quarterly reviews to drive sustained value.

Our Industry Experience

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Healthcare

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Ecommerce

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Fintech

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Travel and Tourism

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Security

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Automobile

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Stocks and Insurance

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Restaurant

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Connect with Our Team

Frequently Asked Questions

1. How long does a typical PACS interoperability project take?
Project timelines vary by scope, but most mid-size hospitals complete discovery, interface development, testing, and go-live in 12–16 weeks. Multi-site NHS Trusts or organisations with complex legacy estates may require phased roll-outs over 6–9 months. During scoping we provide a detailed Gantt chart that outlines every milestone, stakeholder dependency, and critical path so you can plan change-control windows with confidence.

2. Can you integrate legacy PACS with modern cloud platforms?
Yes. We specialise in creating vendor-neutral gateways that translate proprietary protocols into standard DICOM, HL7, and FHIR messages. This allows legacy on-prem PACS to coexist with modern cloud solutions—whether hosted on Azure, AWS, or private G-Cloud infrastructure. Our team also implements image pre-fetching and intelligent caching so clinicians experience near-instant study retrieval even when data resides off-site.

3. Will there be downtime during data migration?
Our migration methodology is designed for zero unplanned downtime. We run source and target systems in parallel, using mirrored storage and transaction-logging to keep datasets in sync. Cutovers occur out of hours and are fully reversible until clinical validation is complete. Detailed rollback plans and “go/no-go” checkpoints ensure patient care remains uninterrupted throughout the process.

4. How do you ensure data security and GDPR compliance?
Security is baked into every stage of the engagement. Data is encrypted in transit (TLS 1.2+) and at rest (AES-256). We conduct Data Protection Impact Assessments (DPIAs) and align with the NHS Data Security & Protection Toolkit. Role-based access controls, audit trails, and real-time intrusion detection safeguard sensitive information. Our hosting partners are ISO 27001, Cyber Essentials Plus, and NHS IG-Toolkit certified.

5. Do you provide post-deployment support?
Absolutely. After go-live you transition to our managed services team, who deliver 24/7 monitoring from our UK NOC. Automated alerts integrate with our ITSM platform for rapid triage and resolution. Quarterly service reviews track KPIs such as uptime, study retrieval times, and security patch status. Optional continuous-improvement packs add feature enhancements and workflow optimisation.

6. What is the pricing model?
We offer three commercial models: (1) Fixed-price for clearly defined scopes, ideal for budget certainty; (2) Outcome-based pricing tied to measurable KPIs such as study-access latency; and (3) Time-and-materials for agile or exploratory projects. All models include a transparent breakdown of licence costs, professional services, and support fees. A tailored proposal follows the initial assessment workshop.

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