A patient taps to confirm. A receipt mints to Solana in under a second, for less than a penny. Three parties hold indisputable proof — the trust, the citizen, the funder.
Two-way confirmation closes the gap that costs trusts £7.3M and pushes patients back to the bottom of a 52-week list. The receipt is the cryptographic evidence layer beneath every existing platform.
Single screen, single action. Wallet signs in the background. Sub-5-second total.
Tamper-proof PDA derived from [appointment_id, patient_pubkey]. 412 ms finality, £0.0004 fee.
Receipts stream into the operational view. Funders verify on chain. The citizen owns their copy.
DrDoctor at Guy's & St Thomas' cut DNAs by 17.2% trust-wide — £2.6M annual benefit. Two-way confirmation pulls people forward off a 52-week list.
Clinical time stops being wasted in empty rooms. Admin teams stop adjudicating he-said-she-said disputes. Money flows back into care.
Portable. Revocable. GDPR-by-design. The state has its copy. For the first time, so do you.
Annualising the 1.37M outpatient appointments in Northern Ireland alone, the chain choice is the difference between an idea and a product.
Annual settlement cost · 1,370,901 receipts × prevailing fee at typical 2025 conditions.
Only deterministic hashes. Pubkeys, status enum, timestamps. No names, no NHS numbers, no specialty, no condition.
Trust holds appointment_id → clinical detail. Citizen holds pubkey → identity. Neither alone deanonymises.
Confidential Transfers via ElGamal encryption. Schema is forward-compatible with the v1 receipts shipping today.
5 NI HSC trusts × £400k + 3 councils × £150k + 2 universities × £40k. Named buyers, named procurement windows.
192 NHS trusts × £400k + 153 LAs × £150k + 50 HE/FE pilots × £40k. Bottom-up arithmetic.
124.5M NHS England outpatients + 30M GP appts + EU EHDS €11bn 10-year savings target.