RONKE
VOICE-FIRST REMOTE PATIENT MONITORING

The phone call that keeps heart failure patients home.

RONKE conducts evidence-based clinical assessments by telephone with patients after hospital discharge, automatically stratifying risk so nurses reach the right patient on the right day. No app. No device. Any phone.

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900,000 people living with heart failure in the UK
20–25% readmitted within 30 days · NHS HES data
£625m annual NHS cost of preventable HF readmissions · NICE NG106
THE PROBLEM · POST-DISCHARGE

Deterioration begins at home, in silence, inside a 30-day window.

Fluid overload builds over days, not hours. Weight creeps up. Breathlessness is dismissed as "just getting older". By the time a patient calls for help, it is usually a crisis, and a readmission.

DAYS 01–07 Adjustment New medications, unstable fluid status, post-hospital weakness. The single highest-risk period, and the least observed.
DAYS 07–14 Symptom emergence Weight gain begins. Side effects appear. Patients can't tell what is normal from what is dangerous, so they wait.
DAYS 14–30 Quiet decline Doses get missed, salt creeps back in, a false sense of recovery sets in. 180,000 preventable readmissions a year end here.
200,000+
hospital admissions for heart failure each year
180,000
of those readmissions are considered preventable
40%
of patients are back in hospital within 90 days
THE EQUITY GAP
70,000+

elderly patients in the UK cannot access smartphone-based monitoring tools (Age UK, 2023). For them, there is no systematic post-discharge monitoring at all, the patients at highest risk are exactly the ones digital health leaves behind.

APP-BASED MONITORING REQUIRES
a smartphone an app store account Wi-Fi at home good eyesight steady hands digital confidence
RONKE REQUIRES
any telephone — landline, basic mobile, or smartphone. Answering a call is the entire user interface.
HOW IT WORKS · 01

A conversation, engineered as a clinical instrument.

Every call follows a seven-domain framework aligned with NICE Guideline NG106: breathing, swelling, weight change, energy levels, chest symptoms, medication adherence, overall wellbeing. The AI listens to natural speech and extracts structured clinical data, the way a specialist nurse would.

No "press 1 for yes". The patient just talks.

CALL SCHEDULERegular scheduled calls through the post-discharge window

Every call closes with a scripted safety signpost, patients are always directed to 999 if symptoms worsen before their nurse makes contact.

Explore the 7-question framework →
OUTBOUND CALL · DAY 3 POST-DISCHARGE 03:12
Good morning Margaret, it's Ronke calling from the heart team. How has your breathing been since we last spoke?
"A bit tighter going up the stairs, if I'm honest. I've needed an extra pillow at night."
Thank you for telling me. Have you been able to check your weight this morning?
"It was 71.8, up about a kilo and a half since Tuesday."
EXTRACTED · REAL TIME
orthopnoea: new weight: +1.5kg / 3d meds: adherent → AMBER · nurse review today
HOW IT WORKS · 02

Every call becomes a triage decision a nurse can trust.

The risk engine combines baseline risk, current symptoms, post-discharge day and trend across calls, then explains its reasoning. Not a black box: every score traces back to what the patient said. Anything that looks like an emergency is escalated immediately, and every call ends with a scripted 999 safety signpost.

GREEN
Stable. Automated monitoring continues on schedule. No clinical time consumed.
AMBER
Early warning signs. Queued for nurse review the same day, with the evidence attached.
RED
Significant deterioration. Immediate escalation to the clinical team for same-day action.
HOW IT WORKS · 03

Nurses start their day with a caseload already triaged.

Not two hundred phone calls to make, a ranked list of who needs them, why, and what the patient said. AI does the screening; clinicians make every decision.

app.ronkeai.com · caseload
RONKE
Today's caseload
Patients
Calls & transcripts
Alerts
Reports
Sister J. Adeyemi
214 patients monitored
214
monitored
186
green · stable
23
amber · review
5
red · escalate
PATIENTLAST CALLKEY FINDINGPRIORITY
Edward O. · 8108:40 today+2.4kg / 4 days, orthopnoeaRED
Margaret H. · 7809:05 today+1.5kg / 3 days, new pillowAMBER
Arthur B. · 8409:22 todayMissed evening diuretic ×2AMBER
Doris K. · 7608:15 todayStable, weight steadyGREEN
SCALE

One nurse. Two hundred patients. Every one of them heard.

40 200+

PATIENTS PER SPECIALIST NURSE

RONKE handles the routine calls, every patient, every scheduled day, and reduces nurse workload on screening by 70%. Clinical attention goes where deterioration is actually happening.

EVIDENCE

Built on evidence. Validated like medicine, not like software.

Read the clinical evidence →
20–25%
fewer readmissions
The reduction structured telephone monitoring is evidenced to deliver in heart failure populations.
£3–5 : £1
return on every pound spent
Readmissions avoided against the cost of monitoring, the economic case commissioners can take to a board.
RCT
level validation planned
NICE-derived protocols, clinical advisory oversight and academic partnership with Manchester Met. Findings to be published.
MANCHESTER · UNITED KINGDOM

The next 30-day window starts at discharge. Let's be on the line.

Book a pilot Join the waitlist
or write to hello@ronkeai.com
RONKE
Remote Observation of Need, Knowledge & Evaluation.
RONKE AI Ltd · Unit 7 Wilsons Park, Monsall Road, Manchester
Registered in England & Wales · No. 16865109
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© 2026 RONKE AI Ltd. All rights reserved. VOICE-FIRST · NHS-ALIGNED · BUILT FOR MARGARET