WHY TRUST ALTO

Built with clinicians.
Proven against them.

Alto was built through clinical input, independent research and testing at every stage. It was not built and then validated as an afterthought.

How Alto was built

01


Clinical input came first.

Before code, we did qualitative research and brought clinical expertise into the design of the Assistant from the start.

02


Tested against clinical judgement with the University of Galway.

We asked the hardest question: can it match a clinician? An independent concordance study found 92.4% concordance to gold standard, with a full report behind the figure. Those misses are real patients.

03


The Judge.

From that work came the Judge, the second agent in Alto’s architecture, checking the Assistant’s reasoning rather than trusting it. We continue to stress-test the Judge with Ulster University.

04


Ongoing internal simulation.

Alto tests the system continuously against new and edge-case referrals, long before they appear in a live setting.

05


Post-hoc analysis with Munster University.

Alto and Munster University carried out a separate post-hoc analysis of the data collected with Galway. Those findings fed directly into a new structured tagging system, sharpening how Alto categorises and reasons about each referral.

This is not one study we point back to. It is a chain of independent and internal evidence, each step building on the last.

CLINICIAN TO CLINICIAN

Put your clinical questions to a clinician.

How does Alto prioritise? Where does clinical judgement stay with you? Talk it through with a clinician on our team, one professional to another.