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Published:

February 9, 2026

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3 minutes

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Case Study: Cutting Compliance Time and Cost in Half with Squirrel™

How a high-growth HealthTech innovator replaced spreadsheet chaos while strengthening DTAC readiness.

The Backstory

Big Picture Medical  faced the common "compliance drag" of managing complex NHS requirements through fragmented spreadsheets. By implementing the Squirrel™ automated compliance platform and Acorn Compliance’s specialised clinical safety support, they achieved full DTAC compliance in half the expected time. The result was a 50% reduction in costs and a strengthened position to sell to the NHS.

About Big Picture Medical

Big Picture Medical is a global healthtech innovator that unifies patient care across disconnected systems. Through rapidly configurable clinical workflows and GenAI-driven data integrations built on open standards, they create seamless experiences for patients and providers that improve outcomes, reduce operational waste, and simplify healthcare delivery.

The Challenge: Overcoming "Compliance Drag" and Spreadsheet Chaos

Despite their deep understanding of NHS compliance, Big Picture Medical encountered significant operational hurdles that often stall innovators in the UK market:

  • The Resourcing Gap: As a growing startup, the team required additional specialised clinical safety expertise to support expanding operations.
  • Market Reach Complexity: Changes in the in-house team and the use of disconnected systems made coordinating their product launch difficult.
  • The Spreadsheet Trap: Managing the complex DTAC framework through manual spreadsheets led to version-control issues and a lack of transparency.

The Solution: A Unified HealthTech Compliance Platform

To replace "spreadsheet chaos," Big Picture Medical implemented a two-tier approach to bring structure and momentum to their compliance work.

  1. Squirrel™ Pro: An intuitive platform that replaced fragmented documents with structured, compartmentalised workflows.
  2. CSO as a Service: Acorn provided an expert Clinical Safety Officer (CSO) to fill the internal resourcing gap and ensure rigorous clinical safety standards were met.
  3. Rapid Delivery: Acorn managed a "rush" delivery of DTAC and Cyber Essentials Plus, completing within a strict three-month window required after standard Cyber Essentials.

Ready to streamline your NHS compliance? Book a Discovery Call

Big Picture Medical's favourite Squirrel™ features.

The Results

The implementation of Squirrel™ transformed compliance from a hurdle into a strategic advantage:

  • Massive Cost & Time Savings: The client achieved compliance at 50% of the cost and in half the time originally expected.
  • Operational Control: The Kanban-style dashboard provided a clear roadmap, allowing the team to clearly identify gaps and coordinate multiple stakeholders with confidence.
  • Strategic Growth: DTAC status has become a powerful marketing asset for gaining customers and investors trust.

Client Testimonial

"I chose Squirrel™ because of the look and feel of the application and the ease with which each section is compartmentalised. It is a very quick, user-friendly application that replaces reams of spreadsheets."

— Alan Bonfield, Head of Governance, Risk and Compliance, Big Picture Medical 

Take the Stress Out of DTAC Compliance

Becoming DTAC compliant doesn't have to be a drain on your resources. Whether you are a founder or a compliance leader, we can help you cut your compliance time and costs in half.

Let’s discuss your current compliance roadmap and how Squirrel™ can accelerate your journey.

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