Infrastructure for independent living
Assistiv is a closed-loop intelligence platform. We identify older adults in need from open NHS data, deploy community screening at scale, and deliver the preventative care that keeps people independent in their home and on their terms.
Three and a half million older adults in the UK live independently but sit outside the reach of formal health and social care. Not ill enough to qualify. Not yet dependent enough to be flagged. Invisible to existing systems until something goes wrong.
By the time these individuals reach anyone who can help, the opportunity for early intervention has passed. The Assistiv ecosystem was built specifically for this population.
For the individual
Living with uncertainty. One fall, one health event from losing independence — not gradually, but suddenly. The system offers no warning, no net.
For families and carers
Constant worry, limited visibility, and no tool that tells them when or how to step in. An invisible burden the system does not acknowledge.
For NHS commissioners
Avoidable admissions, delayed discharge, residential placements that could have been prevented months earlier. The longer the wait, the greater the cost.
Later life is not a switch from independence to dependency. There is a long middle state between the two, and it is the state the system was never built to see.
Thriving
Living fully and confidently at home. No formal care needs. Managing daily life independently.
The gap
The Missing Middle. Managing, but only just. One event away from crisis. Not yet eligible for formal care. Invisible to every system designed to help.
Dependent
Formal health and social care now required. NHS, Local Authority, residential care.
Assistiv is designed specifically for the state of Vulnerable Autonomy, delivering support for the people who fall through the gap.
Assistiv is not →
✗ a response to crisis
✓ a platform for people still thriving
✗ surveillance
✓ passive sensing that respects privacy absolutely
✗ care technology
✓ life infrastructure people choose for themselves
✗ something imposed
✓ designed around what the person wants
Each platform does a distinct job. Together they form the only end-to-end system connecting NHS intelligence to community screening to preventative care delivery and feeding outcomes back to make the whole system sharper over time.
Processes 21 open NHS signals — prescribing data, falls admissions, deprivation indices, 111 demand, winter mortality — to produce a daily FEP score for every district in Kent & Medway. Tells commissioners exactly where to deploy.
Deployed into high-FEP districts: a dignified, voice-first conversation — twelve questions across six life domains. No forms, no tick-boxes, no clinical training required. Identifies the Missing Middle at scale and produces an ASSISTIV Screening Tool Score in real time.
For everyone below the acute threshold: preventative support, digital care tools, care coordination, and community connections. Delivered through a platform designed around dignity and chosen interdependence — not institutional convenience.
A single continuous pathway — from open data signal to door-step care — with each platform doing exactly the job it was designed for.
The ecosystem is designed to produce tangible value at every point of contact for the person, their family, the clinical team and the commissioning body.
Good systems include people whose job is to disagree with them. Assistiv's advisory board brings social care outcomes measurement, quantitative research methods, nursing practice and public policy into every design decision.
Prof. Ann Netten
Emeritus Professor · University of Kent
Creator of the Adult Social Care Outcomes Toolkit (ASCOT), embedded in national policy and used by councils across the UK and internationally. Former Director of the PSSRU. Her framework directly underpins Assistiv's design.
Prof. John Jerrim
Professor of Social Statistics · UCL
Director of UCL's Quantitative Social Science Research Centre and winner of the inaugural ESRC Early Career Outstanding Impact Award. Brings large-scale data methodology to Assistiv's evidence base.
Mark Greenfield
Emeritus · Nursing & Ageing
Retired nursing and ageing lecturer, active in older people's advocacy. Validated the three-state independence model and introduced the Positive Interdependence concept at the heart of the platform philosophy.
Prof. Tim Legrand
Professor of Politics · University of Adelaide
ARC Future Fellow and expert in government policy, public administration and policy transfer. Advises on NHS and local authority commissioning landscapes.
Assistiv is designed for NHS commissioners, Primary Care Networks, housing providers, and security technology partners who want to deliver preventative care before the crisis arrives.
Assistiv Systems is founded by a team with deep experience across health and social care, public sector delivery, and assistive technology and guided by an advisory board spanning social care outcomes, data science, nursing and public policy.
Fifteen years designing services for vulnerable adults and children across the NHS, voluntary and statutory sectors, with public sector experience spanning the Home Office, DfE, DoH and NHS NIHR. Co-founder and CMO of Sunstone Systems, acquired by an industry buyer in 2024. Chartered Marketer and Member of the Responsible AI Institute.
Technical architect of solar-powered systems and IoT platforms. Co-founder and CEO of Sunstone Systems, acquired by an industry buyer in 2024. Listed inventor on three granted patents alongside Simon, and led the design, export and deployment of 58 systems for Chevron in Kazakhstan.
Whether you are an NHS commissioner, a housing provider, a PCN lead, or a potential technology partner — we would like to talk. The system is ready. The pathway is clear.