The Challenge The Ecosystem How It Works Outcomes People Governance Get in Touch

Infrastructure for independent living

Finding those who need help.
Before they have to ask.

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.

Explore the ecosystem Talk to us
01
NHS Data
Exhaust
02
Intelligence
Layer
03
Target
Populations
04
Community
Screening
05
PCN Hub
Pathway
06
Assistiv
Platform
07
Feedback
Loop
NHS Data Exhaust — Millions of data points across prescribing records, falls admissions, deprivation indices, 111 demand, and census signals. Individually noise. Together, a signal.
NHS / Open Data
Intelligence signals
At-risk population
ASSISTIV.TOOLS screening
PCN Hub — acute pathway
Assistiv Platform
Feedback to intelligence
3.5m
People in the UK's Missing Middle — independent, but one event from crisis
Assistiv modelling · ONS Census 2021 · BGS frailty prevalence
£2.3bn
NHS annual cost of falls in England — 79% of which happen at home
NICE Falls Guidance CG161 · NHS England
45%
Of dementia cases linked to fourteen modifiable risk factors — addressable with earlier intervention
Lancet Commission on Dementia, 2024
14:1
Modelled return on investment at pilot scale — £88k commissioning cost against £1.2m projected system savings
Assistiv Kent & Medway pilot model, Q1 projection
The challenge

The system was not designed for the people who need it most.

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.

Understanding the journey

How people move through later life.

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

State of Independence

Living fully and confidently at home. No formal care needs. Managing daily life independently.

The gap

Vulnerable Autonomy

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

State of Dependency

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

The Assistiv Ecosystem

Three platforms. One closed loop.

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.

Intelligence
assistiv.cloud

Frailty Emergence
Probability Engine

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.

21 NHS signal inputs, updated daily
District-level FEP ranking and mapping
Open data — no patient identifiers at this layer
Visit assistiv.cloud →
Targets
districts
Screening
assistiv.tools

Community Frailty
Screening

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.

Twelve questions, six life domains
Minimisation detection — hears what isn't said
Three-layer consent — person holds the keys
Visit assistiv.tools →
Routes
people
Care Platform
assistiv.services

Preventative Care
at Scale

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.

Passive safety monitoring — fall detection, ARC integration
Design Your Life onboarding — person-led from day one
Inner Circle family platform with shared care wallet
Visit assistiv.services →
The feedback loop. Every outcome — who was referred, what happened, what worked — flows back to the intelligence layer. The FEP model recalibrates. The system learns and gets sharper over time. This is what makes the ecosystem a closed loop rather than three separate tools.
How it works end-to-end

From NHS data exhaust to preventative action.

A single continuous pathway — from open data signal to door-step care — with each platform doing exactly the job it was designed for.

01
assistiv.cloud
Open NHS data is collected and processed daily
Prescribing records, falls admissions, deprivation indices, 111 demand signals, winter mortality data, and 15 further open datasets are ingested and weighted by the FEP engine.
02
assistiv.cloud
Districts are ranked by Frailty Emergence Probability
A composite FEP score is produced for each district. High-scoring areas are flagged for deployment. Commissioners see exactly where the unmet need is concentrated.
03
assistiv.tools
Community screening is deployed into priority zones
Assistiv tools are deployed via community settings, social prescribing networks, PCN staff, and voluntary sector partners. No clinical training required. The conversation does the work.
04
assistiv.tools
Each person receives a Screening Tool Score and a Wellness Guide
The score determines the pathway. The Wellness Guide is returned directly to the person — affirming, practical, and genuinely useful regardless of their outcome. Something of real value from the conversation.
05
assistiv.services
High-risk individuals are referred to the PCN Hub Support Pathway
Those on the verge of acute care are immediately routed to Primary Care Network Hubs for clinical review. The structured referral — including domain scores and minimisation notes — is ready to hand.
06
assistiv.services
Everyone else enters the preventative care platform
The broader population below the acute threshold is offered coordinated support through Assistiv Services — passive safety monitoring, digital care tools, community links, and carer support — on their own terms.
07
Feedback Loop
Outcomes feed back to the intelligence layer
Every referral outcome, intervention result, and care trajectory is anonymised and returned to the ASSISTIV.CLOUD intelligence layer. The FEP model recalibrates. The loop closes. The system gets better.
What the system delivers

Measured outcomes for every stakeholder.

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.

For the individual
Independence preserved, on their terms
  • A Wellness Guide from every conversation
  • Proactive support before crisis strikes
  • Control over what is shared and with whom
  • Technology introduced at their pace
  • Dignity maintained throughout
For NHS & commissioners
Prevention at population scale
  • District-level frailty intelligence, daily
  • Reduced avoidable admissions
  • Earlier identification of the Missing Middle
  • Structured referrals ready for clinical review
  • 14:1 estimated ROI at pilot scale
For care partners & PCNs
Intelligence that drives action
  • Community screening without clinical burden
  • PCN Hub pathway with scored referrals
  • ARC integration for passive safety monitoring
  • Outcome data returned to commissioners
  • A system that learns from every deployment
Independent challenge

Advised by the people who wrote the field.

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.

Who we work with

Built for the people who carry the system.

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.

NHS Commissioners
ICBs and PCNs looking for population frailty intelligence and a commissioning-ready pathway to early intervention in their highest-need districts.
Housing & Security Technology
Housing associations, monitoring providers, and security technology partners who need a clinical intelligence layer behind their existing home-safety infrastructure.
Community & Voluntary Sector
Social prescribing networks, community connectors, and voluntary sector organisations who want to contribute to early identification without clinical burden.
Academic & Clinical Research
University departments and geriatric medicine clinical leads seeking validated population intelligence tools and outcome data from deployed screening programmes.
People

Built by people who have spent their careers in this space.

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.

Simon Legrand MCIM
Co-Founder · Strategy, Partnerships & Delivery

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.

Paul Schelhaas
Co-Founder · Technology, Product & Operations

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.

Prof. Ann Netten
Emeritus Professor, University of Kent · Creator of ASCOT
Prof. John Jerrim
Professor of Social Statistics, UCL · QSS Research Centre
Mark Greenfield
Emeritus, Northumbria University · Ageing & Nursing
Prof. Tim Legrand
Professor of Politics, University of Adelaide · ARC Future Fellow
Meet the founders and advisory board →
Get in touch

The right conversation starts here.

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.

simon@assistiv.co