Assistiv Ecosystem · Preventative Care · assistiv.cloud · assistiv.tools
The Platform Our Principles Outcomes Advisory Board assistiv.cloud assistiv.tools assistiv.co Get in Touch

Preventative care platform

Living well at home.
On your terms.
You are the author of your life.

Assistiv Services is for the people who fall between existing services. Managing independently, but one event from needing help. We provide the support, tools, and connections that help people stay in control — chosen by them, at their pace, centred on what they actually want.

For the person at home

Margaret, 78, Faversham. Lives alone. Manages well most days. Worries about the nights. Her daughter worries more. No one has suggested anything helpful until now.

For the family

David, carer, lives 60 miles away. Calls every evening. Cannot always tell if she is really fine or being reassuring. Would give anything for visibility without intrusion.

For the referral partner

PCN Social Prescribing Link Worker. Sees people who need support before they need services. Needs somewhere safe and dignified to refer them that is not a waiting list.

"The goal is not to remove dependency. It is to make it chosen."
Positive Interdependence — Assistiv design philosophy
The Missing Middle

Too well for care.
Too frail to cope alone.

Around 3.5 million people nationally sit in a gap that existing systems have no answer for. Above the threshold for independence, below the threshold for formal care. Invisible to the NHS until something goes wrong. Invisible to social services until crisis.

The Missing Middle are not failing to cope because they lack resilience. They lack the right support, at the right time, in the right form. That is what Assistiv Services exists to provide.

3.5m
people nationally in the Missing Middle
14:1
return on investment at pilot scale
£1.2m
projected Kent ICB system savings, Q1
Falls, hospitalisations, and residential transitions that could have been prevented with earlier intervention
Cognitive decline that goes undetected until it cannot be reversed
Families carrying uncertainty and worry because there is nowhere appropriate to turn
NHS and social care absorbing avoidable crisis demand at the acute end
How it begins

Design Your Life.
Not a care plan.

The onboarding conversation is not an assessment. It is an invitation. The person sets the agenda. They name what independence means to them, what they want to protect, and what they are open to. Everything Assistiv does flows from that.

Sensors and technology are only ever introduced in direct response to something the person has said they want. Not a package. Not a default. A response to a named need, at a pace that feels right.

01
A warm conversation about everyday life
What matters to you? What does a good day look like? No clinical framing, no assessment language. Just listening.
02
You name what you want to protect
Your morning routine. Your garden. Your independence in the kitchen. The things that make home, home.
03
Assistiv responds to what you have said
If you mentioned the nights, we might suggest the movement sensor. Only then. Only because you named it.
04
Everything is reversible, always
Change your mind. Remove a sensor. Leave Inner Circle. The system follows you — not the other way around.
How it works

One person.
One connected platform.

From first conversation to family connection, passive sensing, and human response — every layer of Assistiv works as a single coherent system around the person.

Margaret — the person
Inner Circle
Care record
ARC response
Margaret, 78, Faversham. Living independently. Managing well. Invisible to NHS and social care until something goes wrong. The Missing Middle.
The platform

Four components.
One coherent system.

Each part of the platform can stand alone. Together, they create something no single intervention achieves: continuous, dignified support that wraps around a person's life without intruding on it.

Passive sensing
Zero UI Home Sensing
Eleven discreet sensors — mmWave radar, acoustic AI, energy monitoring, sleep pads, environmental sensors — build a continuous picture of daily rhythm and home health without cameras, wearables, or anything to remember or charge. Nothing visible. Nothing intrusive. Everything chosen.
Explore home sensing →
Family connection
Inner Circle
A private family platform where connection replaces surveillance. Photos, voice notes, shared moments, and — only what the person has configured — gentle reassurance for the people they trust. Margaret decides what Sarah sees. Not the other way around.
Explore Inner Circle →
Unified record
Your Care Record
The first platform to hold NHS appointments and medications, social care packages, and voluntary sector connections in one coherent record — accessible to the person and, with their consent, to whoever needs it. Nobody currently holds all three. Assistiv does.
Explore the care record →
Human response
Assistiv Response Centre
A staffed response centre — not a monitoring alarm, not a call centre — operating three tiers of response from immediate safety escalation to gentle welfare notes. Response workers see derived insight, never raw sensor data. The person's protocol governs every action.
Responder training
All Response Centre workers complete mandatory training through the TSA Quality Standards Framework and Skills for Care accredited modules, covering dementia awareness, mental health crisis de-escalation, and safeguarding principles. The Warm Response Protocol ensures Amber wellness trends are handled with empathy and Red emergencies with clinical calm.
Explore the response centre →
Core design · Proprietary intellectual property

Triple Tap Logic.
Three views of one life.

No single perspective tells the whole story of how someone is doing. Assistiv brings three together each month, across six quality-of-life domains, and pays closest attention to where they differ.

Tap one
The person's own account
A short monthly check-in built on respected quality-of-life questions. Under eight minutes, in their own words.
Tap two
What the carer notices
A parallel five-minute observation from the person who knows them best, covering what self-report alone can miss.
Tap three
What the home quietly confirms
Passive, chosen sensors add a continuous picture of daily rhythm. Processed inside the home; raw data never leaves it.
The signal
Where the three differ
When the person's account, the carer's view, and the home's picture stop agreeing, that divergence is worth a human conversation. Assistiv surfaces it; people decide what it means.
The person chooses their level — value at every step
Conversation only
No technology in the home. The monthly check-ins alone build a meaningful picture across all six domains. Two taps of three, and it works.
One chosen sensor
A single, invisible device that answers something the person named. Night-time lighting. A door contact. Their choice, their reason.
The full platform
All three taps active. Arrived at gradually, in the person's own time, and reversible at every step. The sensors are not the product; the relationship is.
The Traffic Light Protocol · How information flows

Your data goes exactly as far
as you decide. No further.

Every piece of information Assistiv handles sits at one of three levels. The level determines what is shared, with whom, and when. Nothing moves up a level without your explicit consent. This architecture runs consistently across every component of the platform.

🟢
Green — Edge data · Absolute privacy
Processed at home. Stays at home.
All raw sensor data — movement coordinates, acoustic waveforms, appliance usage — is processed entirely on-device inside your home. No raw data is ever transmitted. The outside world sees nothing at this level. This is the baseline, and for many people, it is all they will ever need.
Home sensing builds your wellness baseline here Automated lighting and home responses operate here No data leaves the four walls
🟡
Amber — Wellness insights · Your Inner Circle only
Chosen reassurance. Human language. Family only.
When you choose to share with your Inner Circle, abstracted wellness insights — “Mum is up and about this morning,” “Quieter afternoon than usual” — flow to the people you have named. Not sensor readings. Not medical data. Human language, about your day, shared on your terms. This replaces the anxious daily phone call with something gentler for everyone.
Inner Circle receives only what you configure You control who is in the circle and what they see No raw data leaves the home; only derived insights
🔴
Red — Safety alerts · Response centre only
Critical events only. Human review before action.
Only genuine safety thresholds — a confirmed fall, a severe respiratory event, a dangerous home temperature — reach the Assistiv Response Centre. And only after a human responder has reviewed the alert. No automated dispatch. No algorithm deciding alone. The Response Centre sees derived signals only, never raw sensor data, and every action follows the protocol you agreed at the start.
Response Centre sees your agreed protocol, not your home life Human review before any escalation Your protocol governs every step: call you first, then family, then 999
My Data Promise · One label per sensor

You always know exactly
what each sensor does.

Every device that enters your home comes with a plain-language Data Transparency Label. No jargon. No small print. Just a clear statement of what the sensor captures, what it shares, and with whom. You are the owner of this information. Nothing flows without your consent.

Presence & Movement No camera
SensormmWave radar
PurposeFall detection, daily rhythm, nocturnal safety
CapturesMovement patterns and presence — not identity, not image
Stays at homeGreen Raw data processed on-device only
Family seesAmber “Active this morning” — not location
ARC seesRed Fall alerts only
CamerasNone
AudioNone
Breathing rate and sleep quality are derived and anonymised inside the device. The pattern leaves; the raw data never does.
Sound & Environment No recording
SensorAcoustic AI & environmental
PurposeRespiratory distress, home temperature safety
CapturesCough patterns and acoustic signatures — not speech, not voice
Stays at homeGreen Pattern-matching on-device; speech cannot be recorded
Family seesAmber Home temperature if dangerously low
ARC seesRed Severe respiratory event alerts only
CamerasNone
Audio storedNever. Technically incapable of recording speech.
The system recognises distress patterns, not words. Private conversations are architecturally impossible to capture.
Home Routine No camera
SensorEnergy monitoring & smart plugs
PurposeDaily routine tracking, appliance safety, cognitive change
CapturesAppliance usage patterns — kettle, oven, fridge
Stays at homeGreen Routine baseline built locally
Family seesAmber “Routine is normal today” or gentle deviation notice
ARC seesRed Fire risk or extreme appliance events only
CamerasNone
AudioNone
Unusual patterns — a cooker on for hours, a fridge unopened all day — can signal early cognitive change. The observation stays yours.
Movement & Access No camera
SensorPIR motion & door contacts
PurposeNocturnal safety, room-by-room activity, entry confirmation
CapturesPresence in a room or at a door — not identity, not image
Stays at homeGreen Automated lighting and activity baseline built locally
Family seesAmber “Up and about” or “Quieter afternoon” only
ARC seesRed Only if combined with a confirmed safety event
CamerasNone
AudioNone
Night-time motion triggers automated lighting, not an alert. The home responds to you — not the other way around.
Design principles

Privacy and dignity are not features.
They are the architecture.

Every technology choice is filtered through one question: does this serve the person's independence, or does it quietly undermine it? Assistiv is not surveillance. It is infrastructure that people choose, on their own terms, for their own reasons.

The person is always the author
Nothing is activated without explicit agreement. Nothing is shared without consent. The person controls what is monitored and who can see it. Assistiv follows where they lead.
No cameras. No wearables. No burden.
Assistiv is invisible in operation. Nothing to remember, nothing to charge, nothing that broadcasts vulnerability. Passive by default, intrusive never.
Saying no is a valid outcome
A person who declines is not a failed engagement. They are exercising agency. The platform honours this at every step, without pressure or reframing.
Data processed at home, owned by the person
Derived signals, not raw data, are the only things that travel. The Iron Curtain architecture keeps home data and wellness data strictly separated. The person holds the keys.
Positive interdependence
Voluntarily releasing small autonomies to trusted carers and services as life evolves is healthy, not a failure. Assistiv gives people informed choice over how and when to accept help — on their own terms.
Graduated by design
A person can begin with a conversation and nothing else. Technology is introduced incrementally, chosen by them, for reasons they have named. Always reversible. Never imposed.
The Sovereignty Switch
A clearly visible control — physical or on-screen — lets the person suspend all sensing for a chosen period: two hours, four hours, eight hours. No data is processed or transmitted while it is active. The home goes dark on their terms. The safety net resumes quietly when the timer ends. Intimacy, late nights, and simply not wanting to be watched are all valid reasons. None require explanation.
Digital Forgiveness
Everyone has off days. Non-critical behavioural data degrades and disappears on a rolling 30-day cycle. A difficult week does not become a permanent entry in a digital record. The system is designed to see patterns, not to curate a medical history. This is both an ethical commitment and an architectural one.
What Assistiv is — and is not
Assistiv is a wellness and prevention platform. It identifies deviations in routine and surfaces insights for the people who know the person best. It does not diagnose, does not prescribe, and does not make clinical decisions. Every alert that reaches a human responder has been reviewed by a person, not acted on by an algorithm alone. The AI provides foresight. People decide what it means. This line is a design choice, not a disclaimer. Full governance and ethical framework →
What the platform delivers

Earlier support. Measurable impact. Across the whole system.

Assistiv produces measurable outcomes at the level of the individual, their family, and the commissioning system. The Kent ICB pilot projection models £1.2m in system savings against £88k commissioning cost in the first quarter alone.

For the person
Independence preserved, on their terms
  • Lives longer at home with confidence
  • Earlier cognitive and physical support
  • Dignity and autonomy throughout
  • Meaningful activity sustained
  • Freedom from fear of falling undetected
  • Real connection to family and community
For carers and families
Awareness without intrusion
  • Real-time awareness replaces constant worry
  • Family visits restored, not crisis management
  • Carer wellbeing monitored and protected
  • Objective data for difficult conversations
  • Reduced time spent on care coordination
For NHS & commissioners
Prevention, not reaction
  • Avoidable crisis admissions prevented
  • Safe rapid home discharge enabled
  • Residential transition deferred months or years
  • Evidence base for Care Act and GP reviews
  • 14:1 return on investment at pilot scale
Advisory Board

The clinical and academic foundation.

Assistiv Services is grounded in validated frameworks and built with the guidance of leading academic and clinical voices in ageing, social care outcomes, data science, and public policy.

Prof. Ann Netten
Emeritus Professor, University of Kent · Creator of ASCOT · Former Director, PSSRU
Creator of the Adult Social Care Outcomes Toolkit, now embedded in national policy across the UK and internationally. Her framework directly underpins the quality-of-life measurement architecture at the heart of Assistiv.
Mark Greenfield
Emeritus, Northumbria University · Ageing and Nursing
Validated Assistiv's three-state model of independence and introduced the concept of Positive Interdependence that sits at the heart of the platform's philosophy. Nursing and ageing expertise spanning academic and community dimensions of later life.
Prof. John Jerrim
Professor of Education and Social Statistics, UCL · Director, Quantitative Social Science Research Centre
Winner of the inaugural ESRC Early Career Outstanding Impact Award. Brings rigorous large-scale data methodology and population-level research expertise to Assistiv's evidence base and future academic funding pathways.
Prof. Tim Legrand
Professor of Politics, University of Adelaide · ARC Future Fellowship 2025–2029
Expert in government policy, public administration, and policy transfer. Brings deep expertise in navigating NHS and local authority commissioning landscapes and in understanding how innovation enters public sector systems.
Part of the Assistiv Ecosystem

Where you are in the system.

Assistiv Services is the third stage of a closed-loop ecosystem. Intelligence identifies where people are at risk. Screening finds them. Services supports them. Every outcome feeds back to sharpen the whole.

Get in touch

Start the right conversation.

We are in active conversation with NHS commissioners, ICBs, PCNs, housing providers, and technology partners. If you are working in early intervention, ageing-in-place, or community care — we would be glad to speak.

Thank you — your email application should now have opened with your message ready to send. If it has not, email us directly at simon@assistiv.co.

Prefer email? Write to us directly: simon@assistiv.co