Commercially grounded
We care about real adoption, retention, support pressure, product fit, and whether the work meaningfully changes outcomes.
About Sacher AI
Sacher AI is a behavioural AI consulting and product partner for GLP-1 and digital health. We help providers design, evaluate, and deliver AI systems that drive behaviour change, support clinical and wellbeing outcomes, and meet safety and quality standards.
Who we work best with
Sacher AI is usually the best fit for teams working in higher-trust environments where user behaviour, clinical judgement, safety, and product performance all need to work together.
Commercially grounded
We care about real adoption, retention, support pressure, product fit, and whether the work meaningfully changes outcomes.
Scientifically rigorous
Clinical, behavioural, and research thinking are built into the work from the start rather than added as a late review layer.
Hands-on where it matters
Some teams need strategic clarity. Others need real design, testing, delivery support, or evidence generation. We work across that full range.
Core team
This is our core team. Depending on what a programme needs, they work alongside a wider group of specialist clinicians, scientists, engineers and researchers.

Founder and CEO, Behavioural AI Scientist & Digital Health Clinician
Twenty six years across direct-to-consumer obesity care, academia, and executive roles in digital health and medtech. As Global VP of Behavioural Science at Allurion, built and led the team behind two of the first large-scale generative AI conversational health coaches in obesity care. Honorary Senior Lecturer at Imperial College London, with 27 peer-reviewed publications and a pending US patent for digital phenotyping and personalised behavioural interventions in obesity.
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Lead Psychologist & Behavioural Scientist
Former Global Head of Psychology at Allurion, spanning AI coach design, evaluation and safety, digital weight-loss intervention work, and the cognitive-behavioural phenotype scale. Former Assistant Professor at Coventry University, NHS clinical health psychologist, contributor to behaviour change work for Public Health England, and co-developer of the MyBarriers questionnaire.
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Clinical Lead
Medical doctor with the Health Service Executive in Ireland across rehabilitation medicine, orthogeriatrics, general internal medicine, and health informatics. Member of the Royal College of Physicians of Ireland and of its Clinical AI Governance Committee, with postgraduate study in health data and informatics at the University of Cambridge and value-based health care at Harvard Business School. Advises healthtech and AI companies on clinical AI product development, evaluation, and safety.
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Lead Machine Learning Researcher & AI System Architect
Applied AI architect with an MSc in Artificial Intelligence, focused on robust systems and practical model implementation.
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Product Manager, AI Imaging & Predictive Modelling Research
AI and predictive modelling specialist for health products, with an Imperial PhD in AI and neuroengineering and published multimodal-AI research. Former Head of Data Science at a digital health startup, with postdoctoral research across Zurich and Geneva and earlier engineering experience at Airbus.
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Behavioural AI and Transformation Lead
Behavioural insight, adoption, and transformation lead with experience across large pharma, a background in neuroscience and behavioural science, and prior consulting experience.
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Fractional CTO and Senior Technical Advisor
B2B and SaaS founder, mentor at Google for Startups, and architecture advisor helping teams scale execution without adding excess complexity.
LinkedIn ↗Our story and purpose
After 26 years working across healthcare, academia, and global corporate settings, Dr Paul Sacher founded Sacher AI to do two things: help organisations build safe, effective AI systems and advance practical clinical and behavioural safety metrics for AI.
We do not own a front-end platform, patient app, or implementation product. That means our recommendations can be based on what gives a programme the highest likelihood of adoption, workflow fit, and long-term value.
We bring together behavioural scientists, clinicians, technologists, and strategists. Everything is driven by real user needs and designed to be safe, responsible, and scalable from day one.
Leadership in behavioural AI and digital health
Founder & CEO, Sacher AI · Senior Lecturer (hon), Imperial College London · Co-founder and Research Director, Behavioral AI Institute
I have spent my career on one problem: how to design programmes and products that help people change and sustain the behaviours that matter.
That work started in the clinic and in research. I co-founded MEND, a family-based obesity programme that grew to support more than 130,000 families worldwide, proven efficacious through multiple randomised controlled trials.
From there I moved into large-scale digital and AI leadership. I led the digital transformation and international expansion of Slimming World, one of the world's largest weight-management services, whose digital programme grew past a million members. At Allurion, as Global VP of Behavioural Science, I led the behavioural science team behind two of the first large-scale generative AI conversational health coaches in obesity care, and helped build the full provider and patient platform behind it. I have since advised companies in the UK and US on scaling behaviourally informed, AI-driven care.
Alongside the applied work, I publish peer-reviewed research on AI evaluation in high-stakes settings. I recently led a Wellcome Open Research open letter on behavioural science in AI, co-authored with colleagues at UCL, Harvard, Duke, Imperial, and the Alan Turing Institute, and I am a co-author of the FAST framework in Frontiers in Digital Health, a peer-reviewed framework for evaluating conversational AI health coaches.
At Sacher AI, we design and deploy behavioural AI systems for patients, clinicians, and care teams in real-world digital health, across obesity, metabolic health, and mental health.
Much of our current work is in GLP-1 care. The medications are effective for many patients, but the challenge is everything around them: keeping patients engaged, managing expectations and side effects, and supporting the behaviour change that determines long-term outcomes. More than half of patients discontinue within 12 months, even in well-resourced clinical settings. That is not a medication problem. It is a behavioural one.
What makes our approach different is that it is grounded in how people actually think and behave. We use cognitive and behavioural frameworks, including behavioural phenotyping, to understand why individual patients are likely to struggle, and design support that responds to those differences: the same pathway, delivered differently to different people. I am a named inventor on a pending US patent for digital phenotyping and personalised behavioural interventions in obesity.
Evaluation and monitoring are core to the work. We build AI systems, and we help teams see how they are performing and where the risks lie. PromptSafe is our tool for pre-deployment AI evaluation, and we are developing OVRSI for real-time monitoring of patient-facing AI.

Track record
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We can quickly work out whether the right next step is strategy, delivery support, evaluation, or research.