What we do

Behavioural intelligence for health AI and technology enabled care.

We help teams in health and life sciences decide what is worth building, design the behavioural and decision logic that makes it work, and generate the evidence for the next investment decision. Not a generic strategy firm and not a software supplier: behavioural science, clinical practice and AI delivery in one place, with deep specialism in obesity and weight management.

01

Deciding what to build

Before you commit budget, we test whether the thing you are planning would change anything. This is the Before You Build Method, delivered as a fixed fee Evidence Phase.

  • The five uncertainties: need, workflow, action logic, commercial viability, and regulation
  • Assumptions tested with real users and the people who would have to act on the output
  • A decision-ready pack: recommendation, evidence, and the assumptions still open

02

GLP-1 and behaviour change

The behavioural layer for GLP-1 and obesity care. We help teams improve adherence, retention, and long-term outcomes with personalised, evidence-based support.

  • Behavioural profiling and barrier mapping across the patient journey
  • Adaptive coaching: the right support for each patient, when they are most receptive
  • Support models for onboarding, engagement, retention, and maintenance

03

AI agent design and delivery

End-to-end design and delivery of patient-facing AI agents, grounded in behaviour change science, workflow fit, and clinical and behavioural safety.

  • Behavioural architecture, conversation design, and prompt strategy
  • Delivery alongside your product and engineering teams
  • Testing and iteration against clinical and behavioural requirements

04

AI safety and evaluation

Test before you deploy, and evaluate after launch, with audit-ready evidence for governance, oversight, and regulatory readiness.

  • PromptSafe pre-deployment testing across realistic and adversarial conversations
  • The FAST framework: fidelity, accuracy, safety, and tone
  • Human-in-the-loop escalation for the moments that need a clinician
  • Explainable safety signals rather than black-box scores

05

Research and evidence

Peer-reviewed research that generates credible evidence of effectiveness, safety, and impact.

  • Study design for acceptability, adherence, engagement, and safety
  • Support with abstracts, manuscripts, and peer-reviewed publications
  • Reusable evidence assets that strengthen investor and partner confidence

Behavioural phenotyping

We design support around how patients actually think, feel, and act.

Two people on the same medication can need completely different support. One sets impossibly high standards and gives up after a single slip. Another eats to manage stress. Another is pulled off course by the people around them, or by a schedule with no room for self-care.

We bring deep experience in behavioural phenotyping: identifying the psychological and behavioural drivers behind each person's eating, activity, and adherence, and turning them into tailored, evidence-based support. That draws on cognitive behavioural techniques, motivational interviewing, psychoeducation, and habit science, delivered in the tone, framing, and intensity that fit the individual.

Perfectionism and all-or-nothing thinking

Cognitive restructuring and self-compassion, so one slip does not end the whole effort.

Emotional eating

Trigger and mood work, and mindful-eating prompts that separate physical hunger from emotional hunger.

Social and environmental pressure

Boundary-setting, assertiveness, and role-play for the real social situations that derail people.

A pull towards quick rewards over slow progress

Graded goals and immediate, non-food rewards that make steady progress feel worthwhile.

Unrealistic expectations

Honest expectation-setting and psychoeducation on realistic timelines, so disappointment does not drive early drop-off.

Time and life pressures

Quick-win actions, time-boxing, and stress management for busy and disrupted weeks.

Low confidence and self-efficacy

Curated psychoeducation, clear next steps, and affirmation that builds belief in change.

Scepticism about behaviour change

Motivational interviewing and credible, specific evidence that meets doubt with respect.

Fear of failure

Non-scale victories and graded exposure that lower the stakes of trying.

How we engage

Start where the risk or opportunity is highest.

Most teams do not need everything at once. These are the three most common ways teams begin working with us, and most start with the first.

Start with evidence

Test the assumptions your business case rests on, before you commit product and engineering time. The output is a decision, not a strategy document. This is Before You Build, applied through an Evidence Phase.

See how it works

Build or rework

Hands-on help shaping a live AI agent: conversation design, behavioural logic, workflow fit, and safer delivery.

Start with evaluation

Testing, safety, and evidence for teams close to launch, under governance pressure, or already live.

How we build

RAPID: a disciplined path from idea to live system.

RAPID is our development lifecycle for patient-facing AI: Research-Assisted Prototyping and Iterative Development. Each idea moves through structured, auditable stages, with behavioural science, clinical thinking, and governance built in from the start rather than bolted on at the end.

01

Discovery and research

We select the right subject-matter experts from our team and network, review the science and the market, and turn an ill-defined business problem into a well-defined AI problem, with a model design and success metrics.

02

AI model design and prototyping

Our engineers build the solution: choosing a foundation or custom model, engineering prompts, fine-tuning where useful, and implementing guardrails to meet your AI safety standards.

03

AI metrics evaluation

We evaluate the model with our own tools, including behavioural-science persona simulators, iterating against domain-specific metrics and safety assessments.

04

UI design and prototyping

A software team builds an MVP web or mobile app with a simple interface, so real users can engage with the model, with cloud architecture scoped for deployment.

05

MVP user testing

We put the prototype in front of small user cohorts, gather and analyse qualitative feedback, and feed it into the next iteration, with ongoing support available.

Safety and governance

Built for safety and governance from the start.

A patient tells your AI they have been skipping meals and the weight is coming off faster. The AI replies: that is great, well done for staying focused. Nothing in that answer is factually wrong. But for someone with a history of disordered eating, it has just encouraged the thing your programme exists to prevent.

Right answer, wrong action. Accuracy testing will not catch this, because there is nothing inaccurate to catch.

Behavioural

Usually missing

What is the conversation doing to the person?

Clinical

Is the information accurate and in scope?

Technical

Does the system work and stay reliable?

Most teams evaluate the bottom two layers. Behavioural risk lives in the third. We set out the case for evaluating it in Psychological competence as a missing dimension in AI evaluation, a preprint that is not yet peer reviewed.

No AI is risk-free. What we can do is design for that risk, evidence it, and keep qualified people in the loop.

Human in the loop

AI assists with drafting, analysis, and flagging. Qualified people review and approve, and remain responsible for clinical and operational decisions.

Retrieval-based by default

Systems draw on approved content rather than generating free-form clinical advice, with clear escalation to a clinician when needed.

Auditable by design

Interactions are logged so teams can review inputs, outputs, and escalation, and evidence their oversight.

Aligned with recognised standards

We design to align with MHRA and CQC expectations, MHRA's Good Machine Learning Practice, and ISO/IEC 42001, and help teams engage regulators early where a system may be a medical device.

Next step

Let's talk about what you are about to build.

Book a discovery call and we will quickly work out whether the right next step is evidence, delivery, evaluation, or research.

Book a discovery call