Assistiv Systems builds intelligence tools for the NHS, identifying the Missing Middle: people with emerging frailty who are invisible to existing care pathways, living at home, not yet in crisis, but heading there.
Open the live Frailty Heat Map, download a PDF commissioner briefing, and see the economic cost of inaction district by district. Then use the Community Outreach Map to turn geographic risk into a specific action at a specific venue.
Assistiv Tools are a voice-first community frailty screen. 12 conversational questions, real-time PRISMA-7 scoring and structured GP referral if needed. Deployable in any community setting.
21-signal composite scoring, LSOA-level Rural Access Vulnerability Index, Carer Burden Index, all built on open NHS data with full signal weights, sources and uncertainty bounds documented.
3.5 million people in the Missing Middle nationally. Proprietary intellectual property across the full pathway. Working tools on live NHS data. A complete, integrated pathway from geographic intelligence to clinical screening in one system.
Assistiv operates across three integrated platforms. Each addresses a distinct stage of the journey from invisibility to appropriate support, finding people, understanding their needs, and delivering the right response.
01
Identify
assistiv.cloudPopulation-level frailty intelligence. Finds older adults in the Missing Middle before they reach crisis, using open NHS data, geographic signals, and longitudinal risk modelling. Closes the loop from risk to action with the Community Outreach Map — identifying not just where, but what to do and where to go.
You are hereRefer
02
Screen
assistiv.toolsCommunity screening for identified populations. Determines the level and urgency of need through structured, validated assessment, sorting those who need acute pathways from those suited to early intervention.
Screening layerRoute
03
Intervene
assistiv.servicesEarly intervention for those below the acute threshold. Passive home monitoring, warm conversation, and care coordination, delivered on the person's terms before independence is lost.
Early interventionAcute pathway
Health and Social Care
People approaching or exceeding the acute threshold are referred directly into NHS or local authority care pathways with the longitudinal data needed for rapid, accurate assessment.
Early intervention pathway
Assistiv Services
People below the acute threshold — managing, but at risk — are supported by Assistiv's platform. Proactive, non-intrusive, and designed to extend independence and defer the need for formal care.
Whether you're a commissioner looking for a briefing, a clinician interested in deploying Assistiv Tools, an academic exploring collaboration, or an investor evaluating the opportunity, we want to hear from you.