Do more of what you do best: care.
Meeting diverse needs and aspirations takes a range of different services. Creating person-centred support that’s joined-up, with the individual at the centre of everything, is a priority now more than ever.
Working together with inspirational health and social care teams, we can help to redefine the way support services are delivered, ease the burden on resources, and extend reach to support more of the right people at the right time.
The integrated Brain in Hand system
Brain in Hand is a digital self-management support system for people who are autistic, who have learning disabilities, or who are managing mental health difficulties.
Combining human support and digital self-management technology, Brain in Hand helps people live more independently. We empower users to feel more confident, manage difficulties, and achieve their goals.
One-to-one specialist support
A qualified Brain in Hand Specialist supports each user to identify goals, recognise strengths, and develop strategies. Our team supports each user to get started and keep using the system in the best way for their unique needs.
Web and mobile software
A suite of self-management tools, personalised on a secure web page and accessed through a phone or smart device, helps with managing anxiety remembering things, planning, making decisions, and solving unexpected problems.
Whenever the user needs some extra support, they can use a simple traffic light system to alert a responder to get in touch with them. This could be a trained BiH responder or a member of their existing support network.
With you every step of the way
Once you commission Brain in Hand, we don’t just walk away. We are with you step by step, from scoping to implementation, referrals to evaluation and beyond.
Our fully managed system can be operational within two weeks.
We place the user at the heart of any solution and wrap the right service around each person, mapping our solution onto top-priority unmet needs.
Our implementation specialists work with commissioners, managers and practitioners to ensure you reach as many users in need as possible.
We help you define where to locate BiH. This could be within a range of settings supporting individuals with diverse needs, aims, and conditions.
We can help to support adoption: develop a referral process, train staff, and deliver briefings, evaluations, and business cases.
Making more possible
Our users have achieved all kinds of incredible things. Whether it’s a big goal or just coping better with day-to-day problems, Brain in Hand can help.
Staying in work
Taking up new hobbies
Stepping down support
Doing more without help
Cornwall Council makes staff resources go further and encourages independent living
Wigan Council's mental health services help service users take control of their own recovery
Kirklees Council reduces costs in mental health care and community support
The Huntercombe Group increases engagement between patients and staff
Autism East Midlands connects specialist support staff to users and encourages independence
Hampshire County Council takes pressure off carers and families with better support for autism, learning disabilities, and mental health problems
Scroll for more
Reducing burden on social care
The pandemic has accelerated the need to embrace digitally delivered support and put even more pressure on care teams.
In these tough times, however, there is a real opportunity to do something different.
Working closely with social care teams, we can help to ease the burden on overstretched resources. Technology can deliver empowering, personalized self-management, complementing the outstanding work you already deliver and saving money.
For health and social care teams, Brain in Hand is:
Insights based on usage data allow you to stay connected and deliver support where it’ll make the biggest difference.
Each user’s timeline can inform and direct your support: celebrate success and progress, and refine strategies to tackle areas of difficulty.
Bespoke reports about how individuals and groups are using the system allow you to spot patterns and adjust services to most effectively reach people.
Making an impact in health and social care
9 out of 10
users experienced an increase in wellbeing as a result of using Brain in Hand.*
saved on average per user, when combining direct savings and avoided costs.**
projects transforming support within UK health and social care settings
of organisations renew or expand their Brain in Hand use after the first year
*Charity for Civil Servants: ‘An assessment of improved outcomes and independence’
**First year evaluation of 16 Brain in Hand users across two local authorities
“It’s not just about the cashable savings. Brain in Hand can reduce the times someone goes to a GP, or ends up in hospital, because they’re managing their own stress levels. That is beneficial to all of us.”
Tony Bacon, Commissioning Manager for Mental Health, Kirklees Council
Example cost savings based on ten local authority users in their first year of use
*30% of potential avoided cost attributed to Brain in Hand
Source: Kirklees Council – Financial Savings Report, Reablement Services
Settings and Services
There are an estimated 700,000 autistic people in the UK, with the average cost of supporting an autistic person over their lifetime now around £800,000.
The National Audit Office’s report, ‘Supporting People with Autism Through Adulthood’, estimated that if local services were to identify and support just four percent of autistic adults in the area, they could become cost-neutral in addition to increasing earnings and reducing expenses for each individual. Increasing the identification rate to six per cent could save £38 million per year; at eight per cent, the potential savings rise to £67 million.
Our system was initially designed specifically for autistic people, focusing on the unmet needs of those who find it hard to make decisions, organise their days, cope with anxiety and deal with unexpected events. To this day, aiding those with impairments to executive function remains one of our key missions and one of the things to which Brain in Hand is best suited.
Many people find working out what to do in a huge range of day-to-day situations incredibly taxing; over the day, it becomes exhausting and anxiety-inducing. Brain in Hand takes the work out of decision-making, but not by giving the person some generic, pre-baked advice about what we think they should do. Instead, Brain in Hand takes the time to guide the person through thinking about what they want to achieve and how they can use their strengths and skills to get there.
The person starts by populating a secure, intuitive bit of web software with information about their schedule, things they find difficult, and the best coping strategies they can use to overcome problems; a Brain in Hand Specialist works through this process with them. They can then use their phone to access this information when they need it, solving difficulties on their own instead of panicking or becoming distressed.
Supporters – whether that’s a family member or a member of a professional support team – can see how the person’s getting on by referring to a handy timeline which records all their activity: the problems they’ve faced, the solutions they’ve used to tackle them, and how they’ve been feeling. Brain in Hand allows you to take a step back, letting the person get on with living their life knowing that you can follow their progress, see when things are going well, and keep an eye out for difficulties.
According to the most recent Adult Psychiatry Morbidity Survey, mental illness is the single largest cause of disability in the UK, accounting for 28% of the national disease burden. Around 5.9% of the population suffer from generalised anxiety disorder (GAD), 1.3% from obsessive compulsive disorders (OCD), and 10% from attention deficit hyperactivity disorder (ADHD).
Brain in Hand helps people to manage anxiety. This makes it suitable for the many conditions with an anxiety component, such as GAD, OCD, and ADHD. People with a wide range of mental health needs may experience anxiety as a result of specific difficulties or as a general feeling which might cause them to avoid socialising, working, studying, or doing things they used to enjoy.
Because each person’s Brain in Hand system is tailored to what works for them, everyone can use it to help them tackle their anxiety differently. For some, having on-the-go access to breathing or mindfulness exercises might help them to calm down and keep the day on track; others benefit from detailed, step-by-step recipes for solving specific problems. The human support included in the Brain in Hand system helps each user to work out what’ll be most helpful for them, while our suite of digital tools provides an easy way to structure and access all the information.
A 2014 Hurley Group study showed that using digital health services enabled around a third of patients to self-manage or decrease inhibitions (particularly for mental health treatments). It also resulted in fewer GP appointments and shorter waiting times; allowing people to take better care of themselves means that Brain in Hand could add huge social value to mental health services.
We are currently working in several test beds to establish the best referral pathways, types of user, and methods of delivering Brain in Hand for mental health support.
The Centre for Mental Health estimates that the national annual cost of acquired brain injuries is around £15 billion; around 350,000 people are admitted to hospital with a brain injury in the UK each year, but each injury could have lifelong consequences.
For people who have had a brain injury, the journey back to living an independent life can be a long and challenging one. Things may never return to ‘normal’, but a little bit of help maintaining a regular routine and managing some of the day-to-day challenges of life can make all the difference.
Using Brain in Hand, people with brain injuries can organise their time to make sure they complete daily tasks; those supporting them can easily review their activity to be reassured that things are going OK, or to step in and lend a hand if something gets missed.
Access to bespoke banks of problems and solutions allows the person to record strategies that work for them and access them when they might not be able to think what to do. Likely locations of lost items, for example, give them the opportunity to get past the difficulty for themselves.
The system also encourages individuals to take a moment to reflect on their own physical and mental feelings, particularly those of fatigue; the opportunity for guided introspection can be extremely valuable for people who may have difficulty recognising and keeping track of their moods and triggers.
We know that freeing up staff time and resources to deliver support where it’s really needed is a major challenge for social services. Brain in Hand lets you take a step back, supporting people into independence and helping them to achieve goals for themselves. You know that they’ll be using safe strategies that work for them, and that you’ll easily be able to see if anyone’s having a tough time; with simple, data-driven insights, you can make sure that your energy is directed towards helping those who most need it.
You’re quite literally putting the power back into the person’s own hands with our system. Because everyone’s on their phone all the time these days, there’s none of the kind of stigma that can come with less discreet support. Whether referring to advice in their own words to help them solve problems independently or alerting supporters to times of trouble, Brain in Hand is a safe, comfortable way to remove barriers to accessing help.
Frequently Asked Questions
How much will it cost to use Brain in Hand in my organisation?Expand Answer
The cost of an organisational Brain in Hand project is dependent on your requirements and delivery model. The most important first step for us is to identify the outcomes you want to achieve; thinking about this, along with your existing structures and resources, helps us to collaboratively identify the best way to integrate Brain in Hand into your organisation.
We can then create a bespoke proposal for you based on your requirements. This will include a number of software licences (with discounts for larger volumes), support from a dedicated programme manager to ensure that your project runs smoothly, and additional elements of support direct to the user which Brain in Hand can either deliver on an outsourced basis or train your own staff to deliver.
How long does it take to implement a Brain in Hand project?Expand Answer
Following our initial discussions, during which we will work together to identify the best way to introduce Brain in Hand in your setting, we’ll provide a business proposal including details of your bespoke project and pricing. We can begin work on your project once you have provided a purchase order in line with the terms agreed in the proposal. We would then expect to arrange a kick-off meeting with all the relevant stakeholders, identifying potential Brain in Hand users and engaging with staff who will be involved in the project.
Setup of the first group of users can then be arranged. This usually happens two to three months after we receive your purchase order. The twelve-month subscription period of your licences will begin once the first user is set up; you will continue to receive support throughout this time, helping you to save money and support people.
What support and resources will I receive with my organisation's Brain in Hand project?Expand Answer
As part of your project with Brain in Hand, you’ll be allocated a dedicated programme manager who’s local to you and who has experience delivering projects in settings like yours. Their role will be to help you identify the best way to integrate Brain in Hand with your services to help you achieve your required outcomes and best improve the reach and effectiveness of your teams, and they will be available throughout the duration of your project to offer support and advice as to how best to deliver our system.
You will receive regular data reports to keep you informed of how your users are using the Brain in Hand system, both at an individual and group level, and we can also help you to produce a full evaluation of your project when it nears the end of its duration. This can be used to build a business case for continuing to use Brain in Hand in your services, or expanding to support more people.
What are Brain in Hand’s credentials?Expand Answer
We’re now commissioned by 20% of councils in England to help them support people; from these projects – and others in settings spanning (just for a few examples) education, health and social care, and residential facilities – we have case studies demonstrating the benefits to both service users and organisations. See our health and social care page for more information.
In the recent Government autism self-assessment exercise, Brain in Hand was the most commonly named technological innovation for supporting independence; we’re also the top-rated support system for autistic people by independent health tech reviewer ORCHA.
What is Brain in Hand's safeguarding policy?Expand Answer
The safety of our users, our staff, and everyone with whom we might come into contact during the course of our work is of paramount importance to us. We maintain an in-depth safeguarding policy, the full document of which can be requested by contacting firstname.lastname@example.org; a summarised version can be read on our corporate responsibility page.
We have a designated safeguarding lead who can be reached at email@example.com.
If you need someone to talk to, or are concerned that someone is in a potential crisis situation, Brain in Hand is not able to provide a crisis or counselling service and would suggest that the Samaritans would be a more appropriate contact. They can be called for free in the UK on 116 123.
Isn’t Brain in Hand just for autistic people?Expand Answer
Our system was designed with autistic people in mind, but we now work with people who have a range of different needs. We’ve found that Brain in Hand can be useful for anyone who has difficulties with remembering things, coping with anxiety, or making decisions; these difficulties are often experienced by autistic people, people with a mental health condition, or people with a learning disability, among others.
What is the evidence for BiH?Expand Answer
Since the inception of Brain in Hand, we've engaged with researchers, commissioners, end users, and the academic community to understand how our system works and how we can keep improving it.
Brain in Hand is a Tier 2 digital health technology under NICE’s Evidence Standards Framework. It’s a new way of doing things, but it is also fully compliant with GDPR and other regulations.
We have undertaken and supported studies into the outcomes of Brain in Hand for our users and the organisations we work with, and have engaged with wider published research to inform the direction of our development to ensure that Brain in Hand is as effective as it can be. For more information, see the 'research and evidence' section of our home page, where you'll find discussion of the principles we use when conducting research and development along with links and downloads for existing publications.
Can Brain in Hand be purchased through procurement frameworks?Expand Answer
Brain in Hand can be procured through a number of frameworks including (but not limited to) G-Cloud, YPO, adam's Dynamic Purchasing System, and the Greater Manchester learning disability and autism ethical procurement system.
Contact us on 01392 247 909 or firstname.lastname@example.org and we'll connect you with a member of our expert business development team who can help you identify the most appropriate route to procurement and navigate every step of the process.
Can you put me in touch with an organisation already using Brain in Hand for a reference?Expand Answer
We’re more than happy to refer you to one of our existing customers. Just get in touch with us on 01392 247 909 or at email@example.com; let us know you’d like a reference, and we’ll find someone who’s using Brain in Hand in a setting that’s similar to yours.