SNOW SQUARED LTD

PreActiv

PreActiv offers innovative digital prehabilitation programmes, individualised to optimise patients before major surgery. Leveraging technology, our dynamic courses adapt to patient progression, ensuring long-term adherence. With a focus on digital community support, we deliver the most cost-effective, sustainable solutions for improved patient outcomes.

Features

• Digital Individualised Prehabilitation Programmes designed to meet patient's specific needs
• Dynamic courses adapt to progress, ensuring effective and tailored guidance
• Fully remote and accessible 24/7, offering convenience and flexibility
• Comprehensive quarterly clinical summaries for healthcare providers.
• Programmes developed by doctors with multidisciplinary teams for optimal effectiveness
• Design prioritises accessibility: Subtitles and translation features for diverse populations
• Gamified elements enhance enjoyment and promote adherence to the program
• Community forum boosts adherence by 50%, engaging peers and professionals
• Cross-Device Compatible: Easy-to-complete programmes accessible via computer, tablet, or smartphone
• Regulatory compliance - Cybersecurity essentials, DTAC, DSPT, registered with ICO

Benefits

• Most cost-effective individualised prehabilitation solution available for optimal outcomes
• A realistic method to meet NHS England guidance, Patient Optimisation
• Reduces the risk of surgical complications through comprehensive individualised prehabilitation
• Reduces bed days and cancellations, optimising resource allocation efficiently
• Adaptive learning within programmes maximises individualisation, fostering high adherence rates
• Community forum fosters support, contributing to high user retention rates
• Tailored to surgery date: optimises patients during their wait time
• Fewer appointments and self-paced programme completion enhances patient convenience
• Facilitates transition to digital systems, reducing costs and streamlining processes
• Entirely remote operation reduces carbon footprint, aligning with sustainability goals

£125.00 a user

Service documents

• Pricing document

  PDF

• Service definition document

  PDF

• Terms and conditions

  PDF

Request an accessible format

If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at info@preactiv.co.uk. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 14

Service ID

105901753700783

Contact

Dr Rebecca Allam
07816869501
info@preactiv.co.uk

Service scope

• Software add-on or extension: No
• Cloud deployment model: Private cloud
• Service constraints: No
• System requirements: Web browser

User support

• Email or online ticketing support: Email or online ticketing
• Support response times: Monday - Friday: 9:00 - 17:00; ; Target resolution times:; Critical issues = up to 4 hours; Major issues = up to 24 hours; Minor issues = up to 72 hours
• User can manage status and priority of support tickets: Yes
• Online ticketing support accessibility: WCAG 2.1 AA or EN 301 549
• Phone support: Yes
• Phone support availability: 9 to 5 (UK time), Monday to Friday
• Web chat support: No
• Onsite support: No
• Support levels: The first contact the patient will have with PreActiv is via their local clinical team. The clinical team will give a verbal introduction to the platform and share information about how to login and get in touch with the PreActiv support team.; All the way through this prehabilitation programme, from start to finish the support ticketing service and support line is available, 9:00-17:00 Monday to Friday and there is an online forum that provides support in and around the support ticketing and support line service hours. The online forum encourages peer support, self help and solutions from other users. In addition to this, the PreActiv team hold a live once a week Q&A session. There is also 24 hours technical monitoring to ensure the platform is always available for users. ; There is a named technical account manager who can be accessed as required, and will meet with the contracting team on a monthly catch up reviewing usage and maximising the outputs of the programme.; The supports levels are included in the cost of the licence, no additional fees will be incurred.
• Support available to third parties: No

Onboarding and offboarding

• Getting started: The initial support is provided in person or remotely via Google Meets to the on-site clinical team, in a train-the-trainer model. The training sessions last one hour and are held in a flexible pattern recognising the clinical demands in a hospital setting. The clinical team can attend more than one session if they would like to. ; As part of the implementation plan, the PreActiv team can also join stakeholder team meetings to set the context of the platform and reinforce the training. ; The PreActiv account management team will keep in regular communication with the agreed hospital team to ensure that the activity data and outcomes are being reported on.; Once the patient is introduced to the PreActiv platform, they will create a profile. From this point, the support consists of a community forum to which users can submit questions to at any time and a live Q&A sessions every Monday. The user can also gain support via emailing or phoning the support line.; Digital literacy is increasing, but to ensure digital exclusion does not present a barrier, PreActiv provides printable .pdf versions of the course available via email, which can be sent to patients.
• Service documentation: Yes
• Documentation formats: PDF
• End-of-contract data extraction: Accounts will be removed on the agreed contract end date. If a data user requests their data, PreActiv will provide it to them in accordance with the Data Protection Act 2018. User data is only retained for as long as is necessary for the purposes for which it is processed and to comply with PreActiv's contractual obligations and, where necessary, for bringing or defending legal proceedings. Data is versioned. Archives are created to allow point in time recovery of databases up to 35 days. Destruction of data relating to a site can be performed under supervision with documentation of destruction steps, output of item scans after deletion, and an inspection of database and object storage schemas to ensure compliance.
• End-of-contract process: PreActiv collaborates with the site to agree the contract’s end date. The project team would then plan a joint communication strategy to notify users and staff, outlining upcoming changes and what to expect. User accounts are then removed on the contract end date, halting platform access. User PII data is deleted when accounts are removed. The account management team conducts an exit interview with the site. There is no extra cost incurred at the end of the contract.

Using the service

• Web browser interface: Yes
• Supported browsers:
  • Internet Explorer 11
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
• Application to install: No
• Designed for use on mobile devices: Yes
• Differences between the mobile and desktop service: The website is built using responsive style principles but we encourage users to use laptops and desktops for accessibility.
• Service interface: Yes
• User support accessibility: WCAG 2.1 AA or EN 301 549
• Description of service interface: The web app gives patients access to a personalised prehabilitation programme. It guides users through individualised programmes, utilising video and written information with a simple interface. Through collecting a multitude of metrics, each user can monitor their own progress. Admin users can additionally access reports of individual patients or NHS trust patients as a group progresses.
• Accessibility standards: WCAG 2.1 AA or EN 301 549
• Accessibility testing: PreActiv have followed and continue to develop and test against WCAG 2.1 AA standards.
• API: No
• Customisation available: No

Scaling

• Independence of resources: Applications, data stores, resources and services are built using a containerised architecture. Each customer is provided with an individual cloud-based container which is isolated from any other container on the network. This not only allows for scaling applications and customers horizontally but isolates all forms of data from any other node whilst DDoS mitigation solutions are built using load balancers hosted on Google's platform.

Analytics

• Service usage metrics: Yes
• Metrics types: Our key impact metrics include: adherence, retention, attrition rate, net promoter score, improvement in fitness (efficacy - both qualitative and quantitative), improvement in mood, user numbers, economic analysis - cost saving, environmental analysis - reduction in carbon footprint.
• Reporting types:
  • Real-time dashboards
  • Regular reports
  • Reports on request

Resellers

• Supplier type: Not a reseller

Staff security

• Staff security clearance: Conforms to BS7858:2019
• Government security clearance: None

Asset protection

• Knowledge of data storage and processing locations: Yes
• Data storage and processing locations: United Kingdom
• User control over data storage and processing locations: No
• Datacentre security standards: Managed by a third party
• Penetration testing frequency: At least once a year
• Penetration testing approach: ‘IT Health Check’ performed by a Tigerscheme qualified provider or a CREST-approved service provider
• Protecting data at rest: Encryption of all physical media
• Data sanitisation process: Yes
• Data sanitisation type: Deleted data can’t be directly accessed
• Equipment disposal approach: In-house destruction process

Data importing and exporting

• Data export approach: Users can export their data by making a request to the support team who will liaise with our technical team to export all data relating to the user and provide a copy of the data in either a PDF or CSV format.
• Data export formats:
  • CSV
  • Other
• Other data export formats: PDF
• Data import formats: CSV

Data-in-transit protection

• Data protection between buyer and supplier networks: TLS (version 1.2 or above)
• Data protection within supplier network: TLS (version 1.2 or above)

Availability and resilience

• Guaranteed availability: The PreActiv Application is hosted on a 3rd party managed network and as such we offer the same SLA as the provider. ; PreActiv license the use of the application but not the use of the network the application is served over.
• Approach to resilience: Our application data stores are designed to scale horizontally in an effort to increase server resilience. In addition, the network provider offers a SLA up time guarantee of 99%.
• Outage reporting: Email Alerts

Identity and authentication

• User authentication needed: Yes
• User authentication: Username or password
• Access restrictions in management interfaces and support channels: Organisations:; All application UI's and API end points are role based. Only "administrators" can obtain information about all users within their organisation. "Patient" role provides access to a single user's data only. ; ; PreActiv support team:; The PreActiv support team only have access to the "support" role and can only access the support tickets API endpoint and not the individual organisation or patient data. ; Should the support team not be able to resolve any issue, this is then escalated to the manager for resolution.
• Access restriction testing frequency: At least every 6 months
• Management access authentication: 2-factor authentication

Audit information for users

• Access to user activity audit information: Users have access to real-time audit information
• How long user audit data is stored for: Between 6 months and 12 months
• Access to supplier activity audit information: Users have access to real-time audit information
• How long supplier audit data is stored for: Between 6 months and 12 months
• How long system logs are stored for: Between 6 months and 12 months

Standards and certifications

• ISO/IEC 27001 certification: No
• ISO 28000:2007 certification: No
• CSA STAR certification: No
• PCI certification: No
• Cyber essentials: Yes
• Cyber essentials plus: No
• Other security certifications: Yes
• Any other security certifications:
  • NHS Digital Toolkit
  • ICO Registered
  • DTAC in process

Security governance

• Named board-level person responsible for service security: Yes
• Security governance certified: Yes
• Security governance standards: Other
• Other security governance standards: Cyber Security certified, DTAC in process, Awarded NHS Data Protection Security Toolkit, Registered with the ICO.
• Information security policies and processes: A specific member of the Senior Leadership Team (SLT) has overall responsibility for security and reporting, and feeds directly into the CEO. PreActiv works to DTAC and NHS Data Security Protection Toolkit (DSPT) standards as a minimum. As an example, PreActiv uses Strong Passwords: Enforcing the use of complex passwords and periodic password changes to prevent unauthorized access. Furthermore, PreActiv uses Multi-Factor Authentication (MFA): Implementing additional layers of authentication, such as codes sent to mobile devices or biometric scans, to enhance security.; ; PreActiv does regular software updates, keeping all software, including operating systems, applications, and security tools, up to date with the latest patches and fixes to address any vulnerabilities. Access Control: Implementing role-based access control (RBAC) and least privilege principles to limit access to data and systems based on users' roles and responsibilities. Security Training and Awareness: Providing regular training and awareness programs to educate employees about security threats, best practices, and how to recognise and respond to potential risks. Vulnerability Management: Conducting regular vulnerability scans and assessments to identify and remediate security weaknesses in systems and applications. We seek regular feedback from our users to support redesign.

Operational security

• Configuration and change management standard: Supplier-defined controls
• Configuration and change management approach: 1. Change requests are made and reviewed by management from both bug tracking and product development.; 2. Change is planned and tracked by the development and design team within Jira, ensuring co-design with user/patient representative and the person who requested the change. ; 3. Change is implemented and tracked through development to UAT and fully tested.; 4. Change is released to master code. ; 5. This is then documented and communicated in a 'you said, we did' format.; 6. Change is deployed and monitored.; 7. Change is closed.
• Vulnerability management type: Supplier-defined controls
• Vulnerability management approach: Penetration testing is carried out annually by a 3rd party CREST certified penetration testing company.; Firewall and server are continually monitored by technical teams and notifications of security threats are made to the Tech Lead immediately. ; Security patches to threats can be released the same day they are discovered. ; Information about threats comes from regular software scanning tools.
• Protective monitoring type: Supplier-defined controls
• Protective monitoring approach: Penetration testing is carried out annually by a 3rd party CREST certified penetration testing company.; Firewall and server are continually monitored by technical teams and notifications of security threats are made to the Tech Lead immediately. ; Incidents are responded to within 2-3 hours of being reported. ; Network level compromises are handled by the 3rd party firewall and hosting provider where as application level compromises are handled by our development team.
• Incident management type: Supplier-defined controls
• Incident management approach: Network and firewall level reports are available to development teams only through online dashboards and email notifications to the development team.; Application level incidents are available through app logs and email notifications to the development team. ; All logs for both are reviewed monthly and preventative action is taken.; Customer facing application level incidents are handled through a support ticket system.

Secure development

• Approach to secure software development best practice: Supplier-defined process

Public sector networks

• Connection to public sector networks: No

Social Value

• Social Value:

  Social Value

  • Fighting climate change
  • Covid-19 recovery
  • Tackling economic inequality
  • Equal opportunity
  • Wellbeing

  Fighting climate change

  At PreActiv, environmental responsibility is a priority. Unlike many of our competitors who provide a hybrid of in-person and remote services, we have managed to solve this by fully digitising prehabilitation. This means our impact on CO2 emissions is greater. Our remote programmes effectively reduce hospital visits, travel emissions and resource consumption. This results in a significant decrease in the carbon footprint for both healthcare providers and patients.; As a consequence of reducing the number of bed days due to prehabilitation, we would estimate, a carbon saving of:; Patients without complication: 2 days saved = 37.9 kg CO2 a day x 2 = 75.8 kg CO2 per stay; Patients with complication: 4 days saved = 37.9 kg CO2 a day x 4 = 151.6 kg CO2 per stay; As a company, we are steadfast in creating a culture of sustainability. This is upheld by implementing green practices, such as using a remote-first office model and becoming a cloud-based company, significantly reducing our consumption of resources.; Practically PreActiv seeks to minimise carbon emissions by eliminating unnecessary travel:; •One or two day trips are strongly discouraged; virtual meetings should be used instead, unless the meeting’s objective cannot be completed virtually.; •Where in-person meetings are unavoidable, meetings are hosted at locations near train or bus stations, to make public transport viable and eliminate the need for additional travel between public transport stations and meeting venues.; •Where in-person meetings and car travel are unavoidable, meetings are organised at times that do not require travel at peak times.; We recognise the importance of having a broader impact by influencing our staff, suppliers, customers, and communities to support environmental protection and improvement. We aim to raise awareness and promote environmentally friendly practices throughout our network, through collaborative initiatives, educational campaigns, and advocacy efforts.

  Covid-19 recovery

  Our fully remote solution is ideally positioned to support communities disproportionately affected by COVID-19. By minimising exposure through hospital visits and travel, our platform offers invaluable support to vulnerable patients, enabling them to safeguard their well-being. We offer a vital solution to the COVID-19 backlog crisis, empowering patients to attain optimal health pre-surgery, leveraging extended wait periods as an opportune moment for preparation and education. ; We advocate for workplace conditions that enable effective social distancing and sustainable travel options, ensuring a safe and resilient recovery effort. At PreActiv, our remote-first office model means we are uniquely positioned to address the employment challenges exacerbated by COVID-19. Inclusion is at the heart of our company culture, ensuring we provide a supportive environment for employees shielding or worst affected by the pandemic.

  Tackling economic inequality

  At PreActiv, we are committed to tackling economic disparities in healthcare and recognise that economically disadvantaged communities stand to gain the greatest advantage from individualised prehabilitation programmes. However most face disproportionate digital exclusion. We prioritise overcoming these barriers by ensuring accessibility across various devices. Additionally, we offer offline support on their health journey and the ability to adapt programmes into different languages. These strategies widen access, guaranteeing that individuals, regardless of socioeconomic status, can benefit from our solution nationwide.; In addition to our platform, we proudly stand as an equal opportunities employer and actively seek out talent from diverse backgrounds and skill levels. We understand the importance of supporting individuals at every stage of their career journey. Whether it's providing mentorship and resources to aspiring entrepreneurs or offering employment opportunities and training programs for those seeking to enter or advance in the workforce, we prioritise inclusivity and diversity in our approach. We believe in empowering individuals with the skills and opportunities they need to succeed. Through targeted initiatives and partnerships, we provide training programs that address skills gaps and lead to recognised qualifications, ensuring that our workforce is equipped with the expertise needed to excel in their roles. This creates a diverse and inclusive workforce that drives innovation, fosters economic growth and builds stronger communities.

  Equal opportunity

  Our mission is rooted in creating a positive social impact. We are dedicated to mitigating health inequalities through widespread availability to prehabilitation services. By deeply individualising a patient's prehabilitation journey, we guarantee meaningful outcomes for all. Our platform is accessible round the clock, from any location, and incorporates translation features to accommodate diverse languages and cultures, thereby broadening accessibility. Furthermore, our platform addresses digital exclusion, designed to reach across various age demographics, socioeconomic backgrounds, abilities, and cultural contexts that might face technological barriers. Ultimately, our aim is to diminish health inequalities, paving the way for equitable healthcare opportunities for all.; Within our workforce, we recognise the vital importance of equal opportunity. We implement accessible hiring practices and provide ongoing support. We foster a culture of inclusion within our organisation and are dedicated to creating an environment where everyone feels valued, respected, and empowered to succeed. We firmly believe that diversity is not just the right thing to do; it's the smart thing to do. By harnessing the unique talents and perspectives of individuals, we're driving innovation, enhancing creativity, and building a stronger, more resilient workforce for the future.

  Wellbeing

  PreActiv’s programmes prioritise patient health and wellbeing, emphasising lifestyle changes that not only impact a patient’s postoperative recovery but also their long-term wellness. We empower patients to take control of their surgical wait time with effective prehabilitation. Alongside this, patients are aided with vital mindfulness tools to alleviate presurgical anxiety and manage stress levels. ; Furthermore, we also offer healthcare providers dashboard regular data reviews and support meetings, relieving pressure on surgical teams and aiding their overall wellbeing. ; Within our organisation we foster a supportive workplace culture, where employees feel able to prioritise their well-being. ; As a practical example, we have educated our staff on the importance of taking breaks when working remotely online. The team are encouraged to book in 20 or 50 minute remote meetings, to provide them with a regular 10 minute break and avoid the instance of back to back meetings, which research has shown is detrimental to wellbeing. ; We place paramount importance on nurturing the holistic wellbeing of our colleagues, guided by four foundational pillars: physical, social, mental, and financial health. We are unwaveringly committed to providing support to our team members in each of these domains.

Pricing

• Price: £125.00 a user
• Discount for educational organisations: No
• Free trial available: No

Service documents

• Pricing document

  PDF

• Service definition document

  PDF

• Terms and conditions

  PDF

Request an accessible format

If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at info@preactiv.co.uk. Tell them what format you need. It will help if you say what assistive technology you use.