KOKU HEALTH LTD

KOKU Digital Platform

KOKU is a digital health platform which delivers structured, progressive strength and balance exercises for older adults aged 65 and older. It is NHS approved and has been shown through clinical trials to improve balance, strength, physical function, confidence and pain after 6 and 12 weeks use.

Features

• Digital self management of strength and balance exercises
• Personalised, progressive exercise programmes, clinically validated OTAGO/FAME
• Engagement and motivational features (gamification, nudges, feedback, progress charts)
• Health literacy modules:nutrition, hydration, home-safety, bone health
• Data tracking and metrics for adherence, progression, falls, injuries, quality-of-life
• Clinically validated, compliant with NHS Digital standards DCB0160/DCB0129
• High usability and acceptability scores in randomised controlled trials
• Scalable for population use to reduce waiting lists
• Supports digital inclusion with step-by-step onboarding, co-designed with older adults
• Cost-effective according to health economic evaluation with high ROI

Benefits

• Reduces falls, frailty, deconditioning, associated injuries, health/social care burden
• Reduces waiting lists for falls prevention/exercise providers.
• Enables older adults 65+ to self manage their health
• Reduces hospital admissions, ambulance call-outs, A&E assessments, surgeries
• Reduces staff workload pressure as used without clinician support
• Can be used in the home, hospital or care-home setting
• NHS Digital approved as low clinical risk, GDPR compliant
• Co-developed and tested with older adults with low digital literacy
• Can be used offline and online to aid digital inclusion

• Free trial available

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 estanmore@me.com. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 15

Service ID

943776504044553

Contact

Emma Stanmore
07917870055
estanmore@me.com

About your service

• Service categories:

  Applications

  Production and operations

  Service industry and public sector operations

  • Healthcare
  • Adult Social Care
• Multi cloud support: Yes

Service scope

• Software add-on or extension: No
• Cloud deployment model: Private cloud
• Service constraints: Can be used as a standalone digital service or added to an existing platform. Can be used on Tablets/iPads and TVs
• System requirements:
  • IOS and Android Tablet systems
  • TVs via Firestick

User support

• Email or online ticketing support: Yes, at extra cost
• Support response times: Monday to Friday usually same day, different at weekends but could response more rapidly if service requires
• User can manage status and priority of support tickets: No
• Phone support: Yes
• Phone support availability: 9 to 5 (UK time), Monday to Friday
• Web chat support: No
• Onsite support: Yes, at extra cost
• Support levels: We can deliver bespoke support such as digital training and implementation science support to enable both effective service delivery as well as service implementation change at an additional cost.
• Support available to third parties: No

Onboarding and offboarding

• Getting started: User documentation (including download guides and a user guide) can be made available to programme users in both written and video form. Leaflets (in both electronic and written form) recommending the service (with accompanying QR codes to download the program) can also be provided. ; ; Online and onsite training can also be made available to commissioners for both implementation of the strength and balance program in different user groups and in the use of the data dashboard that sits behind the program demonstrating aggregated usage, engagement and impact statistics
• Service documentation: Yes
• Documentation formats: PDF
• End-of-contract data extraction: Commissioning users are able to extract their data via log-in to a secure data dashboard where both bar charts and CVS files of aggregated data can be viewed and downloaded
• End-of-contract process: Depending on what is procured, the service may retain training information and manuals, implementation science know-how.
• Documentation accessibility standard: WCAG 2.2 A

Using the service

• Web browser interface: No
• Application to install: Yes
• Compatible operating systems:
  • Android
  • IOS
• Designed for use on mobile devices: No
• Service interface: Yes
• User support accessibility: WCAG 2.2 A
• Description of service interface: The data dashboard service interface is separate to the platform meaning older adults don't log in to the same interface. Providers get access to the reports and analytics about users outcomes and adherence.
• Accessibility standards: WCAG 2.2 AA
• Accessibility testing: The KOKU digital programme, funded by NHS England has undergone randomised controlled trials with published results showing excellent usability and acceptability, significantly improved balance, strength, confidence, quality of life after 6 and 12 weeks use (Stanmore et al., 2025). Both teh KOKU programme and digital dashboard has been co-designed with older adults and health and social care professionals.
• API: Yes
• What users can and can't do using the API: The KOKU programme can be used as a standalone service/product. In addition, if the commissioners require, changes can be made to the API.
• API documentation: Yes
• API documentation formats: Other
• API sandbox or test environment: Yes
• Customisation available: Yes
• Description of customisation: We can make adaptations to the exercise programme at a cost.

Scaling

• Independence of resources: Users of the strength and balance program individually download an app onto a device from the cloud, therefore scalability of users is not an issue.; ; Commissioning users log in to a data dashboard via a weblink and password, which also has no restrictions on number and no issues with scalability.; ; The KOKU programme is designed to be intuitive to use. KOKU has a team that can complete training easily and efficiently online as use of the platform scales.

Analytics

• Service usage metrics: Yes
• Metrics types: Metrics can be viewed via log in to a secure data dashboard which shows total number of users, total number of active users, age, gender, level of engagement (low, recommended and high), exercise intensity, exercise type, programme progression and progression compared with engagement and exercise intensity.; ; Metrics from the self-reported health questionnaire show number of falls, number of fallers, injury type, concern of falling, level of usual abilities and general wellness.; ; Please note this data is aggregated but we are planning on moving to this being customisable by group or individual (however, customisation by time period is currently possible)
• Reporting types: Real-time dashboards
• Resource tagging: No
• FOCUS resource tagging: No

Resellers

• Supplier type: Not a reseller

Staff security

• Staff security clearance: Staff screening not performed
• 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: Never
• Protecting data at rest: Other
• Other data at rest protection approach: Regular security scans make sure that none of the underlying software packages have any security alerts. Further protection at rest is not necessary as sensitive data is not recorded.; ; There are also IT access controls on the database itself so only authorised users will be able to connect.
• Data sanitisation process: No
• Equipment disposal approach: A third-party destruction service

Data importing and exporting

• Data export approach: We can export data as HTML if required.
• Data export formats: CSV
• Data import formats: Other
• Other data import formats: Data cannot be imported

Data-in-transit protection

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

Availability and resilience

• Guaranteed availability: SLAs for availability are not applicable as the program is downloadable from the cloud and the data dashboard is available via a webpage.; ; Any availability issues would be solved via third party providers (e.g. Apple app store) and clearly communicated in accordance with the outage communication strategy agreed within the contract.
• Approach to resilience: Approach to resilience is available on request
• Outage reporting: Any outages would be reported via email alerts with a timeframe given before services would be back online.

Identity and authentication

• User authentication needed: Yes
• User authentication:
  • Multi-Factor Authentication (MFA)
  • Username or password
• Access restrictions in management interfaces and support channels: Access to the data dashboard is only given to nominated individuals within the customer group (who then log in using multi-factor authentication).; ; Access to these nominated individuals is given only via KOKU employees who have Admin rights within the dashboard.; ; Commissioning users will also be encouraged not to share log-ins or passwords and request individual log in accounts to maintain user account integrity.
• Access restriction testing frequency: At least once a year
• Management access authentication:
  • Multi-Factor Authentication (MFA)
  • Username or password

Audit information for users

• Access to user activity audit information: Users contact the support team to get audit information
• How long user audit data is stored for: At least 12 months
• Access to supplier activity audit information: Users contact the support team to get audit information
• How long supplier audit data is stored for: At least 12 months
• How long system logs are stored for: Between 6 months and 12 months

Security governance

• Named board-level person responsible for service security: Yes
• Security governance certified: Yes
• Security governance standards: ISO/IEC 27001
• Information security policies and processes: Data is held within a University of Manchester server which adheres to the ISO/IEC 27001 Information Security Management System; ; The Registrar, Secretary and Chief Operating Officer and the Deans of Faculties are accountable for compliance with the Information Governance policy framework.; ; Heads of School and Directors are responsible for ensuring that all information and processing is in line with the Information Security, Data Protection and Records Management policies.; ; The VCISO is accountable for the establishment and implementation of initial controls through the implementation of the Information Security Management System (“ISMS”); ; The Director of Information Governance is responsible for the operation of the ISMS though the Head of Security and Privacy Framework Operations.; Information Asset Owners are responsible for the information being processed. ; ; Where information is created and accessed by many users (such as the University’s administrative applications) the Information Asset Owner is the business owner for the service. Information Asset Owners also include, for example, the authors of research papers, dissertations, ; databases or spreadsheets (this list is not intended to be exhaustive).
• Software Security Code of Practice: Yes

Operational security

• Configuration and change management standard: Supplier-defined controls
• Configuration and change management approach: Configuration and change management processes are managed via service level agreements between KOKU and the University of Manchester as shareholder. Any requests for changes to the digital exercise program are through our software partner, Reason Digital, and requests for changes to the data dashboard are made through the University of Manchester's Research IT department. ; ; Changes are scoped via work packages, costed and agreements signed with feedback and handover information as standard.
• Vulnerability management type: Undisclosed
• Vulnerability management approach: Vulnerability threats would only be relevant to data stored within The University of Manchester server and this is managed by an undisclosed vulnerability management policy on their behalf (and covered via service level agreements). ; ; The University of Manchester’s vulnerability management processes are required to adhere to industry standards and legal requirements, such as: ISO 27001 and GDPR compliance and includes regular patch management and vulnerability scanning, incident response and data breach notification protocols and adherence to security best practices through external audits and assessments.
• Protective monitoring type: Undisclosed
• Protective monitoring approach: Potential compromises to the data stored within The University of Manchester server would be recognised by the the University's IT security team and relayed to KOKU. KOKU would respond immediately to all customers with further information and guidance as and when it becomes available.; ; Any potential compromises within the exercise platform would be identified through Reason Digital's IT security team and, again, relayed to KOKU. As the programme does not store personal data this approach is low risk.
• Incident management type: Undisclosed
• Incident management approach: Commissioning users would report any incidents to their KOKU account manager contact.; ; Any incident reports regarding data stored on a server would be provided by the University of Manchester and details relayed to the customers.; ; KOKU has completed the DTAC regulation process and NHS Digital clinical safety reports so would not expect any common events related to patient safety. Clinical trials in the UK, US and Germany have had no adverse events reported. ; ; Any data/cyber incidents would be processed in the manner described above.
• Post-quantum cryptography secure: No

Secure development

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

Public sector networks

• Connection to public sector networks: No

Pricing

• Discount for educational organisations: No
• Free trial available: Yes
• Description of free trial: Commissioning users can access a free trial period of the KOKU exercise platform for one month. The data dashboard can be demonstrated to potential buyers but free trial access does not include access to the data dashboard.

Discount percentage by annual call-off contract value (excluding VAT)

• Less than £250,000: 1%
• Between £250,000 and £500,000: 5%
• Between £500,001 and £1,000,000: 5%
• Between £1,000,001 and £2,500,000: 10%
• Between £2,500,001 and £5,000,000: 10%
• Over £5,000,001: 15%

Non-mandatory Standards and certifications

• ISO/IEC 27001 certification: No
• ISO 28000:2022 certification: No
• ISO 9001 certification: No
• Quality management systems (QMS): No
• CSA STAR certification: No
• PCI certification: No
• Cyber essentials: No
• Cyber Essentials Alternative: In relation to the services you do not have a current and valid Cyber Essentials certificate which has been awarded by one of the government approved Cyber Essentials accreditation bodies but you are working towards gaining it, and will be in a position to confirm that you have been awarded a current and valid Cyber Essentials certificate by one of the government approved accreditation bodies within 12 months of the date of award.
• Cyber essentials plus: No
• Cyber Essentials Alternative: In relation to the services you do not have a current and valid Cyber Essentials Plus certificate which has been awarded by one of the government approved Cyber Essentials accreditation bodies but you are working towards gaining it, and will be in a position to confirm that you have been awarded a current and valid Cyber Essentials Plus certificate by one of the government approved accreditation bodies within 12 months of the date of award.
• Other security certifications: No

Social value

• Section B - Commitment for Future: Delivery:

  • Mission: Kick start economic growth. To secure the highest sustained growth in the G7 - with good jobs and productivity growth in every part of the country making everyone, not just a few, better off.

    Policy Outcome 1: Fair work: That offers fair wages and good working conditions. Help people get a job, stay in work, and progress in their careers, with good employment opportunities across the country. Notes: Where there is a large proportion of labour costs in the contract, commercial teams should consider MAC in Outcome 1 as a priority

    • New or retained jobs on the contract workforce in the relevant area that meet the criteria set out in MAC 1b, 1c and 1d
    • Providing opportunities for, and measuring and monitoring of, staff workforce conditions over time, including employee engagement, involvement in decision-making and satisfaction and adapting to any changes in the results, with clear processes for acting on issues identified
    • Plans to engage the contract workforce in deciding the most important workplace issues to address
    • Ensuring new workers are informed of their right to join a trade union
    • Activities that support an environment where staff are educated about, and feel empowered to, address their physical wellbeing
    • Activities that support an environment where staff are educated about and feel empowered to report and address bullying and harassment
    • Payment of more than the National Minimum Wage or National Living Wage (as appropriate) to the contract workforce
    • Entitlement to sick pay for the contract workforce, with provision in place for any staff who do not meet the earnings threshold for statutory sick pay, payment of sick pay from day one of absence and payment of staff on the contract workforce who are off sick a replacement income of 100% of their usual earnings for as long as possible
    • Measures to support in-work progression to help people in the contract workforce, to move into higher paid work by developing new skills relevant to the contract
    • Support for the contract workforce by providing career advice, and providing opportunities for staff working on the contract with in-work progression career development into known skills shortages or high growth areas
    • Support for educational attainment relevant to the contract, including training schemes that address skills gaps and result in recognised qualifications
    • Understanding of the modern slavery risks and issues affecting the market, industry, sector or country (of origin or of source) relevant to the contract, and the workforce in the supplier’s own organisation and those of its key subcontractors

  • Mission: Kick start economic growth. To secure the highest sustained growth in the G7 - with good jobs and productivity growth in every part of the country making everyone, not just a few, better off.

    Policy Outcome 2: Skills for growth: Supporting growth sectors and addressing skills gaps.

    • Understanding of employment and relevant skills issues, and of the education and training issues relating to the contract. Illustrative examples: demographics, skills shortages, new opportunities in high growth sectors, geographic/local community and skills/employment challenges
    • Support for educational attainment relevant to the contract, including training schemes that address skills gaps and result in recognised qualifications
    • Activities to support relevant sector related skills growth and sustainability in the contract workforce. Illustrative examples: careers talks, curriculum support, literacy support, safety talks and volunteering

  • Mission: Kick start economic growth. To secure the highest sustained growth in the G7 - with good jobs and productivity growth in every part of the country making everyone, not just a few, better off.

    Policy Outcome 3: Resilient, innovative and flexible supply chains: Support economic growth through enabling resilient businesses, opportunities for small businesses and voluntary, community and social enterprises

    • Understanding of the types of businesses in the market and the level of participation by new businesses, entrepreneurs, start-ups, SMEs, VCSEs and mutuals
    • Activities to identify opportunities to open up sub-contracts under the prime contract to a diverse range of businesses, including new businesses, entrepreneurs, start-ups, SMEs, VCSEs and mutuals
    • Plans for engaging a diverse range of businesses in engagement activities prior to appointing subcontractors (including activities prior to award of the main contract and during the contract term)
    • Activities that demonstrate a collaborative way to work with a diverse range of businesses as part of the supply chain
    • Understanding of local demographics, needs and opportunities for the co-design of the goods, services and works to be delivered under the contract
    • Measures to involve local stakeholders and/or users in design (e.g. in the design of services, systems, products or buildings)
    • Measures to engage users and communities and build relationships to increase community integration build trust and influence how the contract is delivered

  • Mission: Make Britain a clean energy superpower: To cut bills, create jobs and deliver security with cheaper, zero-carbon electricity by 2030, accelerating to net zero

    Policy Outcome 4: Sustainable procurement practices: Reducing carbon footprints, minimising waste, and promoting the use of clean energy and green technologies.

    • Understanding of opportunities for additional environmental benefits delivery in the performance of the contract, including working towards net zero carbon emissions and use of clean energy and green technologies
    • Collaborative ways of working with the supply chain to deliver additional environmental benefits in the performance of the contract, including working towards net zero carbon emissions and use of clean energy and green technologies
    • Understanding of how to influence staff, suppliers, customers, communities and/or any other appropriate stakeholders through the delivery of the contract to support climate and nature protection and improvement

  • Mission: Break down barriers to opportunity: By reforming our childcare and education systems, to make sure there is no class ceiling on the ambitions of young people in Britain

    Policy Outcome 6: Employment and training: For those who face barriers to employment

    • Understanding of employment and skills issues, and of the skills and employment shortages of high growth sectors relating to the contract
    • Understanding of the issues affecting the representation of disabled people in the workforce in the market, industry or sector relevant to the contract, and in the supplier’s own organisation and those of its key sub-contractors
    • Inclusive and accessible recruitment practices, and retention-focused activities, including those provided in the Guide for line managers on recruiting, managing and developing people with a disability or health condition
    • Understanding of the issues affecting inequality in employment, skills and pay in the market, industry or sector relevant to the contract, and in the supplier’s own organisation and those of its key sub-contractors. Measures to tackle inequality in employment, skills and pay in the contract workforce

  • Mission: Break down barriers to opportunity: By reforming our childcare and education systems, to make sure there is no class ceiling on the ambitions of young people in Britain

    Policy Outcome 7: Creating a pipeline of opportunities: For the contract workforce, reducing barriers to entry for under-represented groups.

    • Understanding of the issues affecting the development of new skills by target cohort
    • Understanding of issues relating to entering the contract workforce

  • Mission: Build an NHS fit for the future: That is there when people need it; with fewer lives lost to the biggest killers; in a fairer Britain, where everyone lives well for longer.

    Policy Outcome 8: Increasing productivity through physical and mental wellbeing: In the supply chain and communities in the relevant area.

    • Understanding of issues relating to health and wellbeing, including physical and mental health, in the contract workforce
    • Understanding barriers to access to health and social care services or employment opportunities e.g. digital inclusion

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 estanmore@me.com. Tell them what format you need. It will help if you say what assistive technology you use.