Most of what decides your health happens long before anyone writes it down.
Livin Well runs behaviour change programmes for people at risk of things that have not happened yet. We are paid by the people on our programmes and by the employers and insurers who sponsor them. We hold no public contract and take no public money.
What we run
Four programmes, and we are strict about what goes in them.
Every programme is built around one thing a person can change and keep changing. Each runs on a fixed length, with a named coach, weekly contact and a plan the person writes themselves. We do not add a fifth programme because a large customer asks for one.
People find us themselves, through an employer scheme, through their insurer, or because somebody they trust told them to. Nobody is enrolled without asking to be, and nobody is sent to us by anyone.
Steady
Raised blood sugar, raised weight
Nine months of food, movement and habit work for people whose numbers are drifting but who have no diagnosis. Group sessions every fortnight, a coach who does not change, and a plan that survives a bad week.
Sturdy
Strength, balance and falls risk over 65
Twice weekly strength and balance work in local halls and leisure centres, with a home routine that takes eleven minutes. Built for people who have had one fall, or one near miss, and want it to be the last.
Rest
Sleep and alcohol
Sleep and drinking are usually the same conversation, so we run them together. Twelve weeks of structured sleep work, drink tracking without judgement, and a coach who has heard it all before.
Along
Social connection after a life change
For people after bereavement, retirement, a house move or the end of a caring role. Connection is not a nice extra, it moves the same numbers everything else does. Delivered with local groups who were already there.
How a programme runs
A coach, an app, and a check-in that somebody actually reads.
Most prevention fails quietly. Someone signs up, uses the app for nine days, stops, and nobody notices for four months. We built the whole service around noticing.
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Enrolment, in person or on the phone
Forty minutes with a coach. What the person wants, what they have tried, what got in the way. No screening questionnaire dressed up as a conversation.
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A plan the person writes
The coach helps shape it. The person owns it, in their own words, and can change it any week. We keep the words they used.
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Weekly check-in
Two minutes in the app, or a text back, or a call if that suits better. Missed check-ins are the signal, not the failure, and they route straight to the coach.
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Drift review, every six weeks
A coach and a supervisor look at everyone whose direction has changed. Some people get more contact. Some get less because they are fine. Some need something we cannot give them.
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Ending on purpose
Programmes finish. We tell people when, help them plan for after, and check back at three and twelve months. Nobody gets quietly kept on the books.
When someone needs more than us
We are not a clinical service, and the boundary is the important part.
Livin Well does not diagnose, prescribe, treat or triage. Our coaches are trained in behaviour change, not medicine. That is a deliberate limit, and it is written into our terms and into every coach’s training.
But we sit closer to people than most services do, week after week, which means we are often the first to see something change. A check-in that mentions chest pain on the stairs. A drink count that has doubled. Six weeks of answers that have gone flat.
When that happens, the person needs a clinician, and what matters is that the handover actually completes. Not a leaflet, not a suggestion to see a GP, not an email into a shared inbox.
Our handover rule
We do not close a case because we sent it somewhere. The coach keeps contact until we know the person has been picked up by somebody who can actually help them.
What we cannot do is make that happen. We have no contract with any NHS organisation and no standing to ask one to confirm it has accepted a person. So we advise, we follow up, and we rely on the person to tell us how it went. That is the part of this service we are least comfortable with, and we say so out loud because pretending otherwise would be worse.
Where we sit
Three shifts, and we are downstream of all of them.
Care is moving out of hospitals and into places like ours, from paper and phone calls into apps and messages, and from treating illness to preventing it. Livin Well is what that looks like once somebody has to deliver it on a Tuesday morning in a leisure centre.
Halls, leisure centres, community rooms and living rooms in nine cities. Nothing we run needs a hospital site, and nothing we run should be on one.
Weekly check-in in the app, with a text or a phone call for anyone it does not suit. Digital by default, never digital only, because the people who fall out of digital are usually the people we are here for.
Everyone on our books is well. The thing we are working against has not happened yet, and if we do the job properly it will not happen at all.
Each of those shifts moves responsibility somewhere it has not been before. Ours now sits with a coach in a leisure centre in Rotherham, holding somebody every week, who is not a clinician and should not be one. That is the right place for the responsibility. It is also a place with no contract, no commissioner and none of the machinery a hospital has for making sure a handover lands.
For employers and insurers
You are buying an outcome you will never see happen.
Prevention is hard to buy because the win is an absence. We report on what we can evidence honestly: who enrolled, who stayed, what moved, what we handed over and what we know became of it. We would rather bring you an uncomfortable number than a good-looking one.
coaches live and work
since 2021
programme length
- ReportingAggregate cohort reporting only, never named individuals, plus an annual outcomes paper we publish whether or not it flatters us.
- Buying itPer person for employer and insurer schemes, or a monthly subscription for individuals. Sponsored places are billed on completion, not enrolment, because enrolment is easy to fake.
- DataUK only. We hold the minimum we need to run the programme, we tell people exactly what that is, and they can take it or delete it at any point.
- HandoversCounted, reported and never hidden, including the ones where we never found out what happened. Especially those.
- Local deliveryWe hire coaches from the places we work in and pay the real living wage. Community groups we partner with are paid, not thanked.