NHS Problem

Long-term conditions are an expensive and growing problem for time- and resource-limited primary care providers primary care providers. They account for 70% of all health and social care spending in the UK. 30% of people with long-term physical conditions have mental health problems that greatly increase morbidity and mortality and almost double treatment costs. However, mental health symptoms are often misattributed to physical conditions, and limited psychological support is available through the NHS as demand exceeds supply 

The Solution

Supported self-management can prevent people from falling through the cracks in primary care. juli is a digital platform co-designed to empower people to self-manage their mental and physical health, enhancing usual care. The platform helps people monitor and understand their condition by combining various data streams to create a holistic summary of their health and well-being. It uses AI to forecast health trajectories and provide personalised micro-behavioural changes that drive health improvements while reducing the risk of exasperation. juli is proven to reduce symptoms across two randomised controlled trials in over 300 people with depression and asthma.  


juli is freely available on Apple and Android app stores and has around 30,000 users acquired via organic growth since 2020. We have completed two fully remote, randomised controlled trials with University College London in populations with depression and asthma (n>300). Both trials showed juli significantly reduced symptoms compared to an attention-placebo control group.  

By supporting self-management in primary care, juli can improve people’s symptoms, well-being, and self-efficacy while helping them understand and engage in shared treatment decisions with clinicians. These improvements can lower healthcare utilisation through a single, evidence-based platform rather than the influx of condition-specific point solutions with unclear effectiveness currently overwhelming NHS providers. juli reduces costs and pressure with minimal infrastructure or staff time requirements. This light-touch approach to tackling the most expensive problem in healthcare can reduce the mounting pressure on overworked primary care practices currently causing burnout and staff shortages.