Resilience Early Screening for Independent Living in the Community
RESILIENCE is a community-based frailty screening and intelligence system built for the NHS. It identifies older adults at risk before crisis, gives them something of genuine personal value from the process, and equips clinical teams with the intelligence they need to respond effectively.
There is a population of older adults in the UK who are too frail to be fully safe at home but not yet eligible for formal NHS or social care support. They fall between the thresholds. They are one fall, one infection, or one carer breakdown away from an acute hospital admission, often avoidable.
The NHS frailty system is reactive. People appear in it when they arrive at A&E or when crisis has already happened. Proactive community identification of frailty risk, before the system has to respond, barely exists at scale anywhere in the country.
For every older adult who loses their independence to an avoidable crisis, there is a family under strain, a carer invisible to health services, and a preventive opportunity that passed without anyone seeing it. RESILIENCE is designed to see it.
RESILIENCE asks older adults about their everyday life in a conversational, voice-first interface powered by Claude Sonnet. They speak freely, in their own words, at their own pace. The AI listens: not just to what is said, but to how it is said. It detects hesitation, minimisation, and the specific fears that prevent older adults from disclosing vulnerability: the fear of being a burden, and the fear of what honest disclosure might lead to.
From a single conversation, RESILIENCE generates a personalised Wellness Guide for the person, a structured clinical referral for the frailty team, and, with consent, a population intelligence signal for NHS commissioners. Three distinct outputs. One dignified, human conversation. Nothing shared without explicit permission.
A voice-first community frailty screen that interprets free spoken responses using Claude Sonnet. Twelve conversational questions across six clinical domains. Adaptive language for four completing-party types. Safety architecture built throughout.
Open tool →An independent observational questionnaire for a nominated carer, linked by consent only. The carer's scores never reach the person; the person's scores never reach the carer. The comparison happens at the clinical layer, where it generates the most value.
Open tool →A structured referral document for the frailty team, centred on a Frailty Profile Radar, a six-spoke diagram that communicates the person's risk profile at a glance. Domain detail, minimisation notes, referral priorities, and a CGA preparation brief.
Open tool →When both a person's screen and a carer's report are available, two profiles overlay on the radar. Agreement confirms clinical confidence. Divergence is a clinical signal, almost always indicating that the person is understating genuine difficulty.
Open tool →A population-level frailty intelligence interface for NHS commissioning teams. Geographic ward-level risk mapping, domain analysis, referral demand forecasting, and an AI-synthesised commissioning brief from the full anonymised dataset.
Open tool →RESILIENCE gives before it asks. Every person receives a personalised Wellness Guide, regardless of what they choose to share with clinical services. The guide belongs to them.
You are the author of your own life. Nothing happens without the person's permission. Every consent layer is granular, revocable, and explained in plain language.
Everyone wants the same thing. The older person, the carer, and the clinical team all want the same outcome: safe, well, and at home, on the person's own terms. RESILIENCE closes the information gap between them.
British Geriatrics Society self-screening frailty identification instrument, embedded invisibly across the twelve screening questions and scored in real time.
Fatigue, Resistance, Ambulation, Illness, and Loss of weight domains mapped across Physical Function, Nutrition, and Medical Burden question categories.
British Geriatrics Society framework informing question categories, clinical domain structure, and referral routing throughout the tool suite.
Finnish Geriatric Intervention Study: multidomain intervention evidence base underpinning the personalised Wellness Guide structure and recommendations.
NHS RightCare Frailty Pathway informing clinical triage logic, referral routing, and priority weighting within the Clinical Referral tool.
Peer-reviewed evidence covering oral frailty indicators and sleep disruption as supplementary clinical domains within the screening architecture.
RESILIENCE is not a research project; it is a clinical tool grounded in validated evidence, with a formal validation study pathway opening through PSSRU at the University of Kent and the East Kent Hospitals NHS Foundation Trust frailty team.
RESILIENCE is for you if you want to stay living well at home and would like to understand what support might help, on your own terms, at your own pace.
RESILIENCE is for frailty nurses, geriatricians, Neighbourhood Health Service coordinators, and GP practices who need to identify at-risk patients in the community before crisis, not after.
RESILIENCE is for ICB commissioners and NHS system leaders who need population-level frailty intelligence to inform commissioning decisions, identify service gaps, and target preventive investment.
RESILIENCE is developed by Assistiv Systems Limited, Faversham, Kent. We welcome enquiries from NHS clinical teams, commissioners, researchers, and potential partners.
hello@resiliencetools.xyz