About us

At Target Health Solutions, we enable healthcare professionals to improve the lives of people of all ages, helping them live longer, healthier, and more independent lives while cutting unnecessary hospital stays. We achieve this with proven and published advanced digital technology that transforms continuity, redefines quality, and sets new standards for efficiency in care.

Our work is grounded in core values that guide everything we do:

• Patient Impact – helping people live longer, better lives.

• Continuity & Coordination – creating seamless, joined-up care.

• Digital Innovation – delivering smarter, faster, and more efficient care.

• Quality & Excellence – holding ourselves to the highest standards, with measurable outcomes.

• Collaboration & Trust – empowering professionals and building trust across teams.

Our Story

In 2013, we were both on the frontlines of hospital care. David was running the acute take as a medical registrar, while James was a surgical registrar. Every day, we faced the same challenge: people with multiple long-term conditions, frailty, dementia, and complex needs arriving in hospital. By mid-afternoon, admissions would flood in. There was rarely enough time to complete investigations and discharge patients safely same day.

Too often, they ended up stuck in hospital, not by choice, but because the NHS was failing them. Fragmented services, siloed teams, duplicated effort, and a lack of joined-up digital systems left staff firefighting rather than preventing admissions. Too much focus was on treating sickness after it happened, rather than delivering timely, proactive care that could have kept people safe and independent at home.

The risks of being stranded in hospital for older people were significant: in the short term, confusion and delirium could arise; in the medium term, they risked losing mobility, independence, and confidence — and for some, they would never go home again.

It became clear that the solution did not lie in hospitals. Real impact required action in the community, with proactive care, rapid same-day responses when crises struck, and systems that could anticipate risk before it became an emergency. We wanted to transform care through continuity, collaboration, and innovation, empowering healthcare professionals to support people to live longer, healthier, and more independent lives. So we re-trained as GPs.

From Hospital to General Practice

On qualifying in 2016, we began exploring predictive modelling. The data was striking. A third of hospital admissions came from general practice, and a third of those were older, housebound patients or care home residents. Yet this group represented just 2% of GP home visits. We reviewed the cases to identify high-risk presentations. The vast majority were classic frailty syndromes.

So we set up a targeted urgent home visiting service, using these high-risk presentations as our referral criteria. Working side by side with GPs and community teams, we reached patients early in the day, before small problems became emergencies. The difference was immediate. Some crises were averted at home, while those who did need hospital care arrived earlier, were clerked before lunch, and left with a much better chance of going back to their own homes.

Yet even with this early intervention, the bigger picture remained. There was still no way to manage frailty and long-term conditions systematically across the population, and no reliable method to track and support those most at risk before they became emergencies.

The Birth of the Pathfields Tool:

In 2019, we joined forces at Pathfields Medical Group, a forward-thinking practice exploring population health management. James was already leading innovative work connecting general practice and hospital specialists for long-term condition management. Together, we realised we shared the same vision: digital innovation, data-driven decision-making, and collaboration could transform the management of frailty and chronic conditions. These early conversations became the foundation of Target Health Solutions.

That year, we developed the Pathfields Tool, an advanced digital solution to systematically identify frailty in primary care by scanning for risk factors such as age, dementia, care home status, housebound status, and functional decline. Each patient was assessed and added to a dynamic frailty register, updated annually. Over time, we refined it further, distinguishing frailty from disability and reducing false positives. Published in Age and Ageing, this work proved invaluable during the pandemic, allowing us to reach the most vulnerable patients with food, medicines, and social support during lockdown.

Transforming Frailty Care: The UK’s First Commissioned Population Health Strategy

With identification solved, the next challenge was management. In 2021, David, working closely with commissioners in Devon ICB, designed and launched the UK’s first proactive, population health management frailty service: iCOPE (Integrated Care for Older People). The programme brought together multi-disciplinary teams from health, social care, and the voluntary, community, and social enterprise sector. Using the Pathfields Tool to identify frailty, these integrated teams delivered comprehensive geriatric assessments (CGA), giving older people lifelong continuity and truly coordinated, proactive care tailored to their needs.

The CGA Challenge: Too Slow, Too Variable, Too Hard to Scale:

However, delivering CGA in the community proved far from straightforward. Three big challenges stood in the way:

• Quality – Across the country, even in specialist centres, the quality of CGAs varies. Poorer quality means poorer outcomes
• Skills – Most of the community workforce wasn’t trained in CGA, The only professionals routinely skilled in chairing MDTs and coordinating CGAs were geriatricians – and the UK was already short of nearly 1,800 of them. In Plymouth, there were virtually none working in the community.
• Time – CGAs are powerful but they are time-intensive.

The question was clear: how could we upskill the existing workforce and enable them to deliver consistent, high-quality CGAs at scale, while maintaining continuity across GP, community, hospital, and urgent care settings?

Introducing iCGA: IT-assisted Comprehensive Geriatric Assessment

That challenge became a new mission for Target Health Solutions, and the solution was iCGA — an IT-assisted Comprehensive Geriatric Assessment, now in its third generation: iCGA V3.0. It transformed how teams work together and care for older people by being grounded in our core values:

• Building trust and consistency – sets a minimum standard for every CGA and guides staff to deliver it confidently, highlighting the high-value interventions that make the biggest difference.
• Empowering teams – automates time-consuming tasks, freeing clinicians to focus on person-centred care while upskilling the workforce and enabling complex care coordination.
• Enabling collaboration – pulls together SystmOne data across GP, community, hospital, and urgent care settings, ensuring continuity and joined-up care across multi-disciplinary teams from health, social care, and the VCSE sector.
• Driving measurable impact – helps teams track outcomes in real time, prevent unsafe prescribing, and flags at-risk patients, ensuring care is targeted where it matters most.

Proven outcomes:

As part of our commitment to trust, we went out of our way to demonstrate impact through robust research and independent analysis, showing that our approach delivers real, measurable benefits for older people. The results speak for themselves:

• Living longer: Peer-reviewed and published data show a 39.6% survival advantage for older people under proactive, coordinated care. People aren’t just surviving — they’re thriving for longer.
• Living better: Our over-70 population is growing, but this increase is driven by those who are fit or only mildly frail. Advanced frailty is falling, meaning more years are spent independent and well. We’re adding life to years, compressing ill health into the final months.
• Reduced ED attendances: Since 2019, care homes have seen a 41% reduction in ED visits, and overall 75+ attendances have dropped 25.4%, according to independent ICB analysis. Proactive identification and timely intervention are keeping people safe at home and out of hospital.

Our Mission

iCGA V3.0 isn’t just technology; it’s the backbone of proactive, population-level frailty care. It embodies our promise that older people should live longer, healthier, and more independent lives — and that every clinician, commissioner, and care partner can trust the system to deliver consistently excellent, coordinated care.

At Target Health Solutions, this is our mission and with iCGA V3.0, we’re just getting started. Because this isn’t the only tool in our kit. in THS, we harness digital innovation, population health insights, and joined-up care to support everyone, from the dawn of their lives to the twilight of their lives.

Our goal is clear: empowering healthcare professionals to deliver proactive, personalised care that maximises independence, enhances wellbeing, and ensures people spend more time truly living life on their own terms.

THS Founders