AssuranceOur clinical safety case, device class and DTAC status are published in full below, including what is not done yet
Support that starts the night someone asks for it
Most digital mental health stops at self-help and hands the hard cases back. InsideOut® runs the whole path, from a first message at 2am to a named clinician taking responsibility when risk appears.
Talk to someone clinicalHero photograph
One real image, full bleed right. See the brief in docs/IMAGE-BRIEF.md
What we can evidence today
Clinical assurance
- Medical device class
- —
- DCB0129 clinical safety case
- —
- DTAC
- —
Data and information governance
- DSP Toolkit
- —
- ICO registration
- —
An em dash means we have not published it yet. We would rather show you the gap than a number you cannot check.
Two buyers, one pathway
NHS and ICB commissioners
- A waiting list you are accountable for
- Talking Therapies access and recovery standards
- A clinical safety case that has to survive scrutiny
- Digital-first that does not hand risk back to you
One pathway
The same four steps, the same clinical governance, and the same named accountability on deterioration. Who pays changes. What happens to the person does not.
Employers
- Absence and presenteeism you can put a figure on
- An EAP nobody rings
- Duty of care that stops at a phone number
- Something your people will actually open at 2am
The four steps, and who holds each one
A commissioner should be able to name all four and say who is accountable on deterioration without asking us. That is the point of this section.

Step 1
Remi®, the same night
Sub-threshold and mild
Someone types the first message at 2am and gets a reply that knows what to ask. No referral, no triage queue, no waiting for office hours.

Step 2
Guided courses
Mild to moderate
Structured CBT-based courses a person works through at their own pace, with their progress visible to the clinician who picks them up if it stalls.

Step 3
Talking therapy
Moderate
Booked sessions with a qualified therapist, held inside the same record so nothing has to be repeated from the start.

Step 4
Clinical escalation
Moderate to severe, and risk
Where risk is identified, a named clinician takes responsibility and the case moves into clinical care. This is the step most digital products do not have.
Work out what the wait costs you
Move the sliders to your own figures. Every assumption is listed, every source is named, and there is no email wall in front of the answer.
Your own waiting list figure.
InsideOut® assumption, not a published figure.
Weeks of waiting removed
8,640
On these assumptions, 480 people could start tonight rather than wait.
- Blended cost per episode
- £425
- Clinical hours released
- 2,352
How this is worked out
people who could start now = waiting list x suitable for digital-firstweeks of waiting removed = people who could start now x average waitblended cost per episode = 65 + (0.3 x cost per episode)clinical hours released = people who could start now x 0.7 x 7
- Average wait default of 18 weeks: NHS Talking Therapies access standard.
- Cost per episode default of £1,200: PSSRU Unit Costs of Health and Social Care 2023.
- Suitable for digital-first, the 0.3 in the blended cost, and the 0.7 and 7 in hours released are InsideOut® assumptions. They are not published figures and you should change them to your own.
Outcomes, with the instrument named
Three measures, each with the instrument it was taken on, the source it came from, and where it currently stands. These are measured and in evaluation, not unmeasured, and the row says which.
- Reliable improvementPHQ-9
- —In preparationInsideOut®, Service evaluation, in preparation, 2026. n = —
- Reliable improvementGAD-7
- —In preparationInsideOut®, Service evaluation, in preparation, 2026. n = —
- Change in day-to-day functioningWSAS
- —In preparationInsideOut®, Service evaluation, in preparation, 2026. n = —
- Assurance claim
- Every figure on this page names the instrument it was measured on. Ask any other supplier for the same and see what comes back.Reference sweep of thirteen competitor and adjacent sites, 2026-09-10.
Cohort and n publish with the evaluation. Until then these rows stay empty rather than carry a figure we cannot stand behind in a meeting.
What people said
Permissioned quote
Blocked: §7 requires permissionOnFile and permissionDate per quote.
Governance and clinical safety
- Medical device class
- —
- DTAC
- —
- DSP Toolkit
- —
- DCB0129 clinical safety case
- —
- ICO registration
- —
App in use
Real photograph or a 390x844 capture. See docs/IMAGE-BRIEF.md
If you are here for yourself
You do not need a referral to start
Download the app and send one message. If your employer or your NHS service has given you an access code, it goes in on the first screen.
Get the appGuides, evidence and the podcast


Twelve guidesBurnout, trauma, menopause, bereavement, financial anxiety and more. Free, no email wall.Evidence pack
P2: gated PDF.
Podcast
P2: episode index.
Thirty minutes with someone clinical, not a salesperson
Bring your waiting list and your own figures. We will tell you which of the four steps we can carry for you and which we cannot.
Get a demo