The digital engine behind modern prehabilitation.
Structured, protocol-driven ergometer training that improves aerobic capacity, ventilatory efficiency, muscular endurance and functional tolerance to physiological stress.
Physiological mechanism of impact
Improved aerobic capacity enhances oxygen delivery during surgical stress, post-operative mobilisation capacity, pulmonary resilience and recovery kinetics.
In practical terms: a physiologically fitter patient tolerates anaesthesia better, mobilises earlier, and experiences fewer post-operative pulmonary complications.
Reduction in post-operative complications
Structured prehabilitation is associated with reductions in atelectasis and pneumonia risk, delayed functional recovery and ICU dependency in high-risk cohorts.
Optimise enables this by standardising intensity, ensuring progressive overload, tracking adherence and response, and providing objective MDT-review data — replacing ad-hoc advice with a repeatable conditioning pathway.
Improved length of stay
Length of stay is directly influenced by functional reserve, early mobilisation capability, and complication burden. By improving baseline fitness Optimise supports earlier mobilisation, reduced deconditioning and more predictable discharge planning.
Objective surgical readiness reporting
Optimise generates session compliance metrics, workload progression data, heart-rate response trends and programme completion summaries — supporting evidence-based MDT decisions, perioperative planning, audit and governance.
Alignment with NHS perioperative strategy
Optimise supports NHS England priorities of pathway optimisation, productivity and prevention — improving surgical throughput, supporting ERAS pathways, and enabling scalable prehabilitation without disproportionate staffing expansion.
Evidence base
The Optimise programme is calculated based on the Wessex Fit-4-Cancer Surgery Trial (WesFit) — a factorial-design, pragmatic randomised controlled trial investigating the effects of multi-modal prehabilitation in patients undergoing elective major intra-cavity cancer surgery.
Standards & assurance
Optimise is delivered under ISO 9001:2015, with UKAS accreditation and Cyber Essentials Plus certification — underpinning clinical safety, data security and reproducibility across NHS estates.