Brain in Hand

Empowering neurodivergent employees to achieve more with personalised specialist coaching and smart digital tools

Dr Louise Morpeth, CEO

linkedin.com/in/louise-morpeth

UK businesses could gain around £30 billion from improved employee health (IPPR, 2024). Neurodivergent employees experience poorer workplace wellbeing and psychological safety, alongside barriers to support (Birkbeck & Neurodiversity in Business, 2026). Together, these findings highlight the need for scalable, practical, evidence-based support in the workplace.

Brain in Hand (BiH) is a personalised digital support service that helps neurodivergent individuals manage challenges in work and everyday life. BiH combines a structured digital platform providing practical tools and real-time coping strategies, with personalised human support available 24/7 to build confidence, accountability and self-management skills.

BiH helps people manage day-to-day challenges before they escalate, building greater independence and confidence at work and in everyday life, while reducing pressure on wider health and support services. High-quality, independent evaluation shows that BiH helps people feel more supported, improves wellbeing and enables them to manage daily life more effectively.

The impact of BiH in the workplace was evaluated through an SBRI Healthcare supported independent, longitudinal study conducted by the Behavioural Insights Team using a sample of 278 autistic and ADHD employees (including 88 working within NHS settings). Data was collected at baseline, 3 months, and 6 months using validated measures of wellbeing, mental health, functional ability, and work performance, alongside qualitative interviews. Engagement with BiH was high: 74% of participants attended 3+ coaching sessions, and over half of participants were active in the app for at least half of the study period. Consistent engagement was strongly associated with improved outcomes.

Participants who engaged regularly experienced almost double the improvement in wellbeing, while 85% of those who reduced absence had engaged with coaching. Improvements in energy and wellbeing were also linked to greater gains in work performance. This demonstrates that structured, sustained engagement with both digital tools and coaching is a key driver of impact, amplifying outcomes across wellbeing, productivity, and absence reduction.

• In use in 30 sites/Trusts/ICBs/GPs
• DTAC compliant
• Recipient of £1M Innovate UK Combined Investor Programme grant which triggered match funding of £1.6m from investors
• Generated over £1m in employee- support related billings
• Key partnerships with re-sellers and distributors in the employee health and wellbeing sector including Hypertec, Health Partners, Maximus & Remtek
• Winner of a Sunday Times Best Place to Work Award
• Enrolled into UK EDGE Global Business Innovation Programme
• NHS Innovation Accelerator alumnus

• Used by 8,000+ neurodivergent people a year
• Flexible delivery via mobile, phone, video, and email, supporting individuals with varied communication, cognitive, and sensory preferences
• 666 employees started being supported by BIH in 2025/26

An SBRI Healthcare-backed independent, longitudinal study showed:

Wellbeing and mental health

• 48% reported meaningful improvements in wellbeing
• 67% reported reduced stress
• Moderate-to-severe anxiety reduced by 23 percentage points
• 54% reported reduced mental fatigue

Functional ability and daily life

• 38% achieved clinically meaningful improvements in functioning
• Participants reported improved ability to manage day-to-day tasks and work demands

Work experience and engagement

• Participants were 52% more likely to feel confident at work
• Participants were twice as likely to feel energised in their roles
• Qualitative findings showed improved self-awareness, planning, and emotional regulation driving these changes

"I have felt more productive at work because I am more able to prioritise my time and pre-emptively book in rests or time to decompress and also ensure that I'm not overdoing things. This means I've not had any work absences for the past 3 months. This is mostly due to the coaching sessions."

An SBRI Healthcare-backed independent, longitudinal study showed:

Productivity and performance

• 51% of participants demonstrated meaningful improvement in work performance
• Improvements in wellbeing were strongly associated with greater productivity gains

Absence

• 68% of those with baseline absence reduced absence meaningfully
• High-absence individuals reduced absence by approximately 90 hours over a month period

Retention risk

• 45% of employees at high risk of leaving were no longer high risk at 6 months

• Estimated £2,700–£3,400 per employee per year in productivity-related cost savings, increasing to £3,900–£4,700 for consistently engaged users. When combined with reductions in health-related absence, total estimated savings range from £2,400–£3,100 per employee, rising to £7,900–£9,800 in higher-risk groups

August 2026