Scaling Group Therapy Provision

The Challenge

NHS therapy services face a structural crisis: demand for structured, multidisciplinary rehabilitation is growing faster than workforce capacity can accommodate.

For MSK, pulmonary, cardiac, stroke, and mental health services, the gap between referrals and available appointments is widening every year.

Outdated technology and commissioned service models means teams are under-equipped to provide the minimum recommended multidisciplinary therapy intensity to patients.

0 M

People on NHS waiting
lists for treatment
(Nov 2025) 

0

Mental health referrals
per month – 40% higher
than 2019

0 %

Cardiac rehab
programmes meeting
national certification (2024)

Just a few groups that can be
scheduled with autonom-e

Neuro Rehab Online

Café NROL

Cogs in Action

Cogs in Motion

Fatigue Management

Living Well

NROL with It

Upper Limb

Your custom groups

Cardiac
Rehab

Psychology

Post-cardiac fatigue education

Circuit exercise

Return to work

Your custom groups

Pulmonary Rehab

Breathlessness psychology

Breathlessness mgmt

Resistance training

Pacing and activities

Your custom groups

Frailty
Support

Cognitive frailty

Energy conservation

Strength training

OT daily living

Your custom groups

How group therapy can help

A single clinician delivering an 8-week virtual group therapy programme to 10 patients generates the same throughput as 80 individual appointments — without proportional cost increases or the need to travel.

The challenge is with coordination: scheduling cohorts, capturing PROMs across groups, managing reminders, and reporting outcomes at the service level.

Autonom-e provides the digital infrastructure that makes group therapy possible and scalable whilst reducing administrative burden, improving workforce utilisation and the patient experience.

Each session is scheduled, patients are automatically notified, PROMs are captured before and after each block, and outcomes are available in real time on the clinician dashboard.

Co-ordinating group therapy:

Referral & Triage

Cohort assignment

Session scheduling

Automated reminders

Monitoring & review

Discharge & PIFU

Platform Features for group therapy services

Patients can be referred from primary care, from external referring teams across a region, or via self-referral if enabled.

Referrals sent directly to autonom-e are encrypted at rest and in transit.

Entry assessments can be configured for different pathways to support initial triage and stratification into group cohorts. 

Pre- and post-programme PROM capture to measure group-level and individual outcomes.

Create blocks of weekly group therapy sessions in advance from the clinical dashboard. Triage patients and assign to appropriate groups based on external referral recommendations.

Assign facilitating staff & tech support to each session. Sessions automatically push to each patient’s app with date, time, format, and joining instructions.

Automated PROM dispatch on entry and exit of therapy programmes collects outcomes to demonstrate change in health.

Recorded attendance allows staff to monitor uptake, throughput, DNA rates, and ROI for every hour of staff time spent delivering care.

Cohort-level outcomes dashboards showing improvement trends across group programmes. Individual patient progress visible within the group context. Export clinical reports directly to electronic health records (e.g. SystmOne).

Service-level data to support commissioning decisions, business cases, and NICE compliance reporting. Cost-effectiveness modelling data to demonstrate value to ICB commissioners.

Configurable digital resource library aligned to each group programme (condition-specific written, audio, and video content). Signposting to peer support, local services, and third-party providers within the app.

Translatable resources supporting diverse and multilingual populations. eDiary tools for symptom tracking, goal-setting, and exertion monitoring between sessions

Why choose autonom-e for group therapy?

1. Configurable to your pathway

Tailor group programme structures, eligibility criteria, PROM bundles, session formats, resources, and branding to match your service design – without expensive bespoke development.

2. Reduces administrative burden

Digital scheduling, automated patient notifications, and pre-session PROM capture eliminate paper, postage, and manual data entry. One NHS Trust reported saving several hours of administrative work per week.

3. Reduces waiting times

Patients complete assessments before their first appointment, cutting waiting time by up to 14 days in documented NHS deployments. Group format multiplies throughtout without multiplying clinician time.

4. Scalable across organisations

Supports single-service or multi-site deployments across ICBs, NHS Trusts, community providers, and VCSE organisations – with each site maintaining its own configuration and branding.

5. Evidence-ready

Capture group-level and individual outcomes data to evaluate service impact, demonstrate cost-effectiveness to commissioners, and support research bids or NICE submissions.

6. Supports health equity

Multilingual resources, accessible app design, and professional referral routes for patients with digital access needs reduce barriers to engagement across diverse populations.

Measure KPIs before and after each programme

Autonom-e enabled teams to track key KPIs to monitor health outcomes, staff planning, session availability, and export commissioner-ready reports for each block of therapy

Co-ordinate and delivery group therapy at scale, seamlessly

Autonom-e’s group scheduling, automated reminders, and real-time dashboards are designed to keep performance visible week by week – so course corrections happen in minutes, not months

Demonstrate ROI to support recommissioning

When commissioners ask for outcomes against expenditure, autonom-e provides service audit ready reports to demonstrate patient outcomes, attendance rates, staff cost at the click of a button.

Outcomes

98.5%

Clinician hours saved when comparing group therapy to 1:1 for a 6-week multi-disciplinary programme

83%

Reduction in clinician time on virtual assessments (Airedale & Bradford)

96%

PROM completion rate across patient cohorts (Airedale & Bradford)

“We are delighted to see NROL awarded this [SBRI] funding. The programme has already delivered remarkable outcomes for patients and this funding will help us provide even more support for those in need. It’s essential for stroke survivors to know that they can regain control of their recovery journey and NROL plays a vital role in empowering them”.

Jenny Clarke, CEO of SameYou

“Since adoption, people with Long COVID have their initial screening three weeks
faster on average, meaning they are triaged and added to the waiting list 3 weeks
sooner. Administration report a 90% reduction in time spent supporting screening.
Clinicians have a 50% reduction in the time taken to triage each person”.

NHS Lanarkshire Health Board

“The app was so straightforward and easy to use, probably one of the easiest apps I’ve had to use. Everything is pretty self explanatory”.

Patient supported through NROL

 

“I think it’s quite a clean looking interface. It’s in rows. I can see when all my appointments are easily”.

Patient supported through NROL

“It’s laid out well and easy to find what you’re looking for”.

Patient supported through NROL

“The knowledge and information through the app is helpful”.

Patient supported through NROL

“I’m not very tech…but that’s (the app) simple to do”.

Patient with cognitive difficulties supported through NROL

“The app is fairly easy and straightforward to use and means I can see the group sessions I am running and which patients are in the session much quicker than using the old spreadsheet and filters system”.

NROL Therapist in Lancashire & South Cumbria

“Training demonstrated useful features, such as finding info for referring therapist/trust as a point of contact, if the treating SLTs require feedback on patient presentation in group therapy”.

NROL Therapist in Lancashire & South Cumbria

“The app has been a game-changer, reducing the patient’s waiting time massively”.

Cambridge & Peterborough NHS Foundation Trust 

“Waiting times for first appointment reduced by at least 2 weeks”.

Cambridge & Peterborough NHS Foundation Trust

“Since adoption, people with Long COVID have their initial screening three weeks faster, on average, meaning they are triaged and added to the waiting list 3 weeks sooner”.

NHS Lanarkshire Health Board

“Clinicians have easy access to questionnaires and summary reports with a 50% reduction in the time taken to triage each person”.

NHS Lanarkshire Health Board

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