Stronger before surgery.
Optimise is a digitally enabled cardiopulmonary rehabilitation platform that shifts structured exercise therapy safely from hospital to community — measurable, auditable, and clinician-led.

Shorter average length of stay
Improved aerobic capacity pre-surgery
Fewer post-operative pulmonary complications
More elective surgical capacity
Precision prehabilitation, delivered at scale.
Built around medically certified ergometry and evidence from the WesFit study, Optimise standardises intensity, ensures progressive overload, and delivers objective MDT-ready data.
Clinician-prescribed
CPET values flow into Optimise. Clinicians review, approve, and monitor patient-specific exercise plans.
Bluetooth ergometer
Patient phone connects to the emotion 900 medical cycle ergometer to deliver the precise prescribed workload.
Cloud-tracked outcomes
Adherence, workload progression and heart-rate response automatically returned for MDT review and audit.
Hospital → community
Move structured exercise therapy out of hospital safely — without disproportionate staffing expansion.
Evidence-based
Programmes calculated from the Wessex Fit-4-Cancer Surgery Trial (WesFit) factorial-design RCT.
Audit-ready
ISO 9001:2015, UKAS-accredited, Cyber Essentials Plus. Reproducible, fundable, research-ready.

Clinical-grade ergometry, in the patient's home.
Paired with the emotion fitness GmbH 900 medical cycle ergometer, Optimise delivers controlled, safe workload prescription suitable for frail and high-risk populations — with precision intensity control and reproducibility across sites.
- Standardised exercise intensity
- Progressive overload, automatically tracked
- Adherence and physiological response data
- Scalable across NHS estates

"The fittest patient recovers fastest."
A physiologically fitter patient tolerates anaesthesia better, mobilises earlier, and experiences fewer post-operative pulmonary complications. Optimise turns that principle into a reproducible pathway.
Read the clinical rationale →
Bring prehabilitation into your perioperative pathway.
Talk to our team about deploying Optimise across your service — from CPET to community delivery.