Prepare To Repair

An innovative platform that optimises patients before surgery, using technology to create individualised prehabilitationprehabilitation programmes.

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The Benefits of Prehabilitation

Surgery complications affect 15-40% of patients[1], but many of these risks can be minimised through effective prehabilitation. Think of prehabilitation as the preparation phase before surgery, helping patients get in optimal shape for their procedures. It's been proven to reduce complication risks by an impressive 51%[2] and trim hospital stays by 2 days[3]. This translates to potential annual cost savings of £7 billion in the UK alone.

Illustration showing a graph with a reduction of 51%

Reduces complications by 51%[1] and shortens hospital stays for all patients by 2 days

Illustration showing a hospital building and a figure of £7bn

Potential annual cost saving of £7 billion across UK healthcare providers

Illustration of a clock, a person and an arrow representing improvements in health indicators

Improvement in short and long-term health indicators

PreActiv for Better Health

Preparing for medical treatment has been proven to reduce the risk of complications and improve patient recovery.

Our doctor-designed, evidence-based programmes help patients take control of their health, all from the comfort of their own homes.

Our easy-to-use programmes are tailored to individual patients, meaning that anyone of any age can prepare to repair without having to come to hospital.

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Illustration showing a graph with a reduction of 51%

Personalised Prehabilitation

PreActiv's technology builds bespoke programmes that progress based on the individual patient's needs and abilities. We use a number of behavioural change methods to maximise adherence.

Illustration of a hospital and a calendar showing 8 days


PreActiv costs 84% less than in-person or telemedicine programmes. Our approach removes the need for hospital visits, reducing pressure on healthcare providers and contributing to the UK's net-zero targets.

Illustration showing a bed with a clock showing 8 weeks

Positive Social Impact

PreActiv widens access to effective prehabilitation and reduces health inequalities. Our highly accessible platform can be accessed any time and from anywhere.

Meet Your Targets

The NHS mandates the implementation of the 'Earlier screening, risk assessment, and health optimisation in perioperative pathways' guideline from April 2024, driven by the compelling evidence of prehabilitation's benefits. These include enhanced health outcomes, fewer cancellations, reduced complications, shorter hospital stays, and increased eligibility for day surgery.

PreActiv is your partner in meeting these guideline targets and optimising patients so the above benefits are realised. We prioritise GDPR compliance and data security. Our programmes align with the WHO physical activity criteria, preparing patients for their procedures and improving outcomes, long-term health, and quality of life. Invest in a healthier future with PreActiv.

How many of your patients undergo major surgery each year?


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Icon of people representing patients suffering complications

Number of patients suffering a complication


Based on a
30% complication rate[1]

Icon of currency symbols representing the total cost of complications

Total cost of complications


Based on an average complication costing £30,800[4]

Icon of a downward graph representing cost savings from effective prehabilitation

Costs saved with effective prehabilitiation


Based on prehabilitation reducing the risk of complications by 50%[2]

Icon of a person in bed representing the number of bed days saved through effective prehabilitation

Bed Number of bed days saved with effective prehabilitation


Based on effective prehabilitation reducing hospital stay by 2 days[3]

Figures are estimated based on UK research

Get in touch to use our economic calculator for a bespoke quote and see how PreActiv can save your organisation money and improve its efficiency.

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PreActiv co-founders, Rebecca and Alec

About Us

1.6 million people undergo major surgery each year in the UK, and without optimisation many of them will suffer avoidable harm from complications.

Our co-founders have over 25 years of clinical experience in the NHS as senior doctors and recognised this problem needed fixing urgently. They formed a group of motivated healthcare professionals, a senior tech team and an experienced management board in order to use technology to address this.

PreActiv is the scalable and cost-effective solution to the widespread adoption of effective prehabilitation.

Prepare to Repair With PreActiv

Let us show you further how PreActiv can help your organisation prepare patients for treatment, improve results, reduce complications and lower costs.

Patients love PreActiv

Here's what My PreHub users have to say about prehabilitation with PreActiv

I really enjoyed the videos and found watching each exercise very helpful, especially in positioning and pacing. Also, I really liked the stopwatch and instructions to pause between each exercise. Hannah, 68
This was a really easy to follow course and felt encouraged throughout. It was so much better having a video to follow rather than written notes or pin men drawings. It was set at a realistic level and good to have a more mature “instructor” as it made it feel achievable Amari, 71
I thoroughly enjoyed doing it, and it certainly made me concentrate. A good start to the day to focus on general fitness. Molly, 64
Probably useful exercises to do forever! Sunita, 75
I thought the exercises were very good. It made me very aware of how bad my balance is after my knee replacement. So I am still working on that! Omar, 82

Latest From The Blog

Our Partners


[1] Durrand J, Singh SJ, Danjoux G. Prehabilitation. Clin Med (Lond). 2019 Nov;19(6):458-464. doi: 10.7861/clinmed.2019-0257. PMID: 31732585; PMCID: PMC6899232.

[2] Barberan-Garcia A, Ubré M, Roca J, Lacy AM, Burgos F, Risco R, Momblán D, Balust J, Blanco I, Martínez-Pallí G. Personalised Prehabilitation in High-risk Patients Undergoing Elective Major Abdominal Surgery: A Randomized Blinded Controlled Trial. Ann Surg. 2018 Jan;267(1):50-56. doi: 10.1097/SLA.0000000000002293. PMID: 28489682.

[3] Fong M, Kaner E, Rowland M, Graham HE, McEvoy L, Hallsworth K, Cucato G, Gibney C, Nedkova M, Prentis J, Madigan CD. The effect of preoperative behaviour change interventions on pre- and post-surgery health behaviours, health outcomes, and health inequalities in adults: A systematic review and meta-analyses. PLoS One. 2023 Jul 5;18(7):e0286757. doi: 10.1371/journal.pone.0286757. PMID: 37406002; PMCID: PMC10321619.

[4] Average calculated from:

Daniels I, Tuson R, Hargreaves J. What are the financial implications of an open right hemicolectomy to hospital trusts within NHS England? A cost analysis BMJ Open 2021;11:e053187. doi: 10.1136/bmjopen-2021-053187.

Cosic L, Ma R, Churilov L, Debono D, Nikfarjam M, Christophi C, Weinberg L. The financial impact of postoperative complications following liver resection. Medicine (Baltimore). 2019 Jul;98(27):e16054. doi: 10.1097/MD.0000000000016054. PMID: 31277099; PMCID: PMC6635160.

Haidar S, Vazquez R, Medic G. Impact of surgical complications on hospital costs and revenues: retrospective database study of Medicare claims. J Comp Eff Res. 2023 Jul;12(7):e230080. doi: 10.57264/cer-2023-0080. Epub 2023 Jun 23. PMID: 37350467; PMCID: PMC10508298.

Healy MA, Mullard AJ, Campbell DA Jr, Dimick JB. Hospital and Payer Costs Associated With Surgical Complications. JAMA Surg. 2016 Sep 1;151(9):823-30. doi: 10.1001/jamasurg.2016.0773. PMID: 27168356.

Landais A, Morel M, Goldstein J, Loriau J, Fresnel A, Chevalier C, Rejasse G, Alfonsi P, Ecoffey C. Evaluation of financial burden following complications after major surgery in France: Potential return after perioperative goal-directed therapy. Anaesth Crit Care Pain Med. 2017 Jun;36(3):151-155. doi: 10.1016/j.accpm.2016.11.006. Epub 2017 Jan 16. PMID: 28096064.

Weinberg L, Ratnasekara V, Tran AT, Kaldas P, Neal-Williams T, D'Silva MR, Hua J, Yip S, Lloyd-Donald P, Fletcher L, Ma R, Perini MV, Nikfarjam M, Lee DK. The Association of Postoperative Complications and Hospital Costs Following Distal Pancreatectomy. Front Surg. 2022 May 30;9:890518. doi: 10.3389/fsurg.2022.890518. PMID: 35711711; PMCID: PMC9195500.

Weinberg L, Aitken SAA, Kaldas P, Fletcher L, Lloyd-Donald P, Le P, Do D, Caruana CB, Walpole D, Ischia J, Ma R, Tan CO, Lee DK. Postoperative complications and hospital costs following open radical cystectomy: A retrospective study. PLoS One. 2023 Feb 24;18(2):e0282324. doi: 10.1371/journal.pone.0282324. PMID: 36827411; PMCID: PMC9956632.

Zogg CK, Ottesen TD, Kebaish KJ, Galivanche A, Murthy S, Changoor NR, Zogg DL, Pawlik TM, Haider AH. The Cost of Complications Following Major Resection of Malignant Neoplasia. J Gastrointest Surg. 2018 Nov;22(11):1976-1986. doi: 10.1007/s11605-018-3850-6. Epub 2018 Jun 26. PMID: 29946953; PMCID: PMC6224301.

Zoucas E, Lydrup ML. Hospital costs associated with surgical morbidity after elective colorectal procedures: a retrospective observational cohort study in 530 patients. Patient Saf Surg. 2014 Jan 3;8(1):2. doi: 10.1186/1754-9493-8-2. PMID: 24387184; PMCID: PMC3884119.

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