Nutrition service partnership programme

outlineSophie Tully| Nutrition Education Manager& Mina Nazemi | Marketing Director

ABOUT Igennus Healthcare Nutrition• Privately owned, family-run business with four in-house nutritionists

• Leading developer of clinical omega-3 supplements

• 11 years of dedicated clinical nutrition expertise

• We are pioneering UK nutrition education based oncutting edge omega-3 science

• Clinical trials:

– Published double-blind placebo-controlled pilot trial with 100 participants in ADHD (published 2012)

– Ongoing NHS-funded colorectal cancer trial

– Sponsorship of academic lipid research studies (2005 – current)

We are well placed to diversify into nutrition services in partnership

with ViiSana

PROGRAMME OBJECTIVES• Provide a bespoke, expert nutrition service platform to enhance the ViiSana added-value customer offering and help clients to proactively work towards optimal health – and maintaining it

• Take clients on a health ‘journey’, from an initial health assessment and straightforward tips and advice to achieve their health goals, towards more personalised and ongoing tailored nutrition support

• Support ViiSana’s retention goals by giving clients discounts against ongoing nutrition packages, Igennus supplements and partner offers (while they are policy holders!)

• Nutrition support programme suitable for insurance providers and corporate wellbeing schemes

SERVICE OFFERING OVERVIEW• 3-tier model of nutrition services offered by Igennus nutrition scientists & nutrition therapists

1. Entry-level online health assessment following ‘vitality age’ and client goals. Offers a personalised report & 20-minute live chat/video consult

2. 1-hour one-off consults3. Ongoing nutrition support programme

FunctionalityBespoke branded web platform consisting of:• Online health assessment quiz and health report• Client login providing access to: report, nutrition consult booking system via live chat, Skype calls and video•Client accounts are generated when they enter their policy number for the health assessment.• The web health portal can be extended to include a repository of articles on health and wellbeing written by our nutritionists and added-value partner offers

Highly skilled team• Project launch: IT manager, nutrition education manager, marketing director, head of research•Service delivery: in-house nutritionists (initially)

Scalable support• Equipped to handle ViiSana’s projected rate of growth and customer acquisition• Infrastructure and resources to grow as ViiSana grows• Our business is flexible and adaptable

Key features: - ‘Bespoke’ health assessment report generated- 20 minute live chat or video consult with a registered nutritionist

Key features:- A full 1 hour 1-2-1 video consultation - Personalised health recommendations- Lifetime discount on recommended Igennus health supplements

Ongoing support monthly membership package:- Nutrition & health newsletter- Online nutrition articles - Live chat access - Monthly 20 minute video ‘catch-up’ consultations with their nutritionist - Lifetime discount on ‘approved’ health products and services and Igennus supplements

Tier 1 ‘mini’ consultAll ViiSana policy holders (ViiSana funded)

Tier 2 full consult – (Client funded or 50/50 client & insurance company/corporate)

Tier 3 ongoing nutrition support package (Client funded/corporate funded)

General advice

Ad hoc, personalised

Ongoing tailored health

support

TIERED SUPPORT LEVELS

TIER 1 MINI CONSULT - FEATURES

Online health assessment FREE & ‘mini’ consult for all policy holders, funded by ViiSanaA personalised but automated health and nutrition report is generated based on a simple health assessment questionniare completed by the policy holder in the online portal. The automation of their report controls costs and ensures that Igennus maximises client-facing time – offering enhanced value for the client within ViiSana’s budget. The report triggers an invitation to book a 20-minute consultation with an Igennus nutritionist to discuss the report recommendations. This can be held via live chat, or can be more interactive via Skype audio and video calls.

Certain questions can trigger bespoke follow-up actions – for example, high risk clients can be signposted to other health services and encouraged to seek a full consult for more personalised advice for specific health conditions. High risk clients would be offered the chance to upgrade their ‘free’ 20-minute to a discounted one-hour consultation to benefit from a more in-depth and bespoke health plan.

TIER 2: FULL CONSULT – FEATURES

ViiSana earns a referral bonus on full consultations (except ‘high risk’ clients, whereby funding for the ‘mini’ consult is used to subsidise the client fee for a full consult). Expected cost to policyholder: £75.00.

All ‘high risk’ policy holders would be offered a full consult as an immediate upgrade after the health assessment (the funding for the ‘mini consult’ subsidising the cost of the full consult). For all other policy holders, the full consult can be offered after the mini consult – as a follow-up.

An additional, more detailed health questionnaire would be required prior to a full consult, all within the online portal Booking system functionality online within clients’ account Consultations conducted by live video stream within the online platform Consultation includes discussion around key health concerns and the dietary and lifestyle

interventions recommended by their nutritionist Clients receive a full report with summary of recommendations Clients invited to continue with Tier 3 ongoing nutrition support package

TIER 3:ONGOING NUTRITION SUPPORT

Expected cost to client or corporate: £30/month; funding could also be split, whereby companies could subsidise ongoing support. ViiSana earns a % against package & Igennus supplements purchased.

All ViiSana policy holders are offered the option to purchase this package after their initial ‘Tier 1’ consultation.

For a monthly fee, ongoing support package may include:

• Monthly nutrition e-newsletter• Access to the online repository of nutrition articles and tips • Unlimited live chat access for general questions• A 20 minute monthly ‘catch-up’ consultation with their allocated nutritionist • Discount on Igennus supplements • Discount off approved affiliated products and services for the duration of their ViiSana

policy• Affiliated products/services might include: organic veg box suppliers, natural

personal care products, beauty and wellbeing services, health food shop discounts

Supporting the client health journey: future offerings

Life insurance

Health insurance

Corporate wellbeing schemes

Added-value health benefits for all policy holders

Increases average customer lifetime

value

Extended life expectancy defers insurance payouts

LIFE INSURANCE

Poor diet is a key contributing factor in premature death & the leading causes of death are preventable

24% of premature deaths in the UK are due to potentially avoidable causes

Heart disease and cancer are the leading causes of preventable death

1 in 3 deaths in England occurs before the age of 75

103,000 of these could be avoided

Direct benefits to leading causes of early mortality as a result of an ongoing health programme *

48% of programme completers and 47% of non completers lost weight, but completers averaged 2.6 times more weight loss. Improvements in physical activity, eating habits and overall health status reported for completers

Intervention groups had mean [weight] losses from 0.2kg to 6.4kg lower than controls

Participants’ total cholesterol, LDL(‘bad’)-cholesterol, and triglyceride levels decreased and HDL (‘good)- cholesterol levels increased significantly after three-year programme

Workplace interventions can lead to moderate improvements in diet

* http://www.c3health.org/wp-content/uploads/2009/09/Workplace-health-initiatives-review-of-the-evidence-v-1-20111205.pdf

EVIDENCE FOR DIET & LIFESTYLE INTERVENTIONS ON MORTALITYA study conducted to determine the ‘Influence of Individual and Combined Health Behaviours on Total and Cause-Specific Mortality in Men and Women - The United Kingdom Health and Lifestyle Survey’ found:

Methods: The prospective cohort study included 4886 individuals at least 18 years old from a United Kingdom–wide population in 1984 to 1985. A health behaviour score was calculated, allocating 1 point for each poor behaviour: smoking; fruits and vegetables consumed less than 3 times daily; less than 2 hours physical activity per week; and weekly consumption of more than 14 units of alcohol (in women) and more than 21 units (in men) (range of points, 0-4). We examined the relationship between health behaviours and mortality using Cox models and compared it with the mortality risk associated with aging.

Results: During a mean follow-up period of 20 years,1080 participants died, 431 from cardiovascular diseases, 318 from cancer, and 331 from other causes. The effect of combined health behaviours was strongest for other deaths and weakest for cancer mortality. Those with 4 compared with those with no poor health behaviours had an all-cause mortality risk equivalent to being 12 years older.

Conclusion: The combined effect of poor health behaviours on mortality was substantial, indicating that modest, but sustained, improvements to diet and lifestyle could have significant public health benefits.http://archinte.jamanetwork.com/article.aspx?articleid=415827

Added-value health benefits for all policy holders

Preventing illness reduces insurance

payouts

Extended life expectancy

increases revenue

HEALTH INSURANCE

The department of health Live well for longer report identified the leading risk factors that contribute to disease(yellow underline reflects factors prevented by nutrition education)

Added-value health benefits for employees

Healthier & happier staff increases productivity,

reduces sickness & burnout

Improved company performance, reduced sick pay, reduced staff turnover

CORPORATE WELLBEING

Preventable factors behind staff illness

& reduced productivity

Stress1/4 of adults have taken sick leave due to stress; 13.3 million UK working days lost each year due to stress-related illness

Burnout3.2m (13%) adults work

48hrs/week; 16% in South East England

Depressionaffects 1 in 4 people in

their lifeMinor illnesses (including coughs &

colds) accounts for 30% of sickness days

Age sickness absence increases with age

131 million days were lost due to sickness absences in the UK in 2013

Research conducted into workplace health programmes found that an ongoing free health scheme resulted in:

• 27% reduction in sick-leave absenteeism • 26% reduction in health-care costs • 32% reduction in compensation and disability-management cost claims• Approximately 6 to 1 return on investment ratio

FUTURE BOLT-ON SERVICES

• Nutrition & health articles written by Igennus nutritionists (regular contributors to health magazines)

• Meal and menu plans developed by dieticians / registered nutritionists

• Recipes and shopping lists for quick, healthy meals

• Nutrigenomic and functional testing analysis and interpretation

Refine project details

Igennus to demo web platform

Timescales

Commercials

Next steps