Puffell is a digital wellness platform that was co-created with over 1,000 citizens, commissioners, and service providers. It aims to help people live healthier, more independent lives by allowing them to track lifestyle goals, connect with social support networks, and access tools and resources. Puffell collects anonymous usage data that can help public services better understand behaviors and needs to predict demand and allocate resources more efficiently. The document outlines several case studies of how Puffell has helped individuals make positive changes to their health and wellbeing.

1. In my life, my community, my work!
The innovative new
digital wellness
ecosystem at
the forefront of
supporting people
to live well.

2. Puffell is a public health and NHS collaborative
response to creating a new future. Our partners are
redesigning communities to be less dependent on
services and interventions and supporting people and
places to flourish.
Lifestyle data combined with de-siloed behavioural
goal setting helps us reduce the burden of illness, loss
of aspiration and support our journeys for growth,
prosperity and happiness.
Puffell will help our public services to:
• Recognise wellbeing patterns
• More accurately predict
lifestyle determinants
• Create pro-active services which help
people avoid becoming unwell
• Support asset based
community development
• Create a genuinely effective
and efficient service.
Designedinpartnershiptosupport:Personalisation,
Prevention,Wellbeing&Integration
One life
One Place
One step at a time
#MakeBetterHappen

3. Our research shows...
• People want to do more for themselves but
are currently service dependent
• People distrust local authorities
and government
• People have great aspirations for their kids
• People are fed up of the traditional care in
which organisations and departments don’t
talk to each other and are disconnected.
Co-created with over a thousand citizens,
commissioners and service providers, Puffell, a
name derived from the phase ‘pathways for life’
provides the tools and support needed to equip
people to understand their own priorities, set
goals and make journeys to change the things
that impact how well they live.
Puffell helps people view their health,
wellbeing and live holistically – instead of in
silos. Creating an Integrated Pathway For Life.
Puffell’susersaretaking
ownershipandresponsibility
fortheirownlives,health,
wellbeingandaspirations.
Puffellcanmeasurethese
changes,tohelpservices
makeprovisionandsupport
decisionsbasedonanonymous
behaviouralevidence.
Users can set priorities to
start to manage anything
from activity, healthy eating,
long term conditions, smoking
and alcohol consumption;
with things like money and
debt management, work and
worklessness, education and
much more coming soon.
MacBook Pro

4. We know the power of
marginal gains; each step
counts and builds. It builds
sustainable behaviours and
positive habits in a host of
areas including: alcohol,
mental health, smoking,
obesity and physical activity.
Puffell increases people’s
ability to get creative and
innovative about their journeys
of change. Journeys which will
best support them to get back
to work, get healthier and live
resilient and self-sufficient lives.
Behavioural tools Social networks
As a result local economies
begin to flourish –
transforming villages,
towns and cities.
We know one of the key
impacts on happiness is
healthy social networks, both
on and off line - how people
join up and how they have the
opportunity to interact. Puffell
builds on this, encouraging
and nurturing appreciative
communities in which people
not only communicate but are
able to form networks where
they work together to achieve
common goals, for themselves
and their wider community.
Puffell gains such an
understanding of each
individual that it knows who
needs service support and
those who have the ability
to self-manage. This means
that services can focus their
resources on only those who
needtheirsupport,reducingthe
service demand and ensuring
people’s needs are met.
MacBook Pro

5. Currentusersareallages,andsociodemographicranges.
With54%femaleand46%male,ouryoungesttrackerof
healthyweightis14andouroldestsmokingtrackeris77.
Over 28% of users set goals and track changes to their
lifestyle.
The remarkable evidence is that of the users tracking:
Some early insights and outcomes Using data to know when to engage
and nudge people on their journey
Forexample,userdatashowsthatyoungmalesmokersaged
15-25arehavingthefirstcigarettewithin5minutesofgettingup,
whereasthisismorecommonamongfemalesmokersaged36-45.
Smoking services that use Puffell as an
integrated support

6. Whether individuals are using
a service, using Puffell on their
own or as part of a group, they
can utilise many of the trackers,
tools and resources, as well as
connecting with many other
people in their community who
are also working on changing
similar behaviours.
The data that is captured
is rich, anonymised
and current. Users are
encouraged to share their
data with public services,
to allow the Local Authority
and NHS to better predict
the current and future
needs. This provides deep
and current insight around
behaviours and how people
can be more effectively
supported to change.
Predicting future demand
enables services to create
effective allocation of
resources, empowering
them to build teams beyond
their own payroll. It also
breaks down silos and builds
resilience, while reducing the
costs of delivering positive
outcomes for a growing
community.
Dynamic wellness model
Capability = measuring individual, community
and national resilience
Community
independence
Individual self
functioning
reducing the
burden on
public sector
Based on Nef Dynamic Model of well-being
Seaford, C. (2010) Well-being: Human well-being and priorities for economic policy-makers. New Economics Foundation.
[Online] Available at http://b.3cdn.net/nefoundation/10ca56de94701c7fc4_qfm6bhi4r.pdf
Personal
Resources
Organisational
System
Good function
in community
Positive
living
Public Sector
services and
asset based
community
development
MacBook Pro
Data power

7. Sandy is a single mum
with three children.
Sandy’s world was shattered
when her husband and little
boy died. She struggled to
cope with normal life and the
thought of a future without
them.
As a result she was
overweight, her self esteem
was ‘through the floor’, she
didn’t exercise, didn’t really get
out and struggled with staying
positive.
Sandy was one of the first
members of Puffell. She
embraced it, filled in the
‘About Me’ assessment and
joined some of the groups -
including the running group,
even though she had never
run before.
Sandy would say that her life
has been transformed and
she achieved it all without
any service interaction. She
did it all by herself, with
the support of others who
were looking to make similar
changes.
Puffell can’t take the credit
for ‘changing Sandy’ - she
did that herself and that
achievement belongs to her.
What Puffell did was play a
part in activating and
supporting change online
and connecting Sandy with
people like her who she
could join up with offline. It
was a catalyst and provided
support to help an individual
to value themselves, to see a
better way of life and achieve
that way of life.
In the first six months she
has been on Puffell, her life
has changed. She has lost 3
stone in weight, now goes to
the gym and runs 2-3 times
a week with a number of
local mums.
Sandy even set up a small
business, that she could run
from home while caring for
her other children.
Afterallofthesechanges,
Sandynoticedthatthemost
significantchangewasher
abilitytocopeandherself
esteem.Shefeelsconfident
aboutherselfandtherefore
confidentaboutwhatshecan
do.Sheasksforhelpwhen
sheneedsitandoffersadvice
andsupporttothosewho
havebeeninherposition.
The next job for Sandy is
to maintain what she has
achieved and hopefully
with the help of her Puffell
friends, she will not only
do that but inspire others
to realise that they too can
change things for the better.

8. Development History
June 2013 - Launch CORE Puffell beta
in Wirral
Sept 13 – March 2014 - Development
of a national approach to Puffell pilot
March14 - Agreement from
9 LAs to partner, first draft
PHE submission
June 14 – present - CAMHS dashboard
design, co-creation and build with
Slough Borough Council (self-harm)
Sept 14 – Dec 14 – build local
dashboard pilot for Rochdale Borough
Council connected to Health Smart
programme
Sept 14 - Dec 14 – Cancer info deck for
Rochdale Borough Council
Sept 14 - Dec 14 – Stroke info deck for
Rochdale Borough Council
Sept 14 – Dec 14 – Healthy Eating deck
for Rochdale Borough Council
Sept 14- Feb 15 – Childhood Asthma
and viral wheeze deck NHS England
Thames valley
Sept 14 – May 15 – COPD deck design,
co-create and build with West Cheshire
& Chester CCG
Oct 14 - July 15 – Workplace
Wellness dashboard design,
co-creation and build
for Merseyside Fire
and Rescue Service
Nov 14 – May 15 – Asthma
for Adults NHS England Thames
valley
Nov 14 – ongoing – Maternal Health
deck design, co-creation and build for
NHS Slough CCG
April 15 – Provisional commitment
from Herefordshire County Council
for workplace wellness
April 15 – Provisional commitment
from South Gloucestershire Council
for development yet to be defined
May 15 – Sept 15 – Dementia deck
Cheshire & Wirral Partnership NHS
Trust and Wirral CCG
Development Programme
May15–ScopeforNorthamptonshire
“PuffellAsAService”
May15–HealthyEatingdeckreleasedto
Puffellnationwide
May15–Cancerawarenessdeckreleased
toPuffellnationwide
May15–Strokeawarenessdeckreleased
toPuffellnationwide
May15–HampshireCountyCouncil
commitmenttousePuffellinNHSHealth
Checks
May15–EvaluationofRochdaleHealth
Smartprogramme
May15–Schoolspilotforsmoking
cessationandlifestyleCoventryCity
Council
June15–Oct15-DiabetesdeckWirral
CCGandWirralCommunityTrustand
WirralUniversityTeachingHospitalTrust
June15–SloughBoroughCouncil
additionalCAMHSdecksdeveloped(abuse,
bullying,anxietyanddepression)
June15–ShowcasedatNHS
ConfederationConference,Liverpool
June15toSept15–CAMHSpilotvia
schools
June15-ShowcasedatHealth+Care
CommissioningShow,ExcelLondon
July15-CommitmentfromCumbria
CountyCouncilanticipated
July15–ScopeforHerefordshire
CountyCouncilworkplacewellbeing
July15–LaunchPuffellApp
ascorePuffelltools
August15–MerseysideFireand
RescueServiceFireSafetydeck
Sept15-EvaluateSchoolsworkwith
CAMHS
Sept15–Wirralareaapproach
Vanguardselfcareintegrationplatform
Oct15–Carersdeckpublished
Oct15–ExchangeFoundationtohost
IntegrationandWellnessEcosystem
Symposium
Nov15-Northamptonshirepilot
release for Puffell As A Service
Nov 15 - Hampshire County Council
pilot release
Dec 15 – Widen use of CAMHS
dashboard across Berkshire

9. Development Strategy Includes:
• Patient Health record
exposed through Puffell
• Integration with top 5
wearable devices
• Personalised funding
integration
• Puffell v3 UX refresh
• Expand maternity health
to include parenting 0-5s
• Cardiovascular disease deck
• CAMHS anxiety CBT tools
• Timecheck personalised
care planner for children
with learning and physical
disabilities and excluded
young people
• Development of Puffell
Acts of Random Kindness
points based rewards
system
• Swapshop skills exchange
deck
• Development of a
standalone reporting
platform
*Correct at time of printing 06/2015

10. What our partners are up to
We are working with organisations all over the country to
develop innovative digital resources on Puffell designed in
partnership to support personalisation, prevention, wellbeing
and integration, including:
• Child and Adolescent Mental Health Services
• NHS Health Checks
• Dementia
• Adult mental health (stress, anxiety & depression)
• Diabetes
• COPD
• Lifestyle services
• Workplace wellbeing
• Carers.
Puffell is a Community Interest Company collaboration,
supporting any citizen that wants to #makebetterhappen,
free for them to use.
Join our partners and help build communities of assets both
online and offline and access real, up to date lifestyle data
and information to help you design sustainable, integrated
services fit and able to operate for the future.
Join in now:
go to join@puffell.com or visit pfl.icecreates.com
“Communication is Community”
- Stuart Jackson

11. To register your interest in
Puffell please contact:
Stuart Jackson
stuart.jackson@icecreates.com
0845 519 3423
www.pfl.icecreates.com
try Puffell for yourself
it’s FREE
www.puffell.com Designed and Developed by
One life
One Place
One step at a time
#MakeBetterHappen