Slide 1: Capital Markets Day
Healthtech pioneer Best newcomer of the year Tech for good Capital Markets Day 14:00 - 16:30, Wednesday, 29th June 2022 Tim Barker Dr Tim Budden Kate Newhouse Caroline Hirst Chief Executive Officer Chief Technology Officer Chief Operating Officer Head of Children's Joint Commissioning, Lewisham & So
Slide 2: Important Disclaimer
2 Important Disclaimer The information contained in these slides and the accompanying oral presentation (together, the Presentation) has been prepared by Kooth plc (the “Company”). The Presentation is subject to updating, completion, revision and amendment without notice and as such it may change ma
Slide 3: Agenda
3 Agenda 2:00 – 2:20 Kooth’s purpose and progress Tim Barker, CEO 2.20 – 2.45 How Kooth’s service operates Dr Lynne Green, Chief Clinical Officer 2.45 – 3.05 Platform: today and future Aaron Sefi, Chief Product Officer Dr Tim Budden, Chief Technology Officer 3.05 – 3.15 Q&A 3.15 – 3.25 Break / demos
Slide 4: Kooth's Purpose & Progress
Kooth’s Purpose & Progress Tim Barker Chief Executive Officer
Slide 5: A transformation in mental health care is needed to tackle growing, global demand
5 A transformation in mental health care is needed to tackle the growing, global demand The global cost of poor mental health will reach $6trn by 2030 (£118bn in UK today) Healthcare systems need to move upstream from treatment to prevention to tackle every-growing demand. Treatment Focused Preventi
Slide 6: The winners will be companies that can redefine and scale personalised mental health care
6 The winners will be companies that can redefine and scale personalised, effective mental health care to all Access Outcomes Population-scale Innovation in digital therapeutics Supporting diverse groups & needs Outcome measures Economics Health economic impact Addresses the global practitioner shor
Slide 7: Kooth is a pioneer and catalyst for the digital transformation of mental health care
7 Kooth is a pioneer and catalyst for the digital transformation of mental health care 2001 Kooth founded to tackle adolescent mental health 2004 Launches first pilot with Stockport NHS Revenue Growth (£M) 2006 Kooth expands to 8 regions 2011 16 regions, £1m revenue, £0 funding 2015 ScaleUp private
Slide 8: We provide a welcoming, integrated, people-centric platform for early help and prevention
8 We provide a welcoming, integrated, people- centric platform for early help and prevention Self-therapy Peer support Professional Support Therapeutic content & activities Asynchronous messaging & live chat Remove barriers to access Remove stigma Choice, not prescription Safe space
Slide 9: 95% of service users get the support they want without long term counselling
9 95% of service users get the support they want/need without need for long term counselling % Users Outcomes T OR Goal-based outcomes (CoGS) PP Structured & ongoing 5% SU counselling 74% achieve their life and therapy goals -1 of users (6-20 sessions) L1 NA IO Session wants and needs SS 32% outcome
Slide 10: Kooth has built one of the world's largest mental health data sets
10 Kooth has built one of the world’s largest mental health data sets . Unlocking this is key to our future 1.3 m User Logins >800,000 people have used Kooth. 1.1 m >1 million hours of professional support delivered. >25 million data points, training data for AI. 0.6m Future for Kooth is using data
Slide 11: Our business model is focused on four pillars
11 Our business model is focused on four pillars £14.8bn+ £45bn £6trn NHS mental health annual budget Cost to UK businesses Cost globally by 2030 £85m+ £300m+ £150m+ $5.1bn+ Total Market Total Market Total Market Total Market Children and Adults Workforce International young people Mental health sup
Slide 12: We are building Kooth to deliver personalised, effective mental health care for all
12 We are building Kooth to deliver personalised, effective mental health care for all Access Outcomes Trusted partner to the NHS Significant improvement in >70% cases 10.9 million people have free access Innovation: World’s first brief-therapy 1-in-33 used Kooth in 2021 outcome measure Economics Up
Slide 13: How Kooth's Service Works
How Kooth’s Service Works Dr Lynne Green Chief Clinical Officer
Slide 14: How Kooth helps: Sam's Story
14 How Kooth helps: Sam’s Story Background ● Sam (male, 13 years) struggled during COVID and ever since; lots of losses. ● Anxiety, self harm, loss of appetite, social isolation, shame. ● Heard about Kooth in a school assembly and liked the sound of an anonymous service. Intervention ● Used Kooth jo
Slide 15: Mental health care models are shifting from tier-based to person centered approaches
15 Mental health care models are shifting from tier- based to person centered approaches 1990’s: Tier-based Today and Future: Person centered Tier 4: In patient Provision g Ge t tin e He ttin Ge dvic lp g Tier 3: Specialised CAMHS, A Including eating disorder services Thriving Tier 2: Early help and
Slide 16: Kooth provides an integrated, person centered and needs led approach
16 Kooth provides an integrated, person centered and needs led approach to deliver mental health support Traditional services operate within one segment. Community g Ge Short term t tin e He ttin structured 1:1 Content, Ge dvic lp g support But, needs change over time, or in Self-Help Articles A an
Slide 17: The Kooth Service: One size doesn't fit all
17 The Kooth Service: One size doesn’t fit all Anonymity: Our users remain anonymous, Therapeutic choice: Kooth is a full mental health giving them the confidence to speak out and toolkit - giving our users the opportunity to access without the fear of judgement choose the kind of therapy that works
Slide 18: Onboarding Initial assessment
18 Onboarding Initial assessment CORE Assessment Standardised 10 question self-assessment to measure mental wellbeing. 60% of service users score as ‘severe’ ‘Severe’ users are immediately signposted to a chat or to send us a message.
Slide 19: Therapeutic Content: Expert advice and lived-experience
19 Therapeutic Content: Expert advice and lived-experience 100,000+ articles from Kooth’s clinical team and lived-experience stories 100 new articles submitted each week from service users. 75% users find beneficial to their mental health (LSE independent research). Innovative peer-support measure c
Slide 20: Peer support community
20 Peer support community Age-segregated, pre-moderated, peer-support community Content is pre-moderated for safeguarding. 50% of people that used the community go on to help someone else.
Slide 21: Chat: First ever validated measure for single session therapy
21 Chat: First ever validated measure for single session therapy Kooth invented the first validated measure for brief/intermittent chat Person-centered measure focus on asset/strengths based approach. 3 year research and engineering project. Independently validated by The Anna Freud Centre. 72% of u
Slide 22: Counselling Goals System (CoGS)
22 Counselling Goals System (CoGS) Types of Goals ● Self-help ● Getting professional support ● Relational ● Emotional Exploration ● Mental Health 74% of users achieve a meaningful progress and change through goals (3 point positive goal movement)
Slide 23: Practitioner Platform for case management and 360 view
23 Practitioner Platform for case management and 360 view Practitioners have a ‘360 view’ of the service user to provide support. Provides a single source of truth for collaboration and support across service delivery and clinical.
Slide 24: Our proprietary clinical operating model, iRespond
24 Our proprietary clinical operating model, iRespond, enables practitioners Integrative to deliver a safe, person-centric service Responsive at scale Evidence based Asset/strength and goals-based approach to achieve outcomes that Safe matter to people. Person focused Digital Practice Training: Text
Slide 25: How Kooth Helps Today: Sam's Story
25 How Kooth Helps Today: Sam’s Story On joining Kooth 8 weeks later After that, Kooth is alongside Sam CORE score: medium range CORE score: mild range ● Shift from weekly sessions to asynchronous messaging. Kooth risk rating: amber Kooth risk rating: green ● Continues to engage with community. ● Po
Slide 26: Q&A
Q&A
Slide 27: Tech Platform: Today & Future
Tech Platform: Today & Future Aaron Sefi Dr Tim Budden Chief Product Officer Chief Technology Officer
Slide 28: The Vision: a human-centric digital service for global scale
28 The Vision: Our goal is for our product to deliver a human-centric digital service for global scale A welcoming, effective and personalised space accessible for all Assessment of wants & needs Clinical Tech Personalised care and model support Peer support Practitioners Data Guided and feedback ne
Slide 29: Product enablers of effective scaling
29 Product enablers of effective scaling AI & Data Science Personalisation Automation Optimisation Personalisation drives engagement + faster path to outcomes. AI based Automation/Optimisation drives service efficiency. Innovation in digital therapies Assessment Therapies Outcomes New digital therap
Slide 30: How Future Kooth can help Sam's Story
30 How Future Kooth can help Sam’s Story Week 1 Sam’s experience Based on assessment data, Kooth recommends some goals to Sam with suggested tasks and activities to do and articles to view. Sam is able to select and change these to suit him.
Slide 31: Future Vision
31 Future Vision Week 2 Sam’s experience Sam’s had a good week, and has completed one of the tasks and activities. Kooth knows he hasn’t updated one of his tasks, so prompts him to change it if it’s not working for him. Sam messages a Kooth practitioner about his remaining task. Asking what he shoul
Slide 32: Future Vision
32 Future Vision Week 3 Sam’s experience Kooth knows Sam has been making great progress with his anxiety goal, so recommends he joins a group chat to further help and help others. Group chats can be a little daunting, so Kooth recommends some conversation starters for Sam.
Slide 33: Future Vision
33 Future Vision Week 4 Sam’s experience Sam completes his goal to better manage his anxiety. Kooth notifies a practitioner about this. They message Sam to congratulate him, checking in with his progress and suggest that he writes an article to share his experience with others.
Slide 34: Future Vision
34 Future Vision Practitioner experience Ongoing During Sam’s time using Kooth, practitioners have been able to monitor how he’s interacted with the service and engage with Sam throughout their journey.
Slide 35: Current product work on our growth pillars
35 Current product work on our growth pillars Kooth Services Children and US Expansion Adults Workforce Young People Deploy platform and Scale B2G through Increasing health Assessments to benchmark operating model. improving engagement, and economic efficiency the mental health of a Iterate for prod
Slide 36: Product & Tech Team
36 Product & Tech Team Organised as 3 cross-functional squads/teams made up of: Growing the team to 5 squads by year end, adding: ● Product manager ○ 6 Full stack engineers ● Designer, data scientist when appropriate ○ 2 Designers ● Tech Lead ○ 1 Principal engineer ● 2-4 Engineers ○ 1 Engineering ma
Slide 37: 2021 project: Enabling professional support at scale
37 2021 project: Enabling professional support at scale. Improve responsiveness by matching work to skill sets Chat requests Personalised work queues for practitioners We’re integrating with a customer experience/service platform to Queue 1 build personalised work queues for our practitioners. Journ
Slide 38: 2021 project: AI assisted moderation
38 2021 project: AI assisted moderation. Surface risk faster, improve user experience, reduce cost To ensure a safe, welcoming experience, Kooth puts all user generated content through a review process to determine risk to author or readers. No user generated content is published before this review
Slide 39: 2021 project: AI assisted moderation (continued)
39 2021 project: AI assisted moderation. Surface risk faster, improve user experience, reduce cost (continued) Using recent and widely available Natural Language Processing tech, an AI can be trained on data from previous human reviews to: ● Confidently predict absence of risk, avoiding some human r
Slide 40: We have a product that helps many more people like Sam and can continue to scale
40 We have a product that helps many Our product is building on our unique resources to deliver on all axes: more people like Sam and can continue to scale Access to personalised journeys across a variety of pathways, improved personal goal-setting by blending human and automated interactions. Acces
Slide 41: Q&A
Q&A
Slide 42: Break / Demo
Break / Demo
Slide 43: Commissioner Case Study
Commissioner Case Study Caroline Hirst Head of Children's Joint Commissioning for Lewisham and South East London
Slide 44: Context and Drivers
44 Context and Drivers • The need to promote universal and targeted support through a variety of access routes, including digital • Introduction of national CAMHS access targets • Additional funding secured through Big Lottery: Headstart and NHSE CAMHS Transformation Programme • Focus on emotional w
Slide 45: How Kooth fits into the local landscape
45 How Kooth fits into the local landscape To do this, young people We think that… need to able to answer Provision in South East London… these questions… Resilience can be Access to online resources including Kooth, peer learnt and developed How do I help myself? support, social prescribing and wor
Slide 46: THRIVE Framework
46 THRIVE Framework Ge g ttin e He ttin Ge dvic lp g A Thriving Thriving Ri Ge g sk t in lp Su tin tt e pp g Ge re H or t Mo
Slide 47: The Commissioning Journey
47 The Commissioning Journey December 2013 - Lewisham selected for Big Lottery Headstart Programme to promote resilience to prevent mental 2016 health issues for 10 – 16 year olds. Kooth commissioned as part of this programme. 2016 – Kooth subcontracted by another provider as part of the Young Perso
Slide 48: SEL Demographic Breakdown & Usage
48 SEL Demographic Breakdown & Usage Demographic Breakdown In 2021/22 6,850 children and young people from South East London registered on Kooth.com; a 31% increase from 2020/21. These children and young people can be broken down as follows: ● 81% were under 18 ● 41% identified themselves as Black,
Slide 49: Presenting Issues in South East London
49 Presenting Issues in South East London Presenting Issue % of all recorded presenting issues 2019/20 2020/21 2021/22 Top 5 Presenting issues for all CYP who Anxiety/Stress 36 42 40 come for professional support, as well as those who come to engage with peer Suicidal Ideation 17 25 23 support and t
Slide 50: Service User Feedback
50 Service User Feedback The feedback from 105 service users who’ve had counselling sessions 2021/22 94% ‘would recommend counselling to a friend’ 91% found ‘overall, the chat session was right for me’ Thank you so much for this, and in general, thank you so much for everything. Thank you for your c
Slide 51: Q&A
Q&A
Slide 52: Public Sector Growth Strategy
Public Sector Growth Strategy Kate Newhouse Chief Operating Officer
Slide 53: A working example of our growth strategy
53 A working example of our growth strategy - new and in contract growth and product expansion (CYP to adult). ARR Growth (£’000) in an ICS Area Timeline 2004 - First CYP contract in area won R % CAG 32 2012 - 2022 - closed and expanded individual contracts with commissioners across region. 2021 - A
Slide 54: For commissioners, Kooth delivers equity of access, early help, and prevention
54 For commissioners, Kooth delivers against the need to deliver equity of access, early help, and prevention support. Demand outstrips current Downstream costs are Early intervention predominant method of unsustainable necessary but difficult to supply scale So what? Need new innovative Need to inv
Slide 55: Our USP is an integrated service offering population wide access, choice, and trust
55 Our USP is that we deliver an integrated service offering population wide access, choice, and are trusted. Se lf di Kooth delivers a ‘one stop’, integrated service, offering re Community ct ed ● Choice ● Prevention and early help Therapeutic ● Population wide access Ongoing content therapy ● Anon
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Slide 57: We provide unique insights into the local population back to commissioners
57 We provide unique insights into the local population back to our commissioners that set us apart from other providers Kooth provides near ‘real-time’ anonymous insights into Crisis the mental health of the local population. Local presenting issues vs national benchmark.
Slide 58: We have competition in each domain but not on an integrated basis
58 We have competition in each domain but not on an integrated basis, there are also partnership opportunities. Competition Partnership or Se Community lf per domain referral opportunities di re ct ed Crisis Ongoing therapy Therapeutic F2F providers - content Online CBT CAMHS (CYP) and IAPT (Adult)
Slide 59: Public sector sales is a consultative process
59 Public sector sales is a consultative process aligning local stakeholders and establish credibility. Method Funding Landscape Direct award, closed and open tenders. Need to build funding alliances NHS system restructure, key across regions person moves What we do? 90%: Direct award as no Develop
Slide 60: Our SPIRIT model to support a changing and challenged NHS
60 Our SPIRIT model to support a changing and challenged NHS, aligning our team to the consolidation to regional ICSs Scalable collaborative processes spanning account management and integration Strategic partner to NHS with stakeholders Promotional focus Centralised leadership but mapped to regiona
Slide 61: How we grow awareness and advocacy for Kooth locally
61 How we grow awareness and advocacy for Kooth locally Engaged and committed In-person/ virtual commissioners community activity 94% Integrated print & User advocacy model of users would digital marketing recommend Kooth to a friend Stakeholder comms Strategic partnership plans development
Slide 62: Q&A
Q&A
Slide 63: US Growth Strategy
US Growth Strategy Kevin Winters General Manager, North America
Slide 64: Mental health prevalence in the US is at an all time high
64 Mental Health prevalence in the US is at an all time high, and a therapy supply demand imbalance has created a competitive virtual solutions market US mental health crisis Mental health tech landscape 1 in 5 with mental health issues every year of American adults with 56% a mental illness do not
Slide 65: Provision of US mental health treatment is limited by current delivery models
65 But provision of US mental health treatment is limited by these current delivery models and technologies Behavioural Health 1:1 Face to Face / Professionals Teletherapy • Psychiatrist • Psychiatric Nurses • 45-60 mins weekly Does not solve for the “Missing Middle”. • Psychologist • Licensed Profe
Slide 66: The Kooth US difference: A digital front door
66 The Kooth US difference: A ‘digital front door’ that integrates with current pathways/services allowing for scale Sample Journey - Schools ● Increasing access ● Improving outcomes ● Maximizing existing investment ● Reducing cost
Slide 67: Kooth and SMART Partnership
67 Wholly owned by FOXCONN—the world's largest contract manufacturer of electronic devices. Kooth and SMART Partnership Technology integration: Kooth mental health content embedded directly in educator lesson plans. Recognized by COMMUNITECH as one of the highest potential SMART to act as sales chan
Slide 68: Focus Market Segments: Partners that can help scale mental health access
68 Focus Market Segments: Partners that can help scale mental health access 2022 (Year 1) Prove Product/Market fit with pilot Education Health Ecosystem Sector Systems Catalysts implementations 1. Precision over volume in pilot partners i.e. Use Cases Use Cases Established localise product for US ma
Slide 69: Wrap-up / Q&A
Wrap-up / Q&A
Slide 70: Momentum shows our strength and growth potential
70 Momentum shows our strength and growth potential Population Expansion into Uptake Growth Advocacy Coverage Adults 10.9m+ 1-in-33 39% 89% 94% People have free of covered population 3-year revenue CAGR. ARR growth in 2021 for of users would access to Kooth in UK. accessed Kooth in Kooth Adult to £1
Slide 71: Kooth sustainable growth: Comparative industry metrics
71 Kooth sustainable growth: Comparative industry metrics 2021 Key Performance Indicators 94% Recurring Revenue. Almost all revenue from Recurring Revenue Net Revenue Retention embedded customers which renew year after year. 94% 109% 109% Net Revenue Retention. Ability to expand and increase usage o
Slide 72: Q&A
Q&A
Slide 73: Thank you.
Thank you.