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Unwritten Health · The Equity Engine

Patient experience data that makes clinical evidence submission-ready.

Unwritten Health helps pharma medical-affairs, market-access and regulatory teams, medical-device and SaMD manufacturers, digital-health developers, and NIHR-funded academic teams put patient experience data, the lived reality of people who use their treatments, into the submissions regulators, HTA bodies and payers now demand.

One product. One dataset. Three ways to buy it. Fixed scope, fixed duration.
6,000
as of July 2026
UK participants
recruited through community partners
8
social factors
profiled on every participant at sign-up
6
frameworks
outputs pre-formatted for each
Submission-ready for EU JCA NICE ESF NHS DTAC MHRA PMS NIHR INCLUDE

Patient experience data is not the same as clinical trial data.

Clinical trial data

Tells regulators whether a treatment works, on average, in a selected population.

Patient experience data

Tells them who was left out, how the treatment actually fits into the person's life, and where the evidence file is silent.

That is what the EU Joint Clinical Assessment, the MHRA Inclusion and Diversity Plan, and NICE's inequality guidance now require. It is also what your PMCF, ESF and DTAC files are graded on.

Unwritten Health captures this data through longitudinal surveys, moderated focus groups, patient councils and lived-experience narratives, from a 6,000-strong UK panel where every participant is profiled at sign-up on the eight social factors that shape health outcomes: age, ethnicity, first language, income, geography, disability, caring responsibilities and health literacy.

1Participant layer
UK adults & carers
Community-partner recruited, profiled on 8 social factors at sign-up
6,000 participants
2Community layer
Long-term, trust-based relationships with community partners
Charities, faith organisations, disease-specific groups and health-innovation networks who co-design outputs and stay engaged across projects. Not drop-in, drop-out recruitment.
Ongoing
partnerships
3Platform layer
Multimodal capture, AI-analysed and synthesised
Video diaries, voice notes, surveys, patient councils and lived-experience narratives, uncovering what traditional research designs miss. Every modality analysed and synthesised by AI into evidence files formatted for the framework you are submitting to.
Submission-ready
evidence files
Outputs for you
JCA NICE ESF NHS DTAC MHRA PMS NIHR INCLUDE

One platform. One dataset. Three layers, participants, community partners, and the analytical platform that turns the data into a submission-ready file.

How the Equity Engine works →

Which of these four are you?

1

Pharma & biotech

You are running a JCA or NICE submission, planning a PMCF, or standing up a patient council.

The JCA-Ready Evidence Package delivers the subgroup and PICO patient-input file the EUnetHTA 21 framework asks for, in the 100-day JCA window. The Patient Council as a Service gives your medical-affairs team a standing, auditable evidence-generation function.

Explore pharma solutions →
2

Medtech & digital health

You are preparing a SaMD, digital-health or medical-device product for NHS procurement, NICE ESF or NHS DTAC review.

The SaMD Red-Team stress-tests your algorithm against the populations your training data under-represents. The ESF/DTAC Evidence Pack and the PMCF Equity Gap Assessment close the two gaps NHS and MHRA reviewers ask about first.

Explore medtech solutions →
3

NIHR-funded studies

You are writing an NIHR grant or running an NIHR-funded study that must satisfy INCLUDE.

The NIHR PPI Package delivers a fully-costed patient-and-public-involvement partnership with community organisations already inside the panel. Signed MOUs before your grant submission, meeting facilitation across the grant lifecycle, end-of-grant PPI report.

Explore NIHR solutions →
4

Academic & non-profit research

You are running secondary analysis, a community-partnered study, or a public-good project.

Academic access to the Equity Engine dataset is available at cost, subject to Trust & Ethics Board review. Non-profit access is free by application. Community partners retain veto over outputs that identify their community.

Explore access options →
Our partners, not our buyers

We work through UK community organisations, patient advocacy groups, and Contract Research Organisations to reach the populations sponsors need to hear from. These are the sampling frame and delivery network behind the Equity Engine, not the audiences we sell to.

The cost of not doing this is now measured. Not theoretical.

For pharma
$800,000 a day

in unrealised prescription-drug sales for every day of HTA delay after regulatory approval. That is $24 million a month, $144 million on a six-month slip.

Tufts CSDD, 2024
For medtech & digital health
£353k to £535k

the average cost of a single major protocol amendment, the fix an inclusion gap forces if it is caught late. Delays of 3 to 6 months follow.

Tufts CSDD Impact Report, 2024
For NHS & academic
£4.8bn + £31bn

the annual cost to the NHS: £4.8bn in avoidable treatment and £31bn in lost productivity, from health inequality in England every year.

British Medical Association, 2026

Designing clinical development without lived-experience input creates a liability we call inclusion debt. Amendments, screen-fails, HTA queries, label limitations, DTAC deferrals, and post-market failures are all repayments of it. We help you pay it down at the cheapest point, before submission, not after.

Where does your evidence file sit against these numbers?

Twenty questions. Six domains. A plain-English diagnosis of the regulatory clauses you are exposed under.

Take the Regulatory Readiness Scorecard →
Case study · Phase II biotech

560 participants of African descent in 12 weeks.

A Phase II biotech engaged the Equity Engine before protocol lock, and hit 112% of a recruitment target their prior CRO said would take a year.

Six-month start-up on a 9-to-12-month industry clock. $2.4M to $4.8M in captured value from earlier market entry. FDA Diversity Action Plan file ready at submission, not after.

112%
of recruitment target hit
12 wks
vs 12 months prior estimate

Why it worked

  • Engaged before protocol lock, not after screen-fail
  • Community-partner sampling, not paid ads
  • SDoH-tagged panel, subgroup evidence produced by default
  • FDA DAP file assembled at submission, not after
Free · 15 minutes · No sales call unless you ask

Where are you on the regulatory clock?

The Regulatory Readiness Scorecard is a free, 15-minute self-assessment. Twenty questions across six domains:

Intended purpose Dataset representativeness Subgroup evidence Usability & access Post-market monitoring Governance
You get a red / amber / green / gold score, a plain-English diagnosis of which regulatory clauses you are exposed under, and the specific fixed-price engagement that closes each gap. No sales call unless you ask for one.
Start the Scorecard → Every commercial engagement we deliver starts here.

Trust is not optional in a data business. It belongs on the homepage.

Consented at every stage

Every participant re-consents on a use-case-specific schema, at NIHR guide rates.

Community-partnered

Every participant recruited through a named community organisation under signed memorandum of understanding, not through a digital panel aggregator.

Independently governed

Our Trust & Ethics Board includes a lay chair, a clinical ethicist, a data-protection officer, and two community-partner representatives with veto power over the release of any output that identifies their community.

UK-anchored

Data stays in UK jurisdiction. Every output is auditable to raw response level.

Take the Scorecard →