High Intensity Use Solutions

Transforming Lives and Reducing Activity

High intensity is the effort we put into people. By concentrating on people, results follow.

We delight in the differences between people recognising that most individuals don’t fit into a traditional box.

By putting people first and identifying what matters to them, we help individuals and organisations find a ‘win-win’ way to move forward.

We put people first by working to three core principles: we de-medicalise, we de-crimimanlise and humanise.


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A different Approach that Works

Think Outs® founder, Rhian Monteith, pioneered a different approach to addressing the needs of  people who access services more than expected.

An approach, so successful, that it was adopted by NHS England and is the winner of a prestigious Kate Granger award for compassionate care.

With Rhian as its clinical lead, and Think Outs’ proven ‘Switch Model®’ at its heart, NHS England’s high intensity Use (HIU) programme is currently live in over 90 areas of the country.

Impressive Results by doing the Right Thing

A determined focus on addressing individual’s needs leads to impressive results:


Reduction in activity across A&E and Emergency Admissions


Reduction in 999 calls to all cohorts

More importantly, individuals are supported to be their best selves, reconnecting with friends, family and community

How we can Help

Accident & Emergency Units

Reducing costs by reducing attendances, ambulance conveyances and associated admissions

GP / healthcare professional services

Increasing capacity & reducing chances of staff burnout by changing mindsets to change behaviour.

Emergency services – police, fire or ambulance

Improving response times by reducing repeated 999 and 111 calls and associated call outs

Telephone contact centres

Improving efficiency by shortening call times, reducing repeated calls and call handlers’ chance of burnout

Complaints services

Improving case handling by active listening to prevent escalation and improve staff resilience.

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How do we do it

The Think Outs’ Switch Model® offers a creative and innovative approach to challenging mindsets and supporting individuals. It leads to positive shifts in behaviour and culture, transforming lives and reducing resource use.

It wakes people up and then keeps them awake – the key to our impressive and sustainable results.

Training for Impact

Think Outs is the leading provider of high intensity use training across England. Based on the Switch Model®, it equips people with the skills and tools to support individuals and achieve the desired impact, without overcommitting or burning out.

A blend of workshop, mentoring, teaching webinars and coaching support offers an optimum approach for the development of sustainable services and well-supported, resilient staff.

Our experience and passion in this field is contagious. Our clients are keen to recommend us to their neighbours to share their impressive results.

Read more about our training, mentoring and coaching programme here


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High Intensity Use Solution

Watch Think Outs’ founder, Rhian Monteith, explaining a High Intensity Use solution for the health service as a good news story on the Russell Howard Hour.