Irish company secures private investment and Enterprise Ireland funding to expand its reach in the UK and USA

Founders, Avril Copeland & Greg Balmer

Founders, Avril Copeland & Greg Balmer


Irish company, Innerstrength Health, founded by Dublin businesswoman and former health professional, Avril Copeland and technologist, Greg Balmer, has secured private investment and Enterprise Ireland HPSU Funding following the success of its revolutionary first product TickerFit. 

The Innerstrength Health technology incorporates a secure web-based platform for health professionals and mobile applications for patients.  With the touch of a button, the technology enables health professionals to provide personalised programmes of education, exercise and support to patients who are at risk, recently diagnosed or currently living with a chronic condition.  Patients receive their plan via the smartphone application and each day has the ability to review content specifically tailored for them, engage in targeted physical activity, track and monitor their progress in real time. 

Innerstrength Health founder and CEO, Avril Copeland explains; “The company was born from my time working in the public healthcare system.  A core skill of working in healthcare is building rapport and trust with patients to achieve healthier outcomes.  I always found that this was easy when the patient was in hospital but as soon as the patient was discharged home or left the clinic, this support was gone.  Personally, I found this difficult, especially when it came to patients who had just gone through a life-changing event, such as surgery for cancer or a recent heart attack, knowing the best I could offer them was handouts about how best to manage their condition.  I knew technology could overcome this problem and so we developed our first product, TickerFit, which has the potential to revolutionise how healthcare is provided.’’

TickerFit is also being used in the primary prevention, whereby GPs and practice nurses use the technology to deliver bespoke programmes of physical activity and education to patients who are at risk of developing a chronic condition.   In secondary prevention, TickerFit is being used by cardiac rehabilitation teams to support their patients with their recovery after they have been discharged from hospital. 

Avril added: “In Ireland, often times our healthcare system is in the news for the wrong reasons, however, having worked in it, I know first-hand of the many amazing and dedicated healthcare professionals who do their utmost every day to support their patients.  Using technology, we can extend their reach, and provide them with the tools to make their treatments more effective, efficient and ultimately more engaging for their patients.” 

With the success of TickerFit, Innerstrength Health recently closed an investment round with a mix of private investment and Enterprise Ireland HPSU funding to bring new products to the market and drive expansion overseas in the UK and US. 

Commenting on this, Avril said; ‘’we have secured a significant investor along with the Enterprise Ireland funding. This will allow us to expand in both the UK and US markets. We’re delighted with the progress we have made already and there is a lot of interest in the US and the UK. It will be a very busy year ahead but we’re looking forward to growing the company and being able to make a real difference to more people’s lives and wellbeing, which has always been the goal.”

Innerstrength Health was founded by Avril Copeland and Greg Balmer. The company is based in Dublin and aims to improve patient outcomes by harnessing the power of modern technology. A graduate of the Royal College of Surgeons and Belmont University in Tennessee, Avril’s background is in physiotherapy and exercise science. Greg Balmer, the company’s Chief Technical Officer has developed numerous innovative software systems which have been scaled and sold worldwide.  Greg previously held the role of Chief Architect for both Mapflow and Carma.



AXA PPP Health Tech & You: The Professional’s Choice Award Shortlist: TickerFit

Thank you so much to Julia Manning and the team at 2020Health for their post about our shortlisting for the AXA PPP Health Tech & You, Professional's Choice Award! 

"TickerFit was founded by chartered physiotherapist Avril Copeland. Avril founded the company after becoming frustrated seeing the same patients readmitted to hospital due to a lack of follow on support.

TickerFit enables healthcare providers to deliver primary and secondary prevention interventions to patients remotely. Through a web based platform health professionals can customise a programme of exercise education reminders and patient reported outcomes.

The patient’s curriculum is delivered to them via the mobile application. The patient completes daily tasks to fulfil their personalised curriculum. In primary care GPs are using TickerFit to deliver physical activity interventions to patients at risk of cardiovascular disease. Two RCTs are underway. TickerFit is being piloted in cardiac rehabilitation. Patients who are unable to attend the traditional model of cardiac rehab are being prescribed TickerFit."

Judges Comments:

“A new way of rehabilitation for patients who cannot have the traditional type of cardiac rehab”

“Cloud based so easily accessible but safe for medical professionals to access”

“Easy monitoring of health condition and improvement through rehabilitation”



The artificial intelligence revolutionising healthcare - Irish Times


By 2019, all Irish maternity hospitals will be using advanced newborn-monitoring tech

Last year, it was reported that supercomputer IBM Watson diagnosed a rare form of leukaemia in a patient at a University of Tokyo-affiliated hospital whose case had baffled her medical team.

The cloud-based, artificial intelligence-powered supercomputer is capable of cross-referencing and analysing data from tens of millions of oncology papers from research institutes all over the world. From vast volumes of data, it can instantly pull out the information it needs, much faster than humans can.

The University of Tokyo reported that the 60-year-old Japanese woman was correctly diagnosed in just 10 minutes by Watson, after her genetic data was cross-referenced with the computer’s own database.

More and more, health technologies originally viewed as futuristic – like virtual avatars and chatbots – have become reality. These technologies use artificial intelligence (AI) to mimic conversation with people, interact on the internet and perform other tasks that would normally require human intelligence.

One example of this is Sensely, a mobile triage smartphone app currently being trialled by the National Health Service (NHS) in the United Kingdom.

Olivia, Sensely’s artificially intelligent virtual nurse, guides patients naturally through their personal healthcare needs on demand 24/7, 365 days a year. The blue-eyed, dewy skinned young woman in blue NHS scrubs, gathers information by listening to the patient and asking questions, similar to a person-to-person interaction with a clinician.

Become a reality

Sensely was developed by a Californian start-up, but as Richard Corbridge, chief executive of eHealth Ireland points out, there’s no need to go to California to see examples of how AI is revolutionising healthcare. Five out of the top 10 start-ups in Dublin last year were in the digital health arena, he says.

Corbridge will be speaking at this week’s Dublin Technology Summit 2017 (February 15th to 16th) on the topic of “Health Reality, Not Science Fi”.


“Things are moving so fast that technologies we would have regarded as sci-fi last year, will become a reality this year. Over the last couple of years, Ireland has made some really big strides in digital healthcare,” he says.

“We are still the last ‘first world’ country not to have a national electronic health record (EHR) in place, yet we are way ahead in other areas, like DNA genome sequencing.”

The eHealth Epilepsy Lighthouse Project has developed the infrastructure to sequence the genome (figure out the order of DNA nucleotides in a complete set of genes) in patients and to record this information for clinicians to use in the delivery of care. The significance of sequencing the genome is that it can be used by healthcare systems across the world to predict what will happen to an individual patient’s health.

Corbridge remarks: “Take a patient with epilepsy who has had an epileptic seizure every day for 20 years at least. By taking a sample of that patient’s DNA, we can sequence the genome and enter the information into his/her EHR.

“The multidisciplinary team can then use this data to change or adapt the patient’s care plan. Within a week of one patient on the project changing his diet, he went a full day without having a fit for the first time in 20 years.”

Over the past few weeks, every maternity hospital in Ireland has been visited by teams from eHealth Ireland to identify where the gaps are in their digital health capabilities and to close them.

“Going forward, every newborn baby in hospital will have three devices in their cot, monitoring respiration, temperature and heart rate. All of this information is automatically transferred to the baby’s EHR.

Vital information

“Instead of constantly checking these levels in individual patients, each nurse has a tablet PC where they can see the vital information on all the babies in their care at their fingertips, including requests for tests and scans and results. Within the next two years, every hospital in Ireland will have this technology. It’s an amazing leap for Ireland in a short space of time,” says Corbridge.

With an increased emphasis on getting patients to self-manage their health where possible, rapid advances are being made in smartphone and wearable devices. Another eHealth project is an app for patients with bipolar disorder which uses a chatbot to engage with the user, monitor their mood and try to keep them on the right track. With the patient’s consent, the app can contact their carer or GP if it feels they need support.

Dublin-based start-up TickerFit enables health professionals to prescribe, educate and monitor a heart patient’s recovery from a distance through a wearable device. Founder Avril Coleman is another of the speakers at this week’s summit which brings global leaders in innovation, technology and business together to shape the future of global trends and technologies. The two-day summit will host 10,000 members of the tech community at the Convention Centre Dublin this Thursday and Friday.

Fabian Bolin, cofounder of War on Cancer, will be talking about, an online storytelling community to help people deal with the mental challenges that come with a cancer diagnosis.

Music’s new role in healthcare and the evolving world of HealthTunes will be explored in a session entitled “When Medicine Rocks”, with the panel discussing the possibility of a time when music, given its undeniable influence on our emotions, could be prescribed along with conventional medicines.

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