Ripple Scale, The Digital Health Publisher, launches
Ripple Scale launches to pioneer new Digital Health Publishing model
London, UK, 27 April 2026 - Ripple Scale has officially launched, introducing a new category - digital health publishing, designed to transform how clinician and researcher-led innovation is built, deployed and scaled across health systems.
The company has been created to address a core structural challenge in healthcare: the gap between frontline clinical insight and system-wide adoption of digital solutions, at a time when healthcare leaders face mounting pressure on workforce capacity, procurement complexity, risk management and delivery against operational targets.
Ripple Scale enables clinicians and researchers to build digital health products using Cogniss’s no-code environment, with regulatory compliance, infrastructure and distribution built in. Rather than founding startups and raising capital, clinicians can bring products to market while remaining in practice, earning royalty income based on adoption and usage.
Ripple Scale, the digital health publisher, is led by Heather Cook, a recognised leader in digital health with extensive experience in scaling innovation across health systems.
The launch responds to a dual challenge in healthcare. For innovators, clinicians are often required to act as venture-backed founders, reducing or leaving clinical roles, raising capital, and navigating complex procurement pathways. For health systems and providers, the challenge is equally acute: digital teams face fragmented procurement processes, multiple vendors, repeated assurance requirements, and limited capacity to test, integrate and scale new tools, resulting in high effort, high risk, and low rates of adoption.
“Digital health publishing is the missing commercial layer between clinical insight and system-wide delivery,” said Cook. “It enables providers to access a curated portfolio of proven, clinician-built solutions through a single platform, reducing complexity, lowering risk, and making large-scale adoption finally achievable. It also lets clinicians and researchers monetise their expertise like authors, not gamble their careers like startup founders.”
In this model, clinicians contribute clinical IP, workflow knowledge and credibility, while Ripple Scale provides the reusable product layer, compliance infrastructure, distribution, marketing and commercial capability. This shifts innovation from a high-risk, founder-led journey into a repeatable, platform-enabled system, while also reducing the operational burden on health provider teams.
Ripple Scale has emerged from the experience of Cogniss, a no-code platform that has supported clinicians and organisations to build digital health tools. That experience highlighted a key insight: solving product creation alone does not solve adoption.
Ripple Scale also builds on this through initiatives such as the Ripple Women’s Digital Health Challenge, in which Cogniss with support from the Health Innovation Network, Amazon Web Services, the NHS Clinical Entrepreneur Programme and the NHS Innovation Accelerator, offered clinicians the opportunity to develop innovations addressing, but not limited to, menopause, maternal and perinatal care, gynaecological cancers, mental health, fertility, pelvic health and cardiovascular health.
The company has been incorporated as an independent entity. While Cogniss is the founding shareholder, Ripple Scale is being structured to enable broader participation through an upcoming equity crowdfunding round, allowing individuals and organisations to help shape its direction.
“For years, we have seen brilliant innovations fail to scale, not because they lack value, but because the system cannot adopt them,” said Leon Young, Executive Chairman of Ripple Scale. “Ripple Scale exists to build that missing mechanism, one that works for both innovators and the health system.”
For health systems and providers, the model offers a new approach to digital transformation, providing access to a portfolio of clinician-built solutions through a single assured platform. This reduces procurement burden, simplifies integration, and improves the likelihood of delivering measurable impact at scale.
Join the Ripple movement
Ripple Scale is now inviting clinicians, digital health leaders, and partners to join the “Ripple movement”, a coordinated effort to transform how innovation is created and scaled across health systems.
Interested organisations and innovators can register their interest at https://www.ripplescale.org/join-the-movement to become early partners or participate in the upcoming crowdfunding round.
Further information
About Ripple Scale - The Digital Health Publisher
Ripple Scale, the digital health publisher, exists to solve one of healthcare’s biggest missed opportunities: getting proven digital care and support tools into the hands of the people who need them. Health systems everywhere are under pressure from rising costs, workforce shortages and growing demand, yet patient-facing digital health apps have still failed to scale in any meaningful way.
That is not because of a lack of innovation. It is because the market has lacked a practical route from expert knowledge to deployable products, and from products to real adoption by health providers. Cogniss has now solved the infrastructure challenge by making it possible to build high-quality digital health apps on a common, affordable platform.
Ripple Scale solves the next challenge. We are a digital health publisher that works with health providers to identify priority needs, support experts to build solutions, curates portfolios of apps, licenses them to health providers and manages deployment at scale. In short, Ripple Scale turns digital health innovation into something health systems can actually buy, deliver and use.
Biographies
Heather is the Managing Director of Ripple Scale, bringing over 25 years of experience working at the intersection of health systems, policy and digital innovation. She began her career at a leading consultancy focused on large-scale health reform, before moving into national transformation roles and later co-building digital health ventures from early-stage development through to commissioned services.
This combination of experience has given her a rare, end-to-end perspective - from system design and policy intent, through to the realities of commissioning, procurement and real-world adoption. She has seen first-hand how and where progress breaks down, both for innovators trying to scale and for health systems trying to adopt effectively.
Heather is an NHS Innovation Accelerator Fellow, an elected member of the health and social care council at techUK, and an elected Director at the same organisation, and a Trustee of a national charity. She brings to Ripple Scale deep practical expertise in commissioning models, integrated care delivery and the structural barriers to scaling innovation - and is now focused on building a new approach to how digital health reaches patients at scale.
Leon is the Executive Chairman of Ripple Scale and the founding CEO of Cogniss, the specialised no-code platform for digital health. A serial entrepreneur and a pioneer of the no-code technology movement, he co-founded Nocode Inc in the 1990s before going on to co-found the agency 2and2, specialising in the application of psychology to the design of digital solutions for behaviour change.
It was through this work and later through years of building Cogniss that Leon saw the same pattern repeat: clinicians and researchers could build valuable digital health products, but no infrastructure existed to get them adopted by health systems and into the hands of patients. He took radical ownership of that gap and founded Ripple Scale, the digital health publisher, designed to bridge it at scale.
