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Frequently Asked Questions

Using the Nuffield HealthScore™ App

Please refer to the manufacturer guide as to whether your phone model has GPS functionality.
The HealthScore app will still continue to track your activity if you lock your phone.
You can accept the call and reply to a text and the app will continue running in the background.
The app is designed to make tracking your exercise activity easier. You can enter your exercise as a manual entry or you can track your activity while you are doing it and then automatically upload the activity to Nuffield HealthScore™.
The HealthScore app is now available for download on iPhone, Android and BlackBerry.
If you would like to download the HealthScore app for your iPhone you will need to have an iTunes account. You can create an account by downloading iTunes to your personal computer. You can also join iTunes on your iPhone by using the App Store icon and following the easy registration prompts.
Yes, but if you already have a Gmail e-mail account you will by default have access to the Google Play Store. Alternatively please visit www.play.google.com where you will be able to create an account using your existing e-mail address. Please follow the easy registration prompts given.
The Nuffield HealthScore™ app is free.
Depending on your device please follow the normal applications removal process. Should you encounter any difficulty please refer to the manufacturer's handbook for instructions.
To register go to www.nuffieldhealthscore.com and complete the registration form by selecting "Register" to receive a free 60 day trial.
The HealthScore app does not replace the nuffieldhealthscore.com website but complements it and allows you to accurately record your outdoor (GPS enabled) and indoor activities and gives you real-time access to your personal HealthScore.
Press 'New' or '+' and choose the new fitness activity you want to track from the list activities. Fitness activities that are tracked by the GPS system on your smartphone are highlighted with a compass icon. Activity categories such as fitness classes, martial arts or indoor cardio machines are highlighted with an arrow to indicate that you can select a specific activity from a drop down list, for example: Fitness classes → Zumba. If you have selected a GPS tracked fitness activity (highlighted with a compass icon), wait a few seconds until the smart phone obtains a GPS signal. In most smart phones the phone will vibrate to confirm it has a GPS signal. If the GPS signal is low then the tracker will not be able to accurately track your activity. Press ‘Start’ to begin automatically tracking your activity. You can easily ‘Pause’ (and then ‘Resume’) your workout by pressing the Nuffield shield icon. When you have finished your workout, press ‘Stop’. This is important as the ‘Stop’ button also stops the tracker from using your GPS. This helps preserve your smartphone's battery power. Alternatively if you selected a non-GPS tracked activity, simply press ‘Manual Entry’ to add your activity with using real-time tracking and follow the on-screen instructions.
For iPhone users you can delete your tracked fitness activity in two ways. You can either press ‘Edit’ then select the activity you want to delete by pressing the minus icon on the left, then press ‘Delete’ to erase it. You can also delete by swiping across the activity and then selecting ‘Delete’. For Android users you can delete by clicking and holding down on the activity that you wish to delete. A pop up window will appear which will give you the option to ‘Delete’ your activity.
Press ‘Settings’, then press ‘Heart Rate Monitor’ to see a list of the heart rate monitors that you can connect with. The type of heart rate monitors that you can connect with will be determined by the make and model of your smartphone. For more information please refer to the ‘Compatible Devices’ section on the ‘Info Centre’. When the heart rate monitor is working, a heart icon will pulse at the top of the screen when workouts are displayed. Your heart rate is defined in beats per minute and is displayed next to the heart icon. Connecting an external heart rate monitor should work immediately when you enable the ‘Settings’ in the tracker app. Note that sometimes it takes a few seconds for the heart rate monitor to “activate”. Also, please ensure that your heart rate monitor strap is closely fitted to your body and that the sensor pads are moist. For further details, please consult the instruction manual that came with your heart rate monitor.
On the app, select ‘Login’ and enter the registered email address and password you used when registering on Nuffield HealthScore™. Recorded fitness activities are only automatically uploaded when you are logged in. When abroad, we recommend that you remain logged off, to avoid your phone operator’s roaming costs which can be expensive. When you return from abroad, simply log in again and all of your tracked fitness activities will be automatically uploaded.
You may experience marginal differences between the app and the website for your activity data. Further development to both the website and app will rectify any synchronisation issues you may experience in the short term.
Because the Nuffield HealthScore™ is calculated in real-time, you can only access your Nuffield HealthScore™ when you are logged in on the app. Press ‘HealthScore’ in the menu tab to access your real-time HealthScore and its components.
During a workout a camera button appears at the bottom right of the app. Press this button and select your photo library (to choose an existing photo), 17 or the camera (to take one or more new photos). After taking a picture, press ‘Use’ or ‘Done’ to upload it. If you are an iPhone user one (or more) photos of your fitness activity will appear on the bottom left corner of the tracker app. Swipe left and right on the photos to switch between pictures.
Click ‘Connect’ or ‘Contact’ in the menu tab and then click ‘Invite selected contacts’. You can select one or more friends from your list of contacts and then press on the ‘Invite’ button. On the Nuffield HealthScore™ website you have more extensive options to find, invite and connect with friends.
GPS requires significant power to operate effectively so you might notice that your smartphone battery drains quicker when using the Nuffield HealthScore™ app. Don’t despair. There are a couple ways to extend your battery life while running the app, for example: • Enable the app’s screen lock feature (the sleep button on the iPhone in the upper right). • Turn off your Wi-Fi when in use outdoors. Your manufacturers’ handbook will have hints and tips on how to save battery life while using applications such as the Nuffield HealthScore™ app.
Yes. Play music by starting the music app then open Nuffield HealthScore™ app and start your workout.
Please contact your phone manufacturer in the first instance as it may be that your phone is not compatible with downloading applications. Your device would also require GPS capability to track distance based activities, and your phone manufacturer will be able to confirm whether your phone model has this.
Please contact the Support Team on: Email: support@nuffieldhealthscore.com or use the online query form.
Click 'Connect' or 'Contact' in the menu tab and then select 'Send feedback' by email to Nuffield HealthScore™

About Nuffield Healthscore™

Nuffield HealthScore™ is an online tool that supports you to lead a healthier and more active lifestyle. It is a tool that empowers you to take responsibility for your own health and wellbeing and motivates you to make healthier lifestyle choices. Nuffield HealthScore™ is not a medical product. Nuffield HealthScore™ is not a diagnostic tool and does not substitute the diagnosis or advice given by a medical professional. Nuffield HealthScore™ is a lifestyle product, providing you with an easy-to-use, wireless, secure and fun way to manage and track your personal health, wellbeing and fitness. Through integrating gaming and social networking principles, Nuffield HealthScore™ motivates you to make healthy lifestyle choices in an easy and fun way.
Your HealthScore provides an indication of your general health and wellbeing, expressed as a number from 1 to 1000. Where 1000 is the best possible score and 1 is the lowest possible score. Your HealthScore also provides a relative indication of the direction that your general health and wellbeing is moving in. This is indicated by the arrow next to your score. If the arrow is pointing upwards then your score (and general health and wellbeing) is increasing, if the arrow is pointing downwards then they are decreasing. The score takes into consideration your lifestyle behaviours (My Lifestyle), your current physical state (My Body) and your emotional outlook (My Emotions), and thereby provides you with a completely holistic picture of your general health and wellbeing.
Nuffield HealthScore™ makes the invisible visible by providing a single HealthScore number out of 1000 which provides a real time indication of your general health status. Nuffield HealthScore™ guides and supports you to make the right lifestyle choices by: • Giving you a single, easy to understand, personalised HealthScore number • Allowing you to see, in real time, the impact of your lifestyle choices on your health • Ensuring you receive the best advice by working with our health professionals in a more personalized way • Giving you the motivation to keep going • Making your fitness and wellbeing more fun and enjoyable.
Nuffield HealthScore™ has been developed in collaboration with our business partner, Dacadoo, including a team of medical professionals, an independent advisory board, statisticians, and world renowned academic health experts.
Yes, Nuffield HealthScore™ provides a relative indication of your general health and wellbeing based on the information that you entered. To make your HealthScore as personal and accurate as possible ensure that your profile is 100% complete. The more information you can enter the more personalised and accurate your score will be. Nuffield HealthScore™ has been developed in collaboration with academic and medical professionals, an independent advisory board and world renowned health experts. Nuffield HealthScore™ is based on many of the known cardiovascular and cerebrovascular risk studies, precursor models, and predictive models covering a broad spectrum of diseases, including cancer, with an estimated 70 million man-years of available clinical data. The quality of life questionnaire has been developed by Dacadoo and is primarily influenced by self-assessment questionnaires developed by the World Health Organization (WHOQOL) and the Centers for Disease Control in the US (CDC HRQOL), as well as the SF-36 survey developed by the Medical Outcomes Study in the US.
No, Nuffield HealthScore™ is not a medical product. It is not a diagnostic tool and does not substitute the diagnosis or advice given by a medical professional. Your HealthScore provides a relative indication of your current general level of health based on the information that you provided. Nuffield HealthScore™ is a lifestyle product, providing you with an easy-to-use, wireless, secure and fun way to manage and track your personal health, wellbeing and fitness. Through integrating gaming and social networking principles, Nuffield HealthScore™ motivates you to make healthy lifestyle choices in an easy and fun way.

How Nuffield HealthScore™ works

Your HealthScore is comprised of 3 parts and each part has it’s own sub score: your Lifestyle score, your Body score and your Emotions score. Each part has a different level of importance in terms of influencing your overall HealthScore out of 1000. Making improvements in any of these 3 parts will increase your overall HealthScore. However, your Lifestyle score has the greatest influence on your HealthScore and accounts for 500 points. Your Body accounts for 350 points and your Emotions account for 150 points. Each part influences your overall HealthScore out of 1000. The following examples illustrate how your HealthScore could improve based on the 3 parts. • If you feel better about yourself and life in general, and your Emotions score improves, this will have a positive effect on your HealthScore. • If your blood pressure improves, and your Body score improves, this will have a positive effect on your HealthScore. If you engage in regular exercise activity and you track this activity through Nuffield HealthScore™, then your Lifestyle score will increase which will increase your overall HealthScore.
Your Lifestyle score has the greatest influence on your HealthScore because the key to improving your health and wellbeing is by making positive lifestyle changes. You are therefore in control and you can take responsibility for your own health and wellbeing. You can make lifestyle changes and track these changes using the lifestyle modules found within your Lifestyle score. The lifestyle modules that are currently available within Nuffield HealthScore are: • Exercise Activity • Step Counter • Body Composition Future modules will include: • Nutrition • Stress • Sleep
Each module has its own score which counts toward your Lifestyle score. This score will increase if a positive change has been tracked but is also able to decrease if positive behaviours are not maintained. E.g If you track your walking activity then your Exercise Activity score will increase but if you stop tracking your walking then your Exercise Activity score will eventually start to decrease. Each module also has a specific priority level which is personalised to you based on your biometric measurements. E.g If your cholesterol and blood pressure is elevated and you are a smoker then the most important module for you will be the Smoking Monitor. Certain lifestyle modules are optional and you can therefore decide whether you want to activate and use certain modules. The Smoking Monitor will automatically be activated for any current or previous smokers. Body Composition Manager will automatically be activated for every user as maintaining a healthy body composition is important for health. Certain lifestyle modules require a short period of time in order to assess your behaviour before it calculates a score for you. E.g You need to track your total daily steps using the Step Counter for 5 days before you will receive a Step Counter score.
The Exercise Activity module monitors how physically active you are. You can track a wide range of outdoor and indoor activities such as walking, football, swimming, yoga and fitness classes. When you track an exercise activity your Exercise Activity score increases. If you stop tracking exercise activities then your Exercise Activity score will eventually start to decrease. You can track your exercise activity either by using the Nuffield HealthScore™ Tracker App or by manually entering an exercise activity through Add an Activity. You need to track a minimum of 5 exercise activity sessions before you will receive an Exercise Activity score.
Engaging in regular exercise activity and tracking this activity on Nuffield HealthScore™ increases your Exercise Activity score and your overall HealthScore. Similarly, if you stop engaging in exercise activity or stop tracking your exercise activity through Nuffield HealthScore™, your Exercise Activity score and your overall HealthScore will start to decrease. Your countdown clock shows you how many days of inactivity you have left until your HealthScore will start to decrease.
The Step Counter monitors the average number of steps that you take each day. In order to monitor your daily steps you will require a pedometer device. You can either manually enter your daily number of steps or you can upload your steps automatically using a Fitbit pedometer device. The Step Counter is a great tool for those who are just starting to become more physically active but it is also great for regular exercisers who want to monitor their activity levels in between exercise sessions. Taking the stairs instead of the lift is just as important as engaging in regular physical activity. The recommended target value for average daily steps is 10 000 steps. When using the Step Counter please ensure that you are not double counting your walking by using both the HealthScore Tracker App and your pedometer at the same time. You need to track your total daily steps using the Step Counter for 5 days before you will receive a Step Counter score.
Body Composition takes into consideration your Body Mass Index (height and weight) and your body fat mass to provide a more accurate representation of your body composition. The higher the score the closer you are to achieving a body composition that is healthy and appropriate for you. The aim of this module is to encourage you to achieve and maintain a healthy body composition. Having too much body fat is detrimental to health but having too little body fat can also have negative health consequences. You can update your Body Composition score by manually entering your weight and fat mass on your Diary page. Your score will only change if you update your weight or fat mass measurements.
Your HealthScore is made up of 3 parts and each part accounts for a certain amount of points out of the total 1000 HealthScore points: My Lifestyle (500 points), My Body (350 points) and My Emotions (150 points). When you first register on Nuffield HealthScore™ your score will be calculated based on your Body score as this is the only information that you have entered (gender, age, height and weight). You should then complete the rest of your physical measurements (waist circumference, blood pressure, cholesterol, glucose, medical history questionnaire and lifestyle questionnaire) to make your Body score and your overall HealthScore more accurate and personalised to you. You should also complete the Quality of Life questionnaire in order to receive a score for your emotional component (My Emotions). Your Lifestyle component accounts for the highest amount of points out of 1000, and as you wouldn’t have started to track your lifestyle behaviours yet, your overall HealthScore may seem quite low to begin with. Once you start tracking your lifestyle behaviours (exercise activity, step counter, smoking monitor, and body composition) your overall HealthScore will start to change.
Nuffield HealthScore™ makes it extremely challenging for anyone to reach 1000. Nuffield HealthScore™ treats everyone as an individual and your HealthScore is completely tailored to you. How much your score will grow will depend on your current level of health and on how hard you work at incorporating healthy behaviours into your daily lifestyle. It is possible for your score to increase by 400 points or more over time, but it’s all dependent on your current state of health and on your lifestyle behaviours to make this happen. A score of 800 or higher is considered excellent.
How quickly your score increases is completely dependent on you as an individual. It could start to increase after a few days or after a few weeks depending on your current level of health. Nuffield HealthScore™ treats everyone as an individual and your HealthScore is completely tailored to you. Your Lifestyle score has the greatest influence on your overall HealthScore so tracking lifestyle behaviours will have the greatest influence on increasing your score. You need to track a certain amount of lifestyle behaviour before your Lifestyle score and your overall HealthScore increases. E.g You need to track 5 exercise sessions before you will receive an Exercise Activity score. You need to track 5 days of steps before you will receive a Step Counter score.
Your HealthScore is comprised of 3 parts and each part has it’s own sub score: your Lifestyle score (500 points), your Body score (350 points) and your Emotions score (150 points). Each part has a different level of importance in terms of influencing your overall HealthScore out of 1000. Making improvements in any of these 3 parts will increase your overall HealthScore. However, your Lifestyle score has the greatest influence on your HealthScore so tracking lifestyle behaviours will have the greatest influence on increasing your overall HealthScore. The following examples illustrate how your HealthScore could improve based on the 3 parts. • If you feel better about yourself and life in general, and your Emotions score improves, this will have a positive effect on your HealthScore. • If your blood pressure improves, and your Body score improves, this will have a positive effect on your HealthScore. • If you engage in regular exercise activity and you track this activity through Nuffield HealthScore™, then your Lifestyle score will increase which will increase your overall HealthScore.

Using Nuffield HealthScore™

You can update your quality of life questionnaire every month as this provides an accurate up to date assessment of your emotional wellbeing. As a minimum it is recommended that you update your questionnaire at least once every 12 weeks.
If any of your biometric are outside of the recommended range and you are working to improve these levels under the guidance of a Health Professional then you should monitor and update these measures regularly. The time period between each measurement depends on the measurement being taken. Blood pressure measurements can be taken daily if necessary. Weight and circumference measurements (waist) can be taken weekly. Blood tests such as cholesterol can be measured every 8-12 weeks. It is advisable to attend a Health Assessment with a Health Professional at least once every one to two years.
If you stop tracking your lifestyle behaviours for a prolonged period of time then your HealthScore will eventually start to decrease. The rate of decline will be specific and personalised to each individual, dependent on their current level of exercise activity. There is no pause function on Nuffield HealthScore™ because it is a real time reflection of your lifestyle, your general health and your wellbeing. Your physical state is continuously changing in time and cannot be paused. Going on holiday has many psychological and physiological benefits which have a positive effect on your overall health and wellbeing, so track these benefits where ever you are. If you’re not able to track your progress while on holiday then ensure that you top up your Lifestyle score sufficiently before you leave to prevent your score from decreasing while you are away.
Nuffield HealthScore™ does not factor in pregnancy in the calculations. Entering in any biometric data such as weight, waist circumference, blood glucose and blood pressure will not take your pregnancy into account, and could result in your HealthScore decreasing. You may still be able to track your exercise activity but automatic hints and recommendations generated from the system will not be accurate for pregnancy. You should always take professional medical advice above any advice that the system gives you.
There are three ways you can add an exercise activity to your HealthScore profile: 1. On the left-hand side of the homepage, click on the ‘Add Exercise Activity’ button which is located underneath your HealthScore body breakdown and Exercise Countdown. 2. Click on the Diary tab, and click on the ‘Add Exercise Activity’ tab on the left-hand side of the page. This will be the 3rd tab on the list. 3. Using the Nuffield HealthScore™ tracker app, you can track an activity in real-time by selecting ‘New’ or ‘+’ (depending on your smart phone) or select ‘Manuel Entry’.
You can hide your maps tracked via GPS on the smartphone app or supported devices such as Garmin. Go to ‘My Account’ and select ‘Privacy & Security Settings’ and under Hide Maps sharing option select ‘On’ or ‘Off’. Once you have changed your settings click ‘Update Sharing Options’ to save.
Login to your account and click on ‘My Account’ in the top right-hand corner of the page. Within the ‘General Account Settings’ tab there is an option at the bottom of the page to ‘Delete my account’.

Units of Measurement

A MET is an abbreviation for a Metabolic Equivalent. METs are units of measure used to describe the intensity level of a specific task/activity. METs are referred to as Activity Intensity on the Nuffield HealthScore™ platform. If you are sitting down at rest you will be working at an intensity level of 1 MET. If you perform activities that require moderate levels of intensity such as brisk walking, dancing or golf you will be working at an intensity level of 3-6 METs. If you perform activities that require vigorous levels of intensity such as jogging, swimming or mountain climbing then you will be working at an intensity level of 6 or more METs.
Intensity Hours refers to the number of MET hours accumulated for a specific task. If you worked at an intensity level of 8.0 METs (running) for a duration of one hour then you would have accumulated 8 MET hours. If you worked at an intensity level of 8.0 METs (running) for a duration of half an hour then you would have accumulated 4 MET hours. The current American College of Sports Medicine (ACSM) guidelines suggest that individuals should accumulate a minimum of 7.5 to 12.5 MET hours per week from physical activity.
Kilocalories (kcal) are measurements of energy. Calories are very small units and therefore kilocalories are often used. There are 1000 calories in one kilocalorie. Kilocalories can be used to express energy intake and the calorie content of food. Kilocalories can also be used to express energy expenditure and energy requirements for different tasks. Eg. An average-sized individual who runs or walks one mile expends approximately 100 kcals. There are approximately 80 kcals in one apple.

About the Nuffield HealthScore™ Nutrition Coach

How you eat is as important as how you exercise. Healthy eating habits promote feelings of wellbeing, can help to regulate energy levels and contribute to a healthy, attractive appearance. Good nutrition contributes to health and can reduce your risk of developing chronic diseases. Poor eating habits can increase your risk of developing chronic diseases such as obesity, hypertension, type II diabetes, and heart disease.
The Nutrition Coach is an intelligent system that learns all about you, the foods that you typically eat, and your eating and drinking habits. It places importance on what you eat and drink, how often and how long you take over meals. Its purpose is to promote healthy eating habits that improve long-term health outcomes such as maintaining a healthy body weight, reduced blood pressure and total cholesterol.
Nutrition questions will be sent to your notification inbox via the website or smartphone app. You need to an answer the first 21 questions, which will arrive within a few minutes of each other, so that you can get your first Nutrition Score.
The Nutrition Coach will provide personalised hints and tips, identify nutrition goals for you to work on and guide you towards achieving them, improving the way you eat for life. You will receive a Nutrition Score which will move in real-time as you answer more questions.
The Nutrition Coach has been developed by nutritional, health and wellbeing experts. The development process has been overseen by an independent Medical Advisory board and content has also been assessed by a Behavioural psychologist, in collaboration with Nuffield Health experts.
The Nutrition Coach has been designed to provide subtle nudges and prompts to drive long term behaviour change. The Nutrition Coach does not count calories as this is difficult to sustain over the long term. The Nutrition Coach asks you a series of questions (requiring a Yes /No response or multiple choice answers) to build a rounded picture of your overall eating habits and learns about what influences your eating behaviour. The questions will last for approximately 1-3 months. Depending on the answers you give the system will prompt you with a useful hint or tip.
The Nuffield Healthy Eating Plan mainly consists of fruit and vegetables, wholegrain products, low-fat dairy, pulses and nuts. Olive oil is the main source of fat. Fish and poultry are consumed in low to moderate amounts. The plan is low in red meat and meat products, eggs, sweets, allows moderate consumption of wine (usually accompanying meals), and water being promoted as the best fluid for hydration. Download the Nuffield Healthy Eating Plan booklet which supports HealthScore’s Nutrition Coach.
  • Plenty of plant foods (e.g. fruits, vegetables, potatoes, wholegrain breads, grains, beans, nuts and seeds)
  • Minimally processed and seasonally fresh foods
  • Fresh fruits as the typical daily dessert
  • Wholegrain products (brown rice, whole-wheat, brown bread, and whole-wheat pasta).
  • Olive oil is the main source of dietary fat
  • Fish and seafood at least twice per week
  • Dairy, poultry and eggs in small to moderate amounts (ideally low-fat dairy).
  • Red meat in low frequency and small amounts
  • Sweets and treats in low frequency and small amounts
  • Wine in moderate amounts, usually accompanying meals (1-2 glasses per day for men and 1 glass for women)
  • 1-2 litres of water per day.
There is substantial scientific evidence supporting that adherence to this type of meal plan results in the improvement of risk factors such as insulin resistance, high blood pressure, high blood sugar and impaired blood fats, as well as a reduction in morbidity and mortality of major chronic diseases including cardiovascular disease, cancer, diabetes, Alzheimer’s and Parkinson’s. Adherence to this type of meal plan has also been associated with the maintenance of a healthy body weight and is more sustainable in the long term when compared to other diets.
This is personalised to you and depends on your body measurements, for example; if your blood pressure or BMI is elevated, then the Nutrition Coach will be a higher priority for you and will influence your overall HealthScore more. Once the Nutrition Coach is activated, most users will see their score increase. However the Nutrition Coach is more sensitive to score changes and will have an immediate reaction to your score as and when you answer questions, e.g. after answering one question, your score may increase or decrease by 2 points.
You receive points depending on your answers which count towards your Nutrition Score. Some answers will decrease your score (RED), some answers will increase your score (GREEN) and others will provide a neutral score (WHITE) which will provide an in between value. Your Nutrition Score counts towards your overall HealthScore. You can opt in or out of the Nutrition Coach so you won’t have to answer questions relating to your nutritional habits continuously. You are in control of how many questions you receive each day.
The Nutrition Coach has been designed for healthy populations and may not be suitable for everyone. It does not take into consideration food allergies, food intolerances or gastrointestinal conditions such as irritable bowel syndrome (IBS). The Nutrition Coach has not been tailored to provide specific dietary advice with regards to chronic conditions such as hypertension (high blood pressure), hyperglycaemia (high blood sugar) or dyslipidaemia (high blood cholesterol/fats). However, adherence to the Nuffield Healthy Eating Plan results in the improvement of risk factors such as insulin resistance, high blood pressure, high blood sugar and impaired blood cholesterol. So following this eating plan is beneficial for health for most people. However, if you have been advised by a medical professional to follow a specific eating plan then you should always follow this advice over any advice provided through the Nutrition Coach.
You can view your Nutrition Score any time by going to the ‘Diary’ page of your HealthScore account. Alternatively on the app you can view your Nutrition Score under the HealthScore section.
The questions the Nutrition Coach has asked you, the answers you gave and the hints you received will be stored in the ‘Diary’ page of your HealthScore profile. Within this page, click on the ‘Nutrition’ tab and select ‘History’ to view this information and how you scored for eating question.
Once you have answered the first 21 questions, you can change the frequency of questions. As you progress through the questions, the Nutrition Coach will continue to ask whether you are happy with the frequency of questions, or whether you want to change your settings.
Yes, the Nutrition Coach is available on the website and smartphone app. Any questions you receive and answer via the app with automatically sync with your online HealthScore profile.
If goals are activated, then you will continue receive goal related questions and follow-up.
You can opt in or out of the Nutrition Coach so you won’t have to answer questions relating to your nutritional habits. However if you turn the Nutrition Coach off, you will lose all of your accumulated Nutrition points.

Nuffield HealthScore™ Subscriptions

Click on the ‘Setting’s icon in the top right of your online HealthScore account.  Select the ‘Subscription Management’ tab on the left and scroll down to view the status of your current and/or pending subscriptions on HealthScore.
Once your 60-day free trial period has ended, when you next login to your HealthScore account you will be prompted to opt for a paid subscription to continue using Nuffield HealthScore™, if HealthScore is not included for free as part of your Nuffield Health membership.
If you do not opt for a paid subscription you will no longer be able to use your online HealthScore account, however you can continue to use the HealthScore app as an exercise tracker only (i.e. you will not see your HealthScore number, score breakdown or newsfeed items).
Please contact the HealthScore support team to find out if you are entitled to use HealthScore for free:
If you are experiencing this issue please contact the HealthScore support team to have this resolved:
If HealthScore is not included for free as part of your Nuffield Health gym membership, you can continue using your account but opting for one of the following subscriptions:
  • 3 month HealthScore subscription = £5.99/month
  • 6 month HealthScore subscription = £5.49/month
  • 12 month HealthScore subscription = £4.99/month
If you wish to extend your HealthScore subscription for either 3, 6 or 12 months, please contact out support team to arrange payment:
No, this functionality will not be available on the kiosks.
No - payments can only be made via www.nuffieldhealthscore.com
Subscriptions on HealthScore are paid upfront for the full amount, not as a monthly direct debit.
Yes
You may cancel subscription to Nuffield HealthScore™ at any time by providing us with a minimum of 30 calendar days notice in writing. You must have a minimum of one month left on your subscription; refunds shall be given for whole months only.
You may cancel your subscription to Nuffield HealthScore™ at any time before downloading the Nuffield HealthScore™ app or before commencement of your subscription to Nuffield HealthScore™ or within 7 calendar days of registering and subscribing to Nuffield HealthScore™ by contacting us. We will confirm your cancellation in writing to you. If you have made any payment in advance for Nuffield HealthScore™ and those services have not been provided to you, we will refund these amounts to you. 
Please read the terms and conditions for further details.
Refunds will be made within 30 days of receipt of your notice to cancel.

Using the Nuffield HealthScore™ Sleep Monitor

The Sleep Monitor has been developed to assess sleep quality and quantity. It can be used in two ways:
  • Manually adding your sleep data to the Nuffield HealthScore™ website, or
  • Syncing a compatible device to your HealthScore account, such as Fitbit One™ or Fitbit Flex™, which will automatically upload your sleep data to HealthScore.
The Sleep Monitor can be found on the HealthScore website by clicking on the ‘Me’ tab and selecting ‘Sleep Monitor’ from the left hand side bar.
The Sleep Monitor allows you to record 3 readings:
  • Sleep duration
  • Time spent in bed, and
  • Number of awakenings across a night
This generates a ‘sleep quality’ value , which is given as a percentage. The higher the percentage, the better the quality of an individual’s sleep. The sleep score is then calculated taking both the sleep duration and the sleep quality into consideration, the higher the sleep score  the more it will help to increase your HealthScore out of 1,000.
These readings can be automatically uploaded by a compatible sleep device, and also be entered manually via the website, by going to ‘Me’ > ’Sleep Monitor’ > ’Manual Entry’.
The Sleep Monitor has been designed to use actigraphy readings from an external device to see how well you are sleeping. Actigraphy (how much you moved during your sleep) gives an indication of how restful or restless your sleep was. More movement and therefore more restlessness means shallow sleep and therefore poor quality. Less movement and therefore more restful sleep means you entered the deep stages of sleep (phase 3 and 4) and therefore achieved good quality sleep. Research shows that actigraphy is a clinically accurate and reliable method of calculating both sleep quality and duration.
The Sleep Monitor records 3 readings, which can be entered manually via the website, or uploaded automatically from a compatible device. These readings are:
  • Sleep duration
  • Time spent in bed, and
  • Number of awakenings across a night.
This generates a ‘sleep quality’ value , which is given as a percentage. The higher the percentage, the better the quality of an individual’s sleep.
After 5 separate days of inputting sleep data, the HealthScore website will calculate an average sleep score within its total score calculations. This will cause the score to increase or decrease, depending on how well you have been sleeping. The sleep score is calculated taking both quality of sleep and duration of sleep into consideration.
This score change will be different for everyone; if you are improving your quality and duration then your score will increase, if your average is decreasing then your score will decrease.
The higher the %quality the higher the sleep score, as long as sleep duration is between 7-8 hours. 7-8 hours of sleep is considered the ideal range, as too much or too little sleep can  be harmful to health.
The Sleep Monitor requires 5 days of inputting sleep data to be fully activated. After this point, the  sleep score will be included as part of your overall HealthScore calculation.
Simply tracking your sleep habits via the Sleep Monitor will not help you to sleep better, however by tracking your habits over time it will enable you to identify any trends, and then you can work out what is causing the different sleep patterns and work on them with a relevant health professional. For example, it may be that your exercise habits are affecting your sleep, or your caffeine intake.
At present you can connect the Fitbit One™ or Fitbit Flex™ to your HealthScore account to use in conjunction with the Sleep Monitor. These can be purchased at a discounted price for Nuffield Health members via the Compatible Devices page.
You can add a compatible sleep device to your HealthScore account by clicking on the settings ‘cog’ in the top right hand corner of your online HealthScore account. Select ‘My Account’ and then click ‘Connections’ from the left hand side bar. Select your compatible device’s brand from the list available and follow the on-screen instructions.
Connection is slightly different for each device, so please follow the manufacturer’s instructions as they appear on screen. Please also note that Fitbit devices will require an external Fitbit account to be created before linking via HealthScore; this can be completed for free at www.fitbit.com/uk
No. The Sleep Monitor can be used manually via the HealthScore website by clicking on the ‘Me’ tab, selecting ‘Sleep Monitor’ from the left hand side bar and then choosing ‘Manual Entry’. You can also use a combination of manual data entry and a compatible device if you wish; they are not mutually exclusive.
No. At present the Sleep Monitor is accessible on the HealthScore website only. You can view your sleep score in the HealthScore breakdown page of the app.
Yes. You can opt in or out of the Sleep Monitor so that you won’t have to enter data relating to your sleep habits. However if you turn the Sleep Monitor off, you will lose all of your accumulated Sleep Monitor points.
Not at present. In the current format, the ‘Sleep Monitor’ is designed to help you track your sleeping patterns. It will not provide specific hints and tips, although tracking your trends over time should help you to identify any lifestyle choices that may be impacting on your sleep health. If you would like specific advice then please speak to a member of Nuffield staff who will be able to assist you.
No. The Sleep Monitor has been designed for healthy populations and may not be suitable for everyone. It has not been tailored to provide specific sleep advice with regards to chronic conditions such as sleep apnoea, narcolepsy of hypersomnia. If you believe that you suffer from any of these conditions you should speak to a medical professional in order to gain further advice and support.

Using the Nuffield HealthScore™ Stress Manager

The Stress Manager has been developed to help you monitor your stress levels through daily data collection. Assessment of short and long term stress levels can help you to identify potential stressors and manage these appropriately.
The Stress Manager can be found on the HealthScore website by clicking on the ‘Me’ tab and selecting ‘Stress Manager’ from the left hand side bar. This is also where you need to go in order to adjust your Sleep Manager settings preferences, such as number of Heart Rate Variability (HRV) measurements per week.
Please note that the Stress Manager can only be used with the smartphone app. If you do not have a smartphone then you will not be able to use the Stress Manager.
To input the data, you will need to use the HealthScore Inbox (via the website or app), which will send questions each day relating to how stressed you are feeling. For further accuracy you can also enable your smartphone app to automatically collect relevant data across your day, which will upload to your HealthScore account directly via the app. Please note that in order to update stress data such as voice recordings and stress questions you will either need to be connected to Wifi or if using mobile data you need to ensure that you have selected “allow upload via cellular network” under settings on the app.
The Stress Manager uses a  range of data collected to determine short and long term stress scores. Only the long term stress score contributes to the overall HealthScore. 
The Manager requires 10 days of valid data collection to be fully activated. In order to have a valid tracking of stress each day, you must complete the following:
  • Answer the questionnaire sent to your HealthScore Inbox via the website or app. Complete either a voice recording (app only) OR complete an overnight HRV reading using a compatible Heart Rate monitor (app only). Please note that both the phone model and HRV model need a full 10 days of use to become activated; this means that if you are alternating between the two models it will take a period greater than 10 days for the Stress Manager to become fully activated.
Once activated, the Stress Manager will display both a short and long term stress level. These will be categorised as low, medium or high, and a hint or tip will be provided accordingly. Additionally, if long term stress level enters the high stress level area, an alert will be triggered.
Once activated, the Stress Manager will display both a short and long term stress level on a graph. These will be categorised as low, medium or high, and a hint or tip will be provided accordingly. Additionally, if the long term stress level enters the high stress level area, an alert will be triggered.
In order to have a valid tracking of stress each day, the questionnaire must be answered (via website or app) and either the voice recording (app only) or an overnight Heart Rate Variability (HRV) reading using a compatible Heart Rate monitor must be completed (app only). This means your HealthScore takes into account both objective and subjective data before a score is generated.
Measuring heart rate variability (or HRV) overnight is a method for assessing the effects of stress on your body. 
HRV is the physiological phenomenon of variation in the time interval between heartbeats. It is measured by the variation in the beat-to-beat interval.  
HRV measurements have been used in clinical studies to investigate responses to stress, with high HRV being linked to good health and high fitness levels and low HRV being linked to stress, fatigue and even burnout.
Although the Stress Manager uses the range of data collected to determine short and long term stress scores, only the long term stress score contributes to the overall HealthScore, which is generated on a rolling basis. As with all of the other scores on the HealthScore platform, the higher the score the better for your health and wellbeing. However, the Stress Manager score is slightly different in that a low long term stress score (indicating low stress levels) will result in a high Stress Manager score which will positively influence your overall HealthScore. Similarly a high long term stress score (indicating high stress levels) will result in a low Stress Manager score which will negatively influence your overall HealthScore.
The Stress Manager requires 10 days of valid data collection to be fully activated. In order to have a valid tracking of stress each day, the questionnaire must be answered (via website or app) and either the voice recording (app only) or an overnight HRV reading using a compatible Heart Rate monitor must be completed (app only). This means your HealthScore takes into account both objective and subjective data before a score is generated.
Please note that both the phone model and HRV model need a full 10 days of use to become activated; this means that if you are alternating between the two models it will take a period greater than 10 days for the Stress Manager to become fully activated.
Just tracking your data using the Stress Manager will not directly help you to reduce your stress levels, it will however help you to track your stress responses, identify any trends, and provide you with a hint relating to your long term stress state that you can then use to manage your stress more effectively. You can also use the data collected to assess for yourself what may be causing any fluctuations in your daily stress scores.
There are several different heart rate monitors that can be connected to your HealthScore account in order to support the Stress Manager as well as your Exercise Activity tracking. These include:
  • Wahoo ANT+
  • Polar H7
  • Polar Wearlink.
For more information on compatible Heart Rate monitors or to buy yours at our Nuffield Health discounted member price, visit our Compatible Devices page in the HealthScore Info Centre.
Please ensure that when purchasing a compatible Heart Rate monitor that the device is compatible with your smartphone, as some devices may be specific to iPhone, Android or BlackBerry. Technical specifications for each Heart Rate monitor are outlined under each device in the Compatible Devices page.
You can add a compatible Heart Rate monitor devices to your HealthScore account by opening the Nuffield HealthScore™ app and going to the ‘Sensor Management’ menu.  Click ‘Connect’ and follow the on-screen instructions to connect your Heart Rate monitor to HealthScore.  Please note that some heart rate monitors and phone models require you to connect to Bluetooth and pair the heart rate monitor to your phone.
If you are experience any difficulties, please contact the HealthScore Support Team on:
No. You can generate a stress score by using GPS data from your smartphone via the Nuffield HealthScore™ app, answering a stress question once per day and taking a voice recording.
The HRV measurement, which uses a compatible heart rate monitor, is not essential for generating a stress score, although it will make the data collection more clinically accurate if used.
No. If you do not have a smartphone you can still answer the HealthScore inbox questions on the website, however this will not generate a stress score on its own and a suitable smartphone is required for collecting GPS data, taking a voice recording and connecting a compatible heart rate monitor to your account.
Yes. You can access the Stress Manager by clicking on the ‘Me’ tab and then selecting the ‘Stress Manager’ from the left hand side bar. On the website you will be able to answer your stress question in the HealthScore Inbox, see any data collected and view your stress level and score. The website does not allow you to enter any other stress data; this needs to be done using the Nuffield HealthScore™ app, or suitable heart rate monitor.
Yes. You can opt in or out of the Stress Manager so that you won’t have to enter data relating to your stress management habits. However if you turn the Stress Manager off, you will lose all of your accumulated Stress Manager points. 
Yes. Once the ‘Stress Manager’ has collected a suitable volume of data it will start to generate short and long term stress scores. Based on these responses you will receive an appropriate hint relating to stress management. If you would like specific advice then please speak to a member of Nuffield staff who will be able to assist you.
No. The Stress Manager has been designed for healthy populations and may not be suitable for everyone. It has not been tailored to provide specific stress management advice with regards to chronic conditions such as anxiety or depression. If you believe that you suffer from these conditions you should speak to a medical professional in order to gain further advice and support.