OTOS Continuity™
Cambridgeshire County Council — Public Health, Drugs & Alcohol · Inclusion Health

A cost-redirection opportunity
hiding in current spend.

This is a discovery briefing — not a funding ask. OTOS Continuity™ is a bounded pre-pilot targeting adults cycling through addiction and crisis, where unresolved ADHD may be the underlying driver of repeat demand.

This page is for Local Authority level — county-wide public health. The purpose is discovery: does OTOS fit what you see as a priority gap in the Cambridgeshire drugs and alcohol pathway?

The cost case The local ask
The public health angle

This is not a new cost.
It is smarter use of what you already spend.

Drug and alcohol commissioning budgets are under sustained pressure. A significant portion of current spend is reactive — crisis presentations, repeat engagement, revolving-door hospitalisation — without ever addressing the root cause.

Current state

Reactive & fragmented

A&E presentations, crisis mental health, repeat addiction treatment, police involvement, housing and homelessness. Each service sees only its piece. The root cause goes untreated. The cost accumulates across multiple budget lines simultaneously.

OTOS model

Connected & preventive

One identification route, one coordinated pathway, ADHD assessment where clinically indicated, supported recovery. Fewer crisis episodes and reduced spend across multiple budget lines — starting from a single 12-week demonstrator.

The ripple cost

The cost doesn't disappear.
It just moves to a different budget line.

Adults with undiagnosed ADHD cycle through A&E, housing, probation, detox and recovery while the pathway treats the symptom that arrives first.

The Ripple Effect of ADHD + Addiction
One person. One year. Conservative cost to the state: £40,070. With repeat cycles: £100,000+
Neurologically informed addiction — cost model
Current system approach: £44.44bn nationally. The pre-pilot cost: £91,520 for 50 people over 12 weeks.
The pre-pilot cost — this page only

£91,520.
Evidence budget. Not therapy budget.

This is the only page across the whole OTOS site where the pre-pilot cost appears. It belongs here — in the commissioning context, not in a clinical partner conversation.

What £91,520 covers
  • OTOS Continuity™ platform infrastructure for 12 weeks
  • Co-production with clinical and community partners
  • Independent evaluation and evidence generation
  • Participant coordination and human review capacity
  • Data and governance infrastructure
  • Evidence pack for ICB commissioning decision
What it is not
  • Not a therapy budget — no clinical treatment is funded here
  • Not a commitment to scale — this is a bounded 12-week question
  • Not a technology procurement — it is a locally validated evidence play
  • Not a new service — it wraps around what already exists
ROI comparator

£4.07 return per £1 invested in addiction continuity
Turning Point / LSE

"This is not a request to fund a full rollout. It is a request to fund a clear question: does a receipted continuity thread, applied to this cohort, measurably reduce silent disengagement?"
£91,520
OTOS pre-pilot
50 people · 12 weeks
≈
£90,000
Residential rehab
1 person · 3 months
The local ask — Cambridgeshire County Council

Three questions.
Starting with a conversation.

We are not asking you to commission anything. We are asking three questions — and inviting you to tell us which route makes sense.

Question 1

Does this match what you see locally?

Is co-occurring ADHD and addiction a visible gap in the Cambridgeshire drugs and alcohol pathway? Do the people we are describing show up in your data?

Question 2

What is the right route?

Public Health commissioning, ICB innovation, joint sponsorship, VCSE partnership, or another path. What is the cleanest route for a 12-week demonstrator in Cambridgeshire?

Question 3

Who else needs to be in the room?

What is the minimum set of decision-makers needed to make a properly scoped pre-pilot real in this county?

  • Guidance on where existing drug and alcohol commissioning spend could hold or part-hold the model without requiring new budget
  • A route to formal commissioning — the longer-term aim is a permanently funded, joined-up ADHD-addiction pathway in Cambridgeshire

Discovery — not a pitch.

The next step is a conversation about whether this fits the Cambridgeshire pathway. Not a funding commitment. Not a procurement.

Email Dean directly Full numbers & model Evidence sources The founder story