Named contact
One person in Alcohol Care
A named contact who can answer workflow questions, confirm local red lines and help shape the handoff protocol. Not a project lead. Not a new role. One name.
Addenbrooke's — Alcohol Care Team
Next time we meet.
I wont be your patient,
I'll be your Partner.
My lovely nurse remebered me and we discussed my reasons "this time" but she was great, totally understood and was really positive about my plan and hunch. She agreed, there was nowhere else to send me. I needed the connfirmed, medical detox, discharge letter urgently, she made that happen. Within a matter days,i got the tick in the bos from CGL and started ehe medication I needed all along. Life changing. My "whole life made sense" kind of changing. This is me keeping that bedside promise.
What happened at that bedside
She agreed: "I have nowhere else to send you."
The last time I was at Addenbrooke's as a patient, my alcohol liaison nurse sat bedside and told me she had no onward pathway to offer. She was brilliant. She cared. But the system had nothing left to give her to give to me.
So I gave her my words. I told her wmy plann and that I needed the discharge letter to confirm certain words and she helped — she got it to me quickly so I could use it to get back to my private psychiatrist and finally get onto Elvanse.
Within three days, everything changed. The chaos, the addiction, the shame, the repeated A&E, intensive care, police, courts, probabtion, the whole journey, my whole life — they weren't failures. They were what happens when the underlying neurological condition stays unresolved and the system treats only the outcome. It's adhd-fuelled addiction, I see it everywhere in recovery and I know you do too.
I told her: "Next time we meet, I won't be your patient. I'll be your partner." This is that next meeting.
"The bedside promise was not a metaphor. OTOS is the infrastructure conceived that day. I'm truly greatful for the care andassistance,I hope you can get involved."
What OTOS would have done differently
- Logged the referral before discharge — so it was visible, not assumed
- Surfaced the waiting-list silence as a Continuity™ signal, not a blind spot
- Held the thread between Alcohol Care, CGL, ADHD Team and the GP — in one receipted view
Signal summary
35
Years self-medicating
6
A&E presentations
2
ICU admissions
3
Addenbrooke's detoxes
Three days on Elvanse
Private diagnosis. Private medication. The NHS system had the same information. The intervention that changed everything was available on the NHS. Nobody connected the dots.
What OTOS needs from Alcohol Care Team
Three things. None of them clinical.
Handoff visibility
ontinuity™ logged before leaving
Innthe Pre-pilot,patiets could be pre-loaded so, a simple one click log is all the demo contribution should be required for the demo element. This contributes to presenntation statistics on the thread and enables true measuremet across touchpoints. In the futture Pilot, when a patient is discharged who meets the ADHD + addiction profile, the next step can be creation of signals for new cases like mine — before they walk out the door, not after they disengage.
Scoping conversation
Thirty minutes together
We map the pathway, agree the boundarie and design the safest routes and ways to make it work. No commitment required beyond that conversation.
What OTOS will never do
- ✕Diagnose, prescribe or make any clinical decision
- ✕Access, replace or write back to any EPR system
- ✕Create a new clinical record or share identifiable data
- ✕Automate any decision that should have a human in it
- ✕Ask Addenbrooke's to change how it works internally
Questions to resolve together
- ?What is the right point of identification in the Alcohol Care pathway?
- ?Who is the named contact for the scoping conversation?
- ?What governance route is needed before any pilot involvement?
"We are not asking the system to change. Only to connect and help tackle an identifiable, high cost and reptitive cohort."
Your support note — ready to edit and send
Draft note — Addenbrooke's / Alcohol Care Team
"I've been briefed on OTOS Continuity™ — a non-clinical handoff layer for adults with co-occurring ADHD and addiction in the Cambridge and Peterborough area. I understand it is not a clinical service and does not access or write to any EPR. I'd like to explore whether there is a role for CPFT's Alcohol Care in the scoping conversation for a 12-week pre-pilot."
Edit this note as much or as little as you'd like, then send it to Dean directly. Two minutes. No commitment beyond the note.
Send this note →Ready when you are.
One note. One conversation. That is all it takes to start.