CPFT ADHD Team — Cambridge & Peterborough

I'm still on
your waiting list.
OTOS doesn't solve that.

OTOS doesn't reduce your waiting list. It stops people falling out of contact while they wait for you — so when they do reach you, they're still reachable, still connected, still on their journey.

NHS waiting corridor — the silence OTOS addresses
Your support note — ready to edit and send
Draft note — CPFT ADHD Team

"I've been briefed on OTOS Continuity™ — a non-clinical communications layer for adults with co-occurring ADHD and addiction on waiting lists. I understand it does not add clinical burden, does not access any CPFT system, and is not a pathway workaround. It is designed to maintain engagement between referral and first appointment. I'd like to explore whether the CPFT ADHD Team has a role in the scoping conversation."

Edit as you see fit. Two minutes to send. No commitment beyond the note.

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What happens in the silence between referral and appointment

The waiting list is not the problem. The silence is.

I know the waiting list is long. I'm not angry about that — I understand the pressures. When I was finally referred to CPFT's ADHD service, I waited. And during that wait, nothing held the thread. No signal was sent. No continuity was maintained. I didn't know if the referral had arrived. You didn't know if I was still reachable.

That silence is not a clinical failure. It is a structural one. And it is the specific gap OTOS is designed to close — not by replacing your clinical work, but by making the waiting period visible to whoever holds the person during it.

When someone finally reaches you, OTOS means they're more likely to still be reachable. It means the waiting period has been held, not lost. It means the referral pathway is receipted, not assumed.

"I'm not asking CPFT to fix the waiting list. I'm asking it to help make the wait survivable for the people who can't afford to drop off the radar while they're on it."
What the waiting period looks like without OTOS
  • No signal that the referral has been received
  • No continuity thread between referring service and CPFT
  • Silent disengagement not visible until first appointment missed
  • Person may have relapsed, moved, or disengaged before contact is made
No new clinical burden

OTOS does not add a single clinical task. It does not access CPFT systems. It does not change how the ADHD team works. It holds the person in the pathway — so when you're ready to see them, they're still there.

What OTOS needs from CPFT ADHD Team

Three things. None of them clinical.

Named contact

One person at CPFT ADHD

A named contact to confirm the referral pathway, answer questions about the pre-pilot design and help ensure OTOS is not inadvertently creating a parallel route.

Referral confirmation

Receipted first step

A lightweight signal that a referral has been received — not a clinical update, not a new system integration. Just a receipted first step that closes the loop for the referring service.

Scoping conversation

Thirty minutes together

Map the CPFT ADHD pathway, agree the limits of OTOS involvement, and establish the safest way to hold the waiting period without adding burden.

What OTOS will never do
  • Offer an alternative or faster route to ADHD assessment
  • Access RiO or any CPFT clinical system
  • Create clinical records or share identifiable data with CPFT
  • Make clinical decisions or substitute for CPFT clinical judgement
  • Add to clinician workload in any measurable way
Questions to resolve together
  • ?Is there an existing referral acknowledgement the team can share?
  • ?What is the current contact model for people on the waiting list?
  • ?Who needs to be involved beyond the named contact?
  • ?How does OTOS fit with the co-occurring conditions pathway?
"OTOS doesn't solve the waiting list. It makes waiting safer."

Ready when you are.

One note. One conversation. That is all it takes to start.