NHS Right to Choose QbTech
GP / NHS Right to Choose / QbTech

Right to Choose
was the route that finally worked.
OTOS makes it receipted.

I navigated it privately because I had the resources to do so. Most people in this cohort don't. OTOS makes the Right to Choose route visible, receipted and traceable from first contact — without adding clinical burden to a single GP.

One click — the whole system knows
Your support note — ready to edit and send
Draft note — GP / NHS Right to Choose / QbTech

"I've been briefed on OTOS Continuity™ — a non-clinical communications layer that helps make the Right to Choose referral pathway visible and receipted for adults with co-occurring ADHD and addiction. I understand it does not add to GP clinical workload, does not access any clinical system, and is designed to work alongside existing RTC and QbTech pathways. I'd like to explore the GP/RTC role in the scoping conversation."

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

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The route that should not require this much navigation

It shouldn't take £900 and a crisis to find the right route.

Right to Choose was the pathway that finally got me assessed. But I only found it because I had the resources, the language and the fight left to navigate it. I paid £900 for a private psychiatric assessment to confirm what I already knew, so I could present the evidence to a GP who could then refer me via RTC.

That is an expensive, inaccessible, fragmented route to a straightforward referral. For the adults in the ADHD + addiction cohort, that navigation is close to impossible — and so they never get there.

OTOS makes the RTC pathway visible from the moment someone first touches services. It doesn't change how GPs make referrals. It makes it more likely that the referral gets made — and that it's visible as receipted when it does.

"QbTech's objective measure is exactly what this cohort needs — and exactly what they can't currently get to without someone holding the thread long enough to make it happen."
The current route without OTOS
  • Referral made informally — no receipt, no thread
  • Person loses contact during wait — often before QbTest is booked
  • RTC route abandoned — person returns to crisis services instead
  • No record that RTC was ever attempted
No GP workload added

OTOS does not add to the GP referral process. It sits alongside it — making the thread visible from the moment referral is made, without requiring a single additional clinical step.

What OTOS needs from GP / RTC / QbTech

Three things. None of them clinical.

Named contact

One person per pathway

A named contact at GP network level, RTC pathway and QbTech — to help design the handoff protocol and confirm what visibility is appropriate at each stage.

Referral thread

RTC referral as receipt

When a GP makes an RTC referral for someone in the pre-pilot cohort, OTOS logs it as a receipted thread step. No extra clinical action required — just visibility that it happened.

Scoping conversation

Thirty minutes together

Map the RTC pathway, agree what OTOS makes visible and what stays private, and design the lightest-possible touch for GP participation.

What OTOS will never do
  • Access or write to any GP clinical system or EPR
  • Bypass or replace the Right to Choose referral process
  • Add clinical workload to any GP practice
  • Make clinical decisions or automate any referral pathway
  • Share QbTest results or clinical assessment data
Questions to resolve together
  • ?What is the right point of connection in the RTC pathway?
  • ?Who at QbTech can support the scoping process?
  • ?What GP network in Cambridge and Peterborough is the right entry point?
  • ?How does OTOS interact with existing GP-led ADHD co-commissioning?
"One receipted referral changes the whole downstream picture."

Ready when you are.

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