Shared-Care Bridge: Private-to-NHS ADHD Handoff Pack
A digital folder that helps patients move their ADHD diagnosis and records from a private clinic to the NHS.
A standardized digital handoff pack that independent ADHD clinics issue at the end of a private assessment — NICE-aligned diagnostic evidence, titration records, and pre-filled shared-care agreement forms — tracked through to NHS GP acceptance, so patients diagnosed privately aren't stranded without a prescriber.
Concept
A product sold to independent ADHD assessment providers and adopted by NHS primary care networks that turns the end of a private assessment into a clean NHS handoff. At diagnosis, the clinic generates a standardized "shared-care pack": diagnostic evidence aligned to NICE guidelines, medication titration and monitoring records, a management plan, and pre-filled shared-care agreement forms. The tool then tracks the pack through GP review to acceptance, flagging the missing items that commonly cause rejections. The single wedge is the fragmentation at the private–NHS boundary: patients who can afford a private diagnosis but then cannot find an NHS prescriber for ongoing medication. The product does not deliver care itself — it makes the existing two-sided system interoperate.
Why now
The new analysis [0] documents that underfunding "has encouraged growth in independent providers, leading to fragmentation of service provision," with measured waits ranging from 4 weeks to nearly 4 years and realistic waits of 5–10 years for newly referred patients in the worst-quoting services — conditions that push patients toward private diagnosis while NHS primary care remains the long-term prescriber. UK primary-care cohort data [4] shows ADHD diagnosis and prescribing have been managed and tracked in GP practices across 2000–2018, confirming the GP handoff is structurally unavoidable. US national survey data [3] — 15.5 million adults with a current ADHD diagnosis in 2023, with substantial telehealth use — shows remote and private diagnosis is now at scale, so the volume of handoffs needing standardization is large and growing.
Written by GLM · 11 Oct 2026
AI assessment
A highly focused B2B tool that solves a specific, high-friction administrative bottleneck in the UK's fragmented ADHD care landscape.
- Evidence strength 4/5
- The research confirms a systemic crisis in NHS waiting times and a corresponding surge in private providers, creating a structural necessity for the handoff process described.
- Market pull 5/5
- Private clinics have a strong incentive to improve patient outcomes (and avoid complaints) by ensuring successful handoffs, while GPs have a desperate need for standardized, NICE-compliant documentation to mitigate risk.
- Novelty & moat 4/5
- Unlike the listed ideas which focus on routing, auditing, or treatment, this specifically targets the 'interoperability gap' between private and public sectors.
- Feasibility 5/5
- The product is essentially a standardized document generator and tracking system, requiring no complex clinical AI or new medical devices to build an MVP.
- Wedge clarity 5/5
- The 'Shared-Care Pack' is a sharp, single-purpose entry point that solves one specific pain point: the rejection of private prescriptions by NHS GPs.
- Simplicity / focus 5/5
- The idea avoids 'platform creep' by focusing exclusively on the handoff documentation and tracking rather than attempting to provide the care itself.
Scored by Gemma 4 · 11 Oct 2026. Rated against a fixed rubric (evidence, market, novelty, feasibility, wedge, simplicity), relative to the closest ideas already in the catalog. A prior estimate to compare ideas before real-world signal arrives.
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Who benefits
- Psychiatry UKcompany
One of the UK's largest ADHD providers, running both NHS and private routes; a standardized, NHS-acceptable handoff pack reduces the shared-care disputes that strand its private patients and hurt retention.
- ADHD UKorganization
The national charity fields complaints from adults diagnosed privately and then refused NHS prescribing; a reliable handoff channel directly addresses its most common adult-services complaint.
- ADHD 360company
A fast-growing independent UK ADHD provider whose patients routinely need GP shared care for ongoing prescriptions; the product converts its biggest post-assessment friction point into a tracked, reliable process.
- NHS Englandorganization
Fragmented private-to-NHS handoffs create gaps in continuity and duplicated assessments; a structured bridge reduces clinical risk and wasted specialist capacity.
- Royal College of General Practitionersorganization
Has published guidance on ADHD shared care; a standardized pack gives GPs the consistent documentation they say they need before accepting prescribing responsibility for patients diagnosed elsewhere.
Research it builds on
- Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment, and Telehealth Use in Adults — National Center for Health Statistics Rapid Surveys System, United States, October–November 2023Brooke S. Staley, Lara R. Robinson, Angelika Hartl Claussen et al. · 2024 · 87 citationsAll ideas from this paper →
- UK adult ADHD services in crisisMichael Smith, Raja Mukherjee, Ulrich Müller-Sedgwick et al. · 2023 · 44 citationsAll ideas from this paper →
- Attention deficit hyperactivity disorder diagnoses and prescriptions in UK primary care, 2000–2018: population-based cohort studyAlexandra Philipsen · 2024 · 2 citationsAll ideas from this paper →