Partnering with the NHS
ADHD 360 proudly work alongside our NHS, both in terms of our work with private patients and also with contracted activity in particular geographies.
Deep in our value set is the belief that patients receiving treatment through the NHS should not have a different service level to those paying privately, in essence our services should be the same.
About the NHS and ADHD
Much is said about extraordinary waiting times within NHS ADHD services, especially Adult services. It is easy to criticise, but it is worth revisiting history for a moment. If we go back a decade or slightly more, wrongly, ADHD was believed by international experts and policy makers to be a disorder of children, with most growing out of ADHD, and not displaying impairing symptoms past their late teenage years. We know now, in fact a lot of practitioners knew then, that this was incorrect, and a lot of adolescents and adults were suffering impaired lives, with hardship a constant reminder that their ADHD was still present.
Undoubtedly this mistaken belief led to NHS services not considering the requirement to build adult ADHD service expertise, and only recently has the need been recognised. And NHS budgets have not been augmented to accommodate this ‘new reality’.
We can also look into pharmaceutical products, our ADHD medicines and only in relative recent times have medicines such as Elvanse, Atomoxetine and a few others been licensed for adults. In fact, some of the most effective medication for ADHD is still not licensed in the UK for patients over 16.
We also should look at paediatric and CAMHS services for a final clue as to why we have waiting lists that are far from ideal. Firstly, the split of services between two profoundly different disciplines in medicine prevents accurate forecasting of future demand. Secondly, demand predictions from services for children, rarely have the time, or the opportunity to ‘put their foot on the ball’ and accurately predict the anticipated flow from 16yr olds in adulthood, thus informing future commissioning decisions.
Without a thesis on the subject we can already see that there are a number of causation factors for adult ADHD services experiencing sub-optimal service levels.
At ADHD 360 we are proud to assist our NHS by stepping into that gap and delivering excellence in a timely, affordable manner.
Contracting ADHD 360
Whether the local procurement rules favour ‘spot purchasing’, ‘immediate need contracting’ or a competitively procured process we will engage and seek to participate in assisting more patients receiving the care they deserve. In partnership.
Our clinicians have their roots in the NHS, our back office team proudly have a ‘badge of pride’ that they are working alongside our NHS delivering much needed services efficiently and effectively.
ADHD 360 are nimble, agile and responsive. Free from the constraints of a larger bureaucracy, with processes that are newly defined, refreshed and modern, 360 can respond in many ways that our NHS cannot. We invest quickly in automation of many admin processes, turning our ‘back office’ from administrators to ‘patient supporters and advocates’. We are paperless, we have a nationally recognised IT platform that is emerging as an industry leader. We work in partnership with one of, if not the, UK’s leading online pharmacy (PPG), and our IT partners, Disrupt, respond with unprecedented timeliness to ensure our Chrysalis patient platform continues to expand its functionality.
ADHD 360 work within 18 weeks to treat with ease, and often see a real-time ‘Referral to Treatment’ (RTT) of less than 8 weeks.
A high percentage of our clinical interventions are remote, utilising the benefits of video conferencing in line with European and UK protocols. Covid-19 pushed the whole world into new ways of working, and thankfully ADHD 360 were ahead of the change curve, settling quickly into a new ‘way of working’ that has proven very popular with patients and clinical teams alike.
How we operate for the NHS
Whether our NHS partners require a report, a spreadsheet, billing through Tradeshift or directly, we will remain committed to flexibility and delivery.
We routinely send copies of all letters to patients and GPs that are under our NHS contracts to the commissioners of that service, and our dedicated NHS Contracts manager, Georgie White, maintains regular contact with commissioners and their teams throughout the contract life.
Where shared care is not geographically supported, ADHD 360 can make provision, to maintain the prescription ‘flow’ for those patients affected by policies such as this, and we are working closely with our partners at PPG and Disrupt to continually improve the support that IT can give us in this regard.
Right to Choose (RTC)
As an NHS provider of services for the ADHD community, ADHD 360 support RTC. We work closely with commissioners to ensure that the patient is not disadvantaged by any process ‘glitches’ as RTC beds itself in as a new way of commissioning services. Once we have the correct billing and finance information, delivery of a service under RTC is as seamless as any other service we provide, whether privately or publicly funded.
The future for NHS and private partnership with ADHD 360
Publicly funded services need to be able to flex to meet changing requirements for services. Working in partnership with ADHD 360 is an effective way to meet these changing demands. We carry the overheads, we manage the patient flow across all of our activities, allowing the NHS to refer in to meet their needs, your needs.
Procurement futures, commissioning challenges, whatever the lens on national delivery of services to the ADHD community, the future for success lies in partnerships that cross sectors. From these we see trust being built, relationships professionally flourishing and ultimately, patients receiving the treatment and care they rightly expect.
We should also be mindful, that an untreated adult with ADHD is inevitably putting pressures elsewhere on the NHS, be it through the A&E front door, the revolving doors of Primary Care or into crisis teams. These are ‘hidden costs’ for the ADHD budget that we know reduce if not disappear once appropriate treatment begins, and this discussion alone should lead to a great level of budgetary awareness and commissioning finesse.
Please contact us 01507 534181 or Enquiries@adhd -360.com for further information about our NHS partnership work.
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