Patient Engaged ADHD Digital Pathway

Proactive Waiting‑List Validation at Scale

The Virtual Assistant routinely contacts patients on ADHD waiting lists to confirm ongoing need, update demographic details, and collect wellbeing information. This maintains accurate, prioritised lists, reduces administrative burden, and prevents patients from being lost to follow‑up. Red/amber flags are automatically escalated to clinical teams.


Structured Data Capture for Triage and Assessment

EBO’s dialogues collect PROMs, PREMs, functional impact information, and collateral data, feeding results directly into clinical workflows. This reduces time spent on pre‑assessment administration, supports clinical decision-making and improves time to first appointment.


Patient Support While Waiting

The system offers a “Waiting Well” programme including: Sleep and emotional regulation tools, Self‑advocacy guidance, Anxiety support, Links to peer networks and local resources. This converts passive waiting into active self‑management, supporting patient safety and readiness for assessment.

Appointment Management & Administrative Automation

The VA can send appointment reminders, answer FAQs, and provide preparation guidance. This reduces DNAs, increases flow through clinics, and frees staff time.

Inclusive, Neurodivergence‑Informed Communication

Conversations are designed to minimise cognitive load through short, predictable, step‑based messages, Easy Read formats, and user‑paced interaction. Content is available in 100+ languages, with flexible text/voice options.

Interoperable Data Layer

EBO integrates with multiple EPR systems and supports standards such as FHIR R4, HL7v2 and MESH. It can operate across mental health, primary care, community and social care settings, providing a consistent engagement layer.

EBO demonstrates a strong compliance position for NHS deployment:

• DTAC compliant with a full assurance packet.

• DCB0129 clinical safety certified, with guardrailed content and redflag clinical escalation.

• ISO 27001 and Cyber Essentials Plus accredited.

• Hosted on Microsoft Azure UK with NHS aligned information governance.

• Full NHS Login and NHS App Integration

The VA does not store patient data; instead, it acts as a secure conduit between clinicians and patients, with data retained locally within NHS systems.

EBO operates on a subscription model suitable for scalable, pathway wide deployment. EBO can build/structure pricing to suit your requirements. Pricing includes a one-off deployment fee and an annual recurring cost. EBO can also support with providing a fixed asset to assist with CAPEX vs OPEX purchases.

Pricing includes:

• Microsoft Azure hosting

• Scale of waiting list validation

• Localisation

• An internal ROI calculator is used with NHS teams to model reductions in administrative time, postage/phone costs, DNAs, and improved elective throughput.

Costs can be configured to support pathway specific or cross-pathway deployments.

EBO is deployed across 18 NHS Trusts in England and Wales, supporting a range of use cases including waiting list validation, appointment management, econsent and elective recovery. These deployments provide real-world evidence of productivity gains, improved list accuracy, reduced DNAs and increased patient engagement.

All content surfaced by the VA is clinically assured, and the system’s closed AI model ensures no unvalidated external information is provided to patients.

EBO has been designed to integrate seamlessly into existing NHS technical and operational setups:

• Live or developing integration with Rio, Cerner, EMIS Community, and NHS App integration (Wayfinder).

• Supports FHIR R4, HL7v2, MESH and CSV for structured, interoperable data flows.

• Provides clean structured data back into clinical systems, reducing need for manual transcription and improving data quality.

• Does not require significant IT uplift; can act as a system agnostic engagement layer.

• Implementation typically takes 8–12 weeks depending on scope, with clinical safety workshops and guard rail design as key milestones.

EBO’s ADHD pathway design has been shaped extensively by people with lived experience, carers, clinicians and voluntary sector partners. This codesign approach ensures the system is safe, inclusive and accessible for neurodivergent users.

Design for Neurodiversity

• Short, predictable messages reduce processing demand.

• Easy Read and Plain English formats.

• Ability to repeat or pace content.

• Consistent tone designed to minimise anxiety.

• Users can respond at any time without pressure.

Sensory and Executive Function Considerations

• No flashing or animated elements; low sensory load.

• Tasks broken into small steps with optional reminders.

• Supports text, voice and assistive input devices.

Equity and Inclusion

• Content available in 100+ languages.

• Tailored for varying literacy levels (reading age ~9).

• Co-designed with autism & ADHD groups and carers.

• Demonstrated reach to digitally excluded and lower literacy groups.

Iterative Improvement

Dialogue structures and safety guardrails are tested with neurodivergent users before deployment and refined through continuous feedback.