Helping NHS teams redesign neurodevelopmental pathways from referral through assessment and ongoing support — around better information, better flow and better use of clinical capacity.
The Problem
The wait is only part of the problem. Incomplete referrals, fragmented information and repeated administrative work consume capacity long before assessment even begins.
Referrals arrive from GPs, schools and health visitors in different formats, with different levels of detail. Referral quality and completeness vary significantly between referral sources — at DHCFT, over 80% of referrals arrived from schools via inconsistent, incomplete paper-based forms.
20–30% of referrals require additional information before a final triage decisionReferral information is copied, re-keyed and reorganised by administrative teams before it can be reviewed clinically — before a clinician has even seen the case.
~20 min of admin data-extraction per referralWhen information at triage is incomplete, the referral is deferred, more information is requested, and the case returns to the queue — administrative work begins again.
~115 cases/year re-discussed at MDT due to incomplete informationA child may wait months or years for assessment, yet the clinically useful information about their everyday presentation is still collected shortly before — or during — the appointment.
No structured support or communication during the waitWithout structured information beforehand, clinicians spend valuable appointment time establishing history that could have been available earlier — before they can even begin to interpret it.
75 min in-clinic + 90 min documentation, per childAround a third of referred children require a further appointment simply because insufficient information was available the first time — capacity spent twice on one decision.
~1 in 3 complex cases needed a second appointmentThis Changes How You See The Problem
Every avoidable touchpoint consumes capacity — clinical, administrative or family.
A Typical NHS Patient Journey
Better information and better flow reduce avoidable work across referral, triage, assessment and ongoing care.
Every service is different. We identify where demand, capacity and flow are constrained — and redesign the pathway around them.
What This Looks Like
A child shouldn't have to start their story again at every stage of care. One structured record follows the pathway from referral through to ongoing care, allowing families, schools and clinicians to contribute to — and work from — the same shared understanding throughout the journey.
This is pathway transformation, not software bolted onto an existing pathway.
Illustrative product view
Evidence
18 fully participating families · 6 consultant-led clinics · Feb–Jul 2024
Stage 1 pilot outcomes, Derbyshire Healthcare NHS Foundation Trust — select any card for detail.
How We Work
A structured methodology combining pathway redesign, workflow automation and AI-enabled clinical intelligence.
Explore Our Approach →“We are starting each appointment better informed and able to make earlier, more confident decisions.”
Dr. Jehan Labatia — Consultant Community Paediatrician, Neurodevelopmental Service Lead
Your Pathway Will Be Different
Backed by Oxford University Hospitals
Institutional shareholder in Enrich Digital Technologies Ltd.
Working Across the NHS, Academic & Innovation Ecosystem
Our Assurance and Recognition
Meeting the highest standards for safe, secure and effective NHS delivery.
