NdCare 360...
A Complete, Neuro-Affirming ADHD & AuDHD Clinical Pathway
A full end-to-end ADHD & AuDHD pathway... from triage to assessment to stabilisation to long-term support.
NdCare 360 is a neuro-affirming, trauma-aware, evidence-aligned care pathway designed for NHS, ICS, GP networks, and private providers seeking a scalable, safe, and clinically coherent alternative to the current fragmented system.
What is the NdCare 360?
A complete, integrated ADHD & AuDHD pathway... stable, safe and system-ready.
The current ADHD pathway is breaking:
- years-long waiting lists
- overstretched clinicians
- inconsistent assessments
- reactive rather than preventative care
- no emotional regulation support
- fragmented private providers
- burnout among staff and patients
- no joined-up follow-up
- safeguarding gaps
- escalating cost of crisis care
NdCare 360 solves these problems by delivering a single, integrated, clinically safe pathway:
- Assessment
- Stabilisation & Regulation
- Therapy (Align)
- Self-management support (Hub app)
- Medication partnership (External prescribers)
- Long-term aftercare
- Data, outcomes & reporting
Designed for clinical quality, emotional safety, and system sustainability.
Who is NdCare 360 for...
NHS Trusts & ICS Networks
Seeking reduced waiting times, safer pathways, better patient regulation, clear outcome measures.
GP Networks / PCNs
Needing stable shared-care partners and reduced burden on primary care.
Private Providers & Clinics
Wanting a turnkey, ethical, neuro-affirming pathway with high standards.
Mental Health Services
Requiring trauma-informed, ND-specific support structures.
Universities & Education Networks
High demand, low internal capacity, need for integrated support.
A full system solution... scalable, replicable, clinically safe.
The NdCare 360 Pathway
Simplicity + Safety + Structure.
Step 1: Triage & Intake
The front door of the pathway.
A structured, ND-affirming triage process that:
- gathers key background information
- screens for risk, complexity and safeguarding issues
- identifies urgent red flags
- records current support, medication and diagnoses
- checks for co-occurring conditions (e.g. mood, anxiety, trauma history)
- clarifies what the person is hoping for from support
- determines whether NdCare 360 is appropriate and which track they need
Output:
- clear clinical and administrative routing
- identification of priority cases
- signposting if NdCare 360 is not suitable
- reduced inappropriate referrals downstream
Step 2: Assessment
A comprehensive assessment carried out by qualified clinicians (with partner prescribers if required):
- ADHD / AuDHD assessment
- differential diagnosis screening
- risk assessment (updated from triage)
- sensory profiling
- emotional regulation baseline
- executive functioning mapping
Output: structured assessment report + ND-affirming psychoeducation
This feeds directly into stabilisation planning.
Step 3: Stabilisation Phase
Before medication. Before deeper therapy. Before high cognitive asks.
A 4–6 week stabilisation programme including:
- emotional regulation basics
- sensory strategies & pacing
- simple routines and anchor points
- nervous system mapping and micro-interventions
- crisis planning & safety steps
- NdCare Hub onboarding & orientation
Outcome: increased safety, reduced volatility, better readiness for therapy and/or medication.
Step 4: NdCare Align Therapy (10 Sessions)
The core therapeutic component of the pathway:
- emotional regulation
- identity and shame
- masking and burnout
- RSD & rejection sensitivity
- shutdown patterns
- executive function support
- environmental redesign
Outcome: better emotional stability, improved functioning, reduced crises.
Step 5: Medication Partnership (Optional)
Where clinically indicated, via partner prescribers.
Includes:
- readiness checks (drawing on triage + assessment + stabilisation data)
- titration support
- monitoring of side effects & emotional responses
- coordination with GPs for shared-care agreements
- integration with Align + Hub to contain dysregulation during changes
Outcome: safer titration, fewer withdrawals, better adherence.
Step 6: Self-Management & Daily Support (NdCare Hub App)
Ongoing support between appointments:
- daily emotional check-ins
- regulation tools
- ADHD / AuDHD education
- burnout early-warning indicators
- integration with Align goals
Outcome: continuity of care, reduced drop-offs, more empowered self-management.
Step 7: Aftercare & Review
Optional ongoing support after the core pathway:
- coaching
- top-up therapy sessions
- workplace and education support
- family/parent sessions
- periodic reviews
Outcome: sustained stability, better long-term outcomes, less revolving-door crisis care.
Why this pathway works
1. Emotional Regulation First
- Most breakdowns occur before a person even reaches therapy or medication titration.
2. Therapy Designed for ND Brains
- Align is built for ADHD & AuDHD... not retrofitted into it.
3. Medication is Supported, Not Isolated
- Preventing high dropout and dysregulation.
4. Digital Support Bridges the Gaps
- The Hub app supports people between sessions → increased safety.
5. Standardised → Scalable → Lower Risk
- Clear scripts, protocols, safeguards, escalation pathways.
6. Trauma-Aware & Neuro-Affirming
- Safety first, always.
Benefits for NHS & Systems
For NHS / ICS
- Reduced waiting list pressure
- Reduced crisis escalations
- Lower GP burden
- Improved patient regulation
- Clear outcome metrics
- Structured, repeatable pathway
- Fits NHS Long Term Plan priorities
For Clinics & Private Providers
- Fully packaged pathway
- Staff training included
- Better patient retention
- Less burnout among clinicians
- Higher clinical safety
For Patients
- Stability
- Clarity
- Support throughout
- Emotional regulation
- A consistent, safe pathway
Safety, Governance & Clinical Standards
NdCare 360 adheres to:
- NICE guidelines
- BABCP, BACP, HCPC ethical frameworks
- trauma-aware safeguarding
- risk management protocols
- structured clinical supervision
- data protection & GDPR
- clinical governance oversight
- outcome monitoring
Clear lines of accountability and professional standards.
How Partnerships Work
1. Discovery Call
Understanding needs, capacity, region and demand.
2. Proposal & Model Design
Based on ICS/GP/local demographics.
3. Implementation
Staff onboarding, pathways, data dashboards, app rollout.
4. Training
- Align therapy training
- ND workplace training
- Trauma-aware practice
- Systems training
5. Ongoing Support & QA
Clinical supervision, governance, data reports, quarterly reviews.
Data, Outcomes & Data
Commissioners receive:
- Emotional regulation outcomes
- Therapy progression data
- Stabilisation engagement
- Medication adherence support
- Hub app usage insights
- Crisis reduction reports
- Patient satisfaction measures
- Long-term follow-up totals
Clear, measurable ROI.
