Dr Nicola Reynolds

Dr Nicola Reynolds

About Dr Nicola Reynolds

Nicola has worked in CAMHS and Specialist Children’s Services for over 10 years and is the clinical lead for an integrated neurodevelopmental service that provides assessment, diagnosis and ongoing support to children and young people presenting with ASD and ADHD.

In the past two years, Nicola has led on a quality improvement project involving the development and implementation of a web-based platform to support young people with ADHD.

Nicola has an interest in how to harness digital technology to improve patient care and improve capacity given the significant increase in referral rates for children presenting with ADHD and ASD.



Problem: This project addresses the challenge of delivering high quality and effective care to approximately 600-3000 children and young people with ADHD in the London Borough of Greenwich. There has been a 30% increase in referrals in the last year and the traditional model of face-to-face service delivery has presented challenges in meeting the National Institute for Health and Care Excellence’s clinical and quality standards.

Solution: The Greenwich ADHD Team have developed a web-based platform, “Headscape Focus,” that brings the ADHD care team, families, schools and other professionals in to a secure, shared online environment. This was developed alongside the “Healthlocker” platform being developed by South London and Maudsley NHS Foundation Trust (SLAM), and builds upon the “Headscape” website previously developed by Oxleas. The significant innovation is that the platform has been developed for children with ADHD and has the additional functionality that enables schools and other health professionals to communicate with the team about the child’s progress.

Desired impact:

The intended outcomes are:

  • Improved self-management of ADHD, thereby reducing difficulties at school and home.
  • Improved collaboration and communication between the team, families, schools and other professionals to address difficulties sooner and more effectively.
  • Reduced wait times for assessment.

Progress to date: The platform launched in December 2017 and it currently has approximately 67 families signed up and 6 schools. Feedback from families is very positive. The project has presented at conferences internally and externally to spread this digital innovation. A poster was presented at an international conference hosted by the International Society for Research on Internet Interventions in 2017. The team were recently shortlisted for an HSJ award in the “improving care with technology” category.