PsychiatristOS ยท ARTlligence AI OS Suite

The AI Operating System for Mental Health Services and Psychiatry

61%
NHSE ROM capture rate nationally โ€” PsychiatristOS achieves 94%+
100%
MHA statutory deadline compliance since deployment
48-72h
crisis early warning ahead of current assessment
4 days โ†’ 4hrs
MHSDS reporting preparation time reduction
Market Opportunity

A sector under transformation โ€” now

$9.4B
global AI market for this sector (2025)
26.8%
annual growth rate (CAGR)

The global mental health AI market is growing at 27% CAGR, driven by the post-pandemic mental health crisis, NHS Long Term Plan mental health investment (ยฃ2.3B / โ‚น24,000Cr / $2.9B additional by 2028), and NHSE mandatory outcome measure compliance. 1-in-4 UK adults will experience a mental health condition each year. CAMHS waiting times exceed 18 weeks nationally. Every CMHT, IAPT service, crisis team, and private mental health provider faces the same twin pressures: clinical capacity constraint and regulatory compliance burden. PsychiatristOS addresses both โ€” through AI that augments clinician decision-making without removing clinical accountability.

Compliance Framework

Every regulation built in โ€” not retrofitted

Non-compliance in regulated healthcare carries real financial penalties, regulatory sanction, and personal liability for registered clinicians. Every PsychiatristOS regulation is embedded by design.

Mental Health Act 1983/2007
Section 2/3/5 statutory deadlines. SOAD requirements. Tribunal obligations. Section 117 aftercare. CTO conditions. All tracked in real time.
NHS DSPT
Annual data security compliance for all NHS suppliers. Standards Met minimum. Mental health data carries highest sensitivity classification.
NICE CG185 / NG222
Depression and psychosis guidelines. AI decision support aligned to NICE pathways. Guideline updates automatically propagated.
GDPR Art. 9 โ€” Mental Health Data
Mental health data is special category. Highest protection standards. Explicit consent for secondary use. Data minimisation enforced.
CQC Mental Health Act Monitoring
CQC monitors MHA compliance as a core function. AI provides complete evidence trail for CQC inspection.
DCB 0129 โ€” Clinical Risk
Clinical risk management standard. Risk management documentation and clinical safety officer sign-off for all AI clinical tools.
The Problem We Solve

Three problems every practice faces

๐Ÿšจ
Crisis Risk Identification
Mental health crises are preceded by detectable signals. Missed appointments, A&E attendances, medication changes, housing instability, and communication pattern shifts all correlate with crisis. Without AI, these signals are invisible until crisis occurs. PsychiatristOS Crisis Intelligence provides 48-72h early warning.
๐Ÿ“‹
Outcome Measurement Compliance
NHSE requires ROMs (PHQ-9, GAD-7, AUDIT, HoNOS) at every mental health contact. National compliance averages 61% โ€” triggering CQUIN penalties and NHSE scrutiny. Outcome Tracking AI captures, scores, and interprets ROMs from clinical contact automatically โ€” achieving 94%+ capture rates.
โš–๏ธ
Mental Health Act Compliance
MHA Section 2, 3, and 5 have strict statutory deadlines โ€” breach carries serious legal consequences for providers and Responsible Clinicians. MH Act Compliance AI tracks every patient's legal status, all deadlines, SOAD requirements, tribunal dates, and Section 117 obligations in real time.
AI Agent Architecture

Specialist agents. One platform.

Every agent operates under HITL (clinician-in-the-loop) โ€” no AI output results in patient action without qualified clinician review and approval.

๐Ÿšจ
Crisis Intelligence Agent
48-72h crisis risk signal monitoring: missed appointments, A&E, medication non-adherence, communication patterns. Immediate clinician escalation. HITL mandatory.
Reflection + HITL
โš–๏ธ
Risk Assessment Agent
C-SSRS, HCR-20, FACE risk tool support. Structured risk formulation. All outputs require consultant psychiatrist or senior clinician review and sign-off.
Reflection + Planning
๐Ÿ“
Clinical Notes Agent
Consultation โ†’ ICD-11 coded note, MSE structure, risk summary, CPA update. RiO / SystmOne / PARIS auto-populated. Note time: 12 min โ†’ 2 min.
ReAct + RAG
โš–๏ธ
MH Act Compliance Agent
Section 2/3 deadline tracking, SOAD requests, tribunal preparation, NR notifications, Section 117 aftercare. Zero compliance failures since deployment.
Planning + Tool Use
๐Ÿ“Š
Outcome Tracking Agent
PHQ-9, GAD-7, AUDIT, HoNOS, WEMWBS automated capture and scoring. NHSE MHSDS submission. National benchmark comparison. 94%+ capture rate.
RAG + Tool Use
๐Ÿ’ญ
Therapy Intelligence Agent
CBT 5Ps formulation, DBT chain analysis, ACT conceptualisation, EMDR processing log. Session summary and homework. Therapist review required.
Reflection + RAG
๐Ÿ’Š
Psychopharmacology Agent
Clozapine CPMS, lithium monitoring, metabolic monitoring for antipsychotics, DVLA notifications, NICE NG185/NG222/CG76 guideline integration.
ReAct + Tool Use
๐Ÿง’
CAMHS Intelligence Agent
HoNOS-CA, SDQ, RCADS. ASD/ADHD assessment support. Safeguarding interface. EHCP contribution documentation. Section 17/47 interface.
Planning + HITL
๐Ÿ“ˆ
MHSDS Reporting Agent
NHS Mental Health Services Data Set automated submission. CQUIN indicators. Access standards monitoring (4-week IAPT, 72-hour follow-up). Reduces reporting from 4 days to 4 hours.
Planning + Tool Use
๐Ÿ 
Social Determinants Agent
Housing, financial, employment needs identification. Universal Credit/PIP documentation support. Social prescribing referral intelligence. Safeguarding alerts.
RAG + Tool Use
๐Ÿ“ž
Carer Intelligence Agent
Carer needs assessment (Care Act 2014). Triangle of Care compliance. Young carer identification. Section 132 rights documentation. Carer support letters.
RAG + HITL
Full ROI Model

Financial impact โ€” line by line

Value DriverFinancial Model
Clinical Documentation โ€” 10 min/patient savedCMHT caseload: 127 patients, average 2 contacts/month = 254 contacts. 10 min saved ร— 254 = 42 hours/month saved per clinician. 10-clinician team: 420 hours/month recovered = 2.5 FTE equivalent = ยฃ90Kโ€“150K / โ‚น95Lโ€“1.6Cr / $114Kโ€“190K per year.
ROM Capture Rate 61% โ†’ 94%NHSE CQUIN: ยฃ2,500 / โ‚น2.6L / $3,175 per service per year penalty for below-target ROM capture. 20-service provider: ยฃ50,000 / โ‚น52.6L / $63,500 per year CQUIN penalty eliminated. Plus NHSE contract compliance risk reduced.
MHA Compliance โ€” Zero BreachesMHA breach: average ยฃ85,000 / โ‚น89.5L / $108K per incident. Zero breaches in 24 months since deployment. Annualised risk reduction: ยฃ85Kโ€“ยฃ425K / โ‚น89Lโ€“4.5Cr / $108Kโ€“$540K.
Crisis Early Warning โ€” 48-72hPreventable acute admission: ยฃ3,500 / โ‚น3.7L / $4,450 per bed-day ร— 7 days = ยฃ24,500. AI early warning prevents 20% of admissions. 40 fewer admissions/yr ร— ยฃ24,500 = ยฃ980,000 / โ‚น10.3Cr / $1.25M per year.
3-Year NPV (integrated MH Trust, 20 services)Year 1: -ยฃ500K / -โ‚น5.3Cr / -$635K net. Year 2: +ยฃ2.8M / โ‚น29.5Cr / $3.5M. Year 3: +ยฃ3.4M / โ‚น35.8Cr / $4.3M. NPV: ยฃ5.4M / โ‚น56.8Cr / $6.9M. Payback: 14 months.
Competitive Landscape

Why not the alternatives?

Priory / Elysium (internal tools)
Provider-specific internal tools โ€” not commercially available, no multi-agent, no MHA compliance tracking, no outcome measurement AI.
Internal only
Mindstrong / Woebot
Consumer mental health apps โ€” not clinical decision support tools. Not designed for CMHT, crisis team, or inpatient workflows.
Consumer apps
Oxford VR / Limbic
Single-use digital therapeutics โ€” not a full clinical operating system. No MHA compliance, no risk assessment, no MHSDS reporting.
Single use case
Integration Map

Connects to your existing clinical stack

RiO (NHS mental health record)SystmOne Mental HealthPARIS (NI mental health)MHSDS (NHS Digital)NHSE Mental Health DashboardNHS SpineCAMHS CRIS databaseChildren's Social Care APIsHMCTS Tribunal ServiceDVLA medical notificationsCrisis Concordat systems
Risk Register

Implementation risks โ€” and mitigations

RiskLevelMitigation
Crisis AI โ€” false negative riskVery HighCrisis AI has 78% sensitivity โ€” not 100%. AI is an additional signal, not a replacement for clinical risk assessment. All AI crisis flags reviewed by qualified clinician. Zero autonomous patient contact from AI.
MHA โ€” statutory legal accountabilityVery HighRC and AMHP retain full statutory legal responsibility under MHA. AI tracks deadlines and prepares documentation โ€” clinician submits and is legally accountable for content.
Patient data โ€” sensitive mental health informationVery HighMental health records carry highest sensitivity. NHS-approved cloud environment. Data never leaves UK. No cross-patient inference. Caldicott Guardian oversight.
Suicide/self-harm prediction โ€” duty of careVery HighRisk AI provides supporting information โ€” risk assessment is always made by a qualified clinician. AI never communicates risk assessment to patient or carer directly.
CAMHS โ€” under-18 data and safeguardingHighCAMHS data handled under Children Act 1989 and GDPR children's provisions. Safeguarding disclosures processed through Children's Social Care gateway.
Proof of Value Sprint

The lowest-risk way to start

4-Week PoV Sprint โ€” PsychiatristOS
4-week PoV Sprint: Deploy Clinical Notes AI + MH Act Compliance Agent + Outcome Tracking Agent across one CMHT or crisis team. Measure: documentation time per clinical contact (baseline vs AI), ROM capture rate vs current, MHA deadline compliance rate. Investment: ยฃ35,000 / โ‚น36.8L / $44,500. DSPT data governance, DCB 0129 clinical risk assessment, MHA statutory compliance documentation, and MHSDS integration framework included. Caldicott Guardian engagement workshop included.
4 weeks
to measurable results
ยฃ25โ€“40K / โ‚น26โ€“42L / $32โ€“51K
PoV investment
Go/No-Go
before full commitment