Holdfast
NHS & ICBs Private & independent healthcare

The full list, pathway by pathway

Every form, check-in and screening instrument Holdfast supports

Pob ffurflen, gwiriad ac offeryn sgrinio y mae Holdfast yn eu cefnogi

Every pathway runs the same short check-in, and clinicians can layer published PROMs and screeners on top. Everything is scored by the same engine, on the same caseload, in the same audit log.

Two kinds of instrument, one check-in screen

Regular check-in (PROM) instruments repeat on a set cadence, and their trend feeds the risk engine - a PHQ-9 or GAD-7 climbing between rounds can raise a review on its own. One-off screeners are requested for a specific reason and recorded as their own result. Any screener can be requested for any patient - the pathway column below shows the default use, not a hard restriction.

  • Patient (self-report)
  • Parent / carer
  • Staff-administered
Holdfast patient assessment history: a PHQ-9 result expanded to show every question, its answer and score, with the self-harm indicator row highlighted and an Escalation triggered column reading 'Yes - self-harm risk item threshold met'

How a completed result reads

Every result is stored with its full item-by-item breakdown - each question, the answer given, its score, and the total with its severity band. Named high-risk items, such as the PHQ-9 self-harm question, are flagged in the answer table and the result records whether they triggered an escalation and why.

The library

Form / instrument What it's for Type Completed by
Every pathway
Standard check-in Short mood, sleep and risk items on the cadence a clinician sets. Feeds the deterministic risk engine directly, alongside whichever PROM the pathway uses. Regular check-in Patient / carer
Mental health
PHQ-9 Patient Health Questionnaire-9 - depression severity. The default depression PROM on every pathway unless replaced by EPDS (Perinatal) or GDS-15 (Older adult). Regular check-in (PROM) Patient
GAD-7 Generalized Anxiety Disorder-7 - anxiety severity, repeated on the same cadence as PHQ-9. Regular check-in (PROM) Patient
CORE-10 Clinical Outcomes in Routine Evaluation-10 - general psychological distress, requested when a broader distress measure is needed alongside PHQ-9/GAD-7. One-off screener Patient
WSAS Work and Social Adjustment Scale - how much a problem is impairing day-to-day functioning. One-off screener Patient
AUDIT-C Alcohol Use Disorders Identification Test (Consumption) - a three-question alcohol-use screen. One-off screener Patient
Adult ADHD
ASRS Adult ADHD Self-Report Scale (Part A) - screens for adult ADHD while someone waits, often years, for assessment. One-off screener Patient
Child ADHD
SNAP-IV 26-item child ADHD rating scale, completed by a parent or carer through their own scoped login. One-off screener Parent / carer
Autism
AQ-10 (adult) Autism Spectrum Quotient-10 - self-report autism screen for ages 16+. One-off screener Patient
AQ-10 (adolescent) Same AQ-10 screen, worded for a parent/carer describing a young person aged 12-15. One-off screener Parent / carer
AQ-10 (child) Same AQ-10 screen, worded for a parent/carer describing a child aged 4-11. One-off screener Parent / carer
Eating disorder
Standard check-in + physical-risk items The same standard check-in, with extra MEED (Medical Emergencies in Eating Disorders) physical-risk items added directly to it - no separate form to fill in. Regular check-in Patient
Perinatal
EPDS Edinburgh Postnatal Depression Scale - replaces PHQ-9 as the depression PROM for anyone pregnant or recently postpartum. Regular check-in (PROM) Patient
Older adult & memory services
GDS-15 Geriatric Depression Scale-15 - replaces PHQ-9 as the depression PROM for older adults. Regular check-in (PROM) Patient
6-CIT 6-Item Cognitive Impairment Test - a short cognitive screen talked through with a member of staff, including a name-and-address recall step. One-off screener Staff-administered
DAST-10 Drug Abuse Screening Test-10 - a drug-use comorbidity check (excluding alcohol and tobacco). One-off screener Patient
Trauma & PTSD
TSQ Trauma Screening Questionnaire - a quick post-trauma triage flag, picked by the clinician over the fuller PCL-5 when that's all that's needed. One-off screener Patient
PCL-5 PTSD Checklist for DSM-5 - full PTSD severity detail, picked by the clinician over the shorter TSQ when it's needed. One-off screener Patient
DAST-10 Same drug-use comorbidity screen as on the older-adult pathway, requested alongside a trauma referral. One-off screener Patient

Adding a pathway means configuring which instruments it uses, not building a new questionnaire. See how a clinician requests a one-off screener, or how a carer completes an instrument on a child pathway.

Beyond scored instruments

Referral packs: ADHD & Autism assessment requests

For adult ADHD and Autism, the referral is the first bottleneck, not the instruments. Most Trusts require a long paper-style pack, including one completed by someone who has known the person since childhood. Holdfast digitises that pack as an optional, per-ICB extra, reusing the ASRS and AQ-10 results.

Patient completes their half

The patient (or a support worker, on their behalf) fills in the structured pack over more than one sitting, with autosave, exactly how people complete these packs in practice today.

Informant completes theirs

A parent, sibling or friend who has known the patient since childhood completes their half through a secure, single-use link. No account, login or dashboard; the link is the only credential.

Staff export and track

Staff track the pack's status end to end, export the completed pack (with the linked ASRS/AQ-10 result attached) to send on to the specialist service, and record the outcome when it comes back.

Every stage writes its own row to the same audit log as everything else on the platform.

Want to see this against your own pathways?

If a pathway you run uses a different instrument to the ones above, we can talk through adding it before any commitment.

Talk to us about a pilot