Scotland’s Digital Mental Health Innovation Cluster (DMHIC) was established in March 2022 to drive the development, evaluation, and adoption of digital technologies in support of mental health service transformation. Governed by a multi-sector programme board and supported by an advisory board, the cluster aligns cross sector collaboration with national priorities and digital research and innovation (R&I) opportunities. Scotland’s Digital Health & Care Innovation Centre (DHI) provides cluster management on behalf of the Scottish Government. This report examines the current landscape of Adult Attention Deficit Hyperactive Disorder (ADHD) services across five NHS health boards in Scotland, highlighting systemic challenges, patient experiences, and emerging opportunities for service improvement and innovation.