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Information for GPs

How we assess and treat ADHD, what we’ll send you, and how we work with you on shared care. If you have a question about a patient, we’re happy to talk.

Our assessments

  • Carried out by consultant psychiatrists on the GMC specialist register, with experience in adult or child ADHD
  • Follow NICE guideline NG87
  • Use a structured diagnostic interview, such as the DIVA-5 for adults, and validated rating scales
  • Include information from someone who knew the patient as a child, or from school for children and young people
  • Screen for conditions that can mimic or accompany ADHD, including mood, anxiety, autism, sleep and substance use
  • End with a written report that sets out the evidence for the outcome, not just the conclusion

What you’ll receive

  • The assessment report, with the patient’s consent
  • Updates during medication titration
  • A shared care request once treatment is stable, with the current dose, baseline and recent blood pressure, pulse and weight, and the monitoring plan
  • A letter after every annual review

Shared care: what we commit to

We stay responsible

We remain the specialist responsible for the patient’s ADHD treatment, review them at least once a year, and change doses only after discussion with you.

We’re easy to reach

GPs can contact a clinician on a dedicated line or email during opening hours for advice about any shared care patient.

We take care back if needed

If you have concerns, or the patient misses monitoring, tell us and we’ll review them promptly and resume prescribing if required.

You can decline shared care at any time. If you do, we’ll continue to prescribe privately so the patient’s treatment isn’t interrupted.

Referring a patient

Patients can contact us directly, so a referral isn’t required. If you’d like to refer, send a letter by email with the patient’s consent, including relevant history, current medication, and any physical health concerns, particularly cardiac history.

Contact for professionals

Questions from GPs

Do I have to accept shared care?

No. Shared care is voluntary. If you decline, we continue prescribing privately and keep you informed.

Who prescribes during titration?

We do. Shared care is only requested once the dose is stable and monitoring is up to date.

What monitoring do you need from the practice?

Usually blood pressure, pulse and weight every six months and after any dose change, as set out in the shared care agreement. We’ll tell you exactly what’s needed.

What if I’m unsure about the diagnosis?

Please call us. We’re happy to talk through the assessment and the evidence in the report.