ADHD treatment policy

Laurel Bank Surgery is supportive of patients seeking or receiving care for ADHD related matters. We are happy to discuss issues and make referrals within the NHS and advise on referral to the private sector for assessment and treatment.

We will consider and enter into shared care agreements with UK-based clinics that are suitably verifiable in their registration and inspection and / or their use of verifiable and suitably registered clinicians who are also UK-based,  for example CQC registered organisations and GMC registered doctors. These may be within the NHS or private sector.

We are happy to continue medication supply following treatment initiation and stabilisation by a specialised ADHD service who have provided suitable and clear instructions about treatment and monitoring. This is subject to the appropriate ongoing monitoring taking place. Any potential reinitiating of treatment, after a period of cessation, will need to be done with the written guidance of an ADHD Specialist. It will need to have specific and appropriate guidance on dose titration and monitoring before being agreed.

Changes to medication or treatment can only be done with the advice and guidance of the ADHD service.

Patients will need to remain under the care of the ADHD service for an annual review to monitor the effects of and on-going need for the treatment.

Patients arriving in the UK from abroad, who have had assessment and treatment initiated outside the UK will be referred to a UK based service for review. We may be able to provide a bridging prescription pending an assessment in a UK clinic, but this would be at the discretion of the prescribing clinician and dependant on availability of the medication. If the treatment falls outside normal UK practice, advice will be sought from a trained ADHD specialist before continuing medication

We are not able to provide bridging prescriptions for patients who have initiated treatment themselves, or through non-CQC regulated clinics. Based on safety, we will provide monitoring (pulse, blood pressure, weight etc) but cannot provide advice on dosing.

Laurel Bank Surgery encourages parents/carers who are concerned about a potential diagnosis of ADHD in a child to seek the support of their child’s school and its special educational needs team. We are happy to discuss your concerns and offer support about potential ADHD.  A referral via Mindmate is the usual pathway for children to receive a diagnosis and any subsequent necessary treatment.  For this to happen, Children need to be over the age of six.  More information can be found about this here:  MindMate – Emotional wellbeing and mental health

We understand that parents/carers may seek to get a diagnosis sooner and that this may be through Private/ NHS Right to Choose services.  Please note that our same criteria for adult providers applies. This is with the addition children will only be referred to clinics where they will be seen face-to-face so that they can be assessed and reviewed fully by the clinicians managing them.

You can also download this policy here.

Date published: 7th June, 2023
Date last updated: 7th December, 2023