Update to ADHD Referral Criteria

We would like to inform patients that there has been an update to the criteria for referral for ADHD assessment and treatment.

Before a referral can be made, patients must meet specific safety and eligibility requirements. These include ensuring there are no medical contraindications to ADHD medication, that appropriate cardiovascular checks have been completed, and that any relevant physical health conditions have been fully investigated.

Alongside these requirements, patients must also meet at least one of the following criteria:

  • ADHD symptoms are significantly impacting education, employment, or caring responsibilities
  • ADHD is affecting the management of an existing long-term health condition
  • The patient is involved with safeguarding or criminal justice services where treatment has been identified as a need
  • There is an existing ADHD diagnosis or previous benefit from ADHD medication

These changes are part of updated service guidelines and are designed to ensure that referrals are appropriate, safe, and prioritised based on clinical need.

If you believe you may meet these criteria or would like to discuss your symptoms, please contact the practice to arrange an appointment.

 

ADHD Referrals via Right to Choose

Attention Deficit Hyperactivity Disorder (ADHD) assessment - Right to Choose

If you are based in England under the NHS, you now have a legal right to choose your mental healthcare provider and the choice of mental healthcare team, this includes for referrals relating to ADHD assessment. This service is offered through the NHS and is free.

There are several clinics throughout the UK that can offer Right to Choose ADHD and/or ASD assessments. The provider’s website is usually a good place to start to find out if they offer the service needed. The number of providers is constantly changing. For more information on ADHD & Right to Choose referrals, the ADHD UK website has some useful information.

Process for requesting a Right to Choose referral from your GP

For all Right to Choose referrals, you will need to research and select a clinic It is not something the GP can advise on. Once chosen, you can complete an online form confirming who you have chosen and forward any forms to the practice. This will enable us to process the referral efficiently. The ICB has a list of approved providers – see below to select from but the list is likely to change.

Oxfordshire ICB Approved Providers for ADHD diagnosis and treatment

When can you not use Right to Choose?

There are some restrictions on which patients are eligible for a Right to Choose assessment and the below is a list of the reasons patients would not be eligible:

  • need urgent or emergency treatment – this is often not relevant as there are rarely times when this type of referral is considered urgent but is still worth noting here.
  • already receive care and treatment for the condition patients are seeking an assessment for.
  • The organisation or clinical team chosen does not provide the right care for the condition.
  • are a prisoner or on temporary release from prison.
  • are detained in prescribed accommodation such as a court, secure training centre, immigration removal centre or young offender’s institute.
  • are detained in a secure hospital setting.
  • are detained under the Mental Health Act 1983 (as amended in 2007).
  • are a serving member of the armed forces.

Follow on care

The ADHD service is commissioned to assess, diagnose, start and titrate the medication to the appropriate dose and provide post-diagnostic reviews. The specialist will also remain responsible for arranging an annual review which includes a review of your ADHD symptoms, your medication, and a physical assessment.

Once a dose of the appropriate medication has been established, GPs may take on responsibility for on-going prescribing and monitoring under a shared care agreement (SCA) with the NHS service specialist. However, the responsibility remains with the specialist. This SCA is a carefully established agreement with defined responsibilities for both the NHS specialist and NHS GP. This is essential as it provides the NHS GP with prompt access to a specialist in the event of any concerns or problems. We will only enter into a SCA with the ICB approved providers listed above. There may be rare exceptions but will be considered on individual basis.

National Support

National Autistic Society

Founded in 1962, they are the UK’s leading charity for autistic people and their families. Their goal is to help transform lives, change attitudes and create a society that works for autistic people.

Visit the National Autistic Society website

Autism Independent UK

Autism Independent UK helps to increase awareness of autism to the notice of all, together with well established and newly developed approaches in the diagnosis, assessment, education and treatment.

Visit the Autism Independent UK website

Dimensions

They support people with learning disabilities and autism to have a louder voice, choice and control in their lives.

Visit the Dimensions website

ASD Helping Hands

ASD Helping Hands will support all service users affected by an Autistic Spectrum Disorder (ASD) regardless of age or what stage of life they are at. We aim to offer guidance, practical advice and support whether you are personally affected or you are an associated family member, carer, friend or professional. We will actively champion the rights of all people affected by an ASD and aim to make a positive difference to their lives while delivering a service that is accessible, reliable and trust

Visit the ASD Helping Hands website