1.    Diagnosis of patients with NO previous diagnosis of ADHD
As the local NHS services have such a backlog GPs are advised to refer to private providers who have NHS contracts under patient choice. The patient will not pay and the ICB will be billed directly. Hopefully in time local services will be able to see when waiting lists are sorted.
 
2.    Patients with diagnoses made elsewhere or privately
If the diagnosis seems valid (see checklist) enter those patients into the funded annual review recall within the surgery and prescribe as needed. Any meds queries and meds support is via the weekly Advice & Guidance line
If the diagnosis seems suspect or inadequate please refer to a private provider as before or contact the ELFT Advice & Guidance line.
 
3.    Patients with other mental health diagnoses but who need assessment for ADHD
If the patient is under ELFT then refer into the neighbourhood team
 
4.    Patients with diagnoses needing annual reviews or GPs need advice about management
Please use the Advice & Guidance line
 
Primary care pathway
1.    Patients stable on meds and with an existing diagnosis should be reviewed by the PCN pharmacist/GP for an annual health check and not referred to the ADHD clinic. Any queries arising from the review can be put through the advice and guidance line
 
2.    Training has been done for annual reviews and is on the GP intranet. Takeda continues to offer online modules and ELFT pharmacists have been doing training for PCN pharmacists which will also be uploaded to the intranet.
 
3.    The EMIS ADHD review template is a prompt for the review and coding triggers payment. Funding for primary care time is through the ICB mental health contract.
 
4.    Information pack/helpful links/PKB care plans are being developed and will be on the Intranet to help with waiting well and post diagnostic advice.

Eligibility criteria

Inclusions

This service is for adults (18+) who reside in the City and Hackney area who would benefit from an assessment of ADHD or who have an existing diagnosis of ADHD and require medical and/or medication review and other advice and interventions.