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Does anybody know how shared care ADHD assessment works and can anybody recommend a good provider or know ones to avoid

15 replies

L3moncello · 29/10/2024 13:33

My adult dc is on the NHS priority list. I’d rather she was diagnosed by the NHS for a variety of reasons not least complex mental health and other diagnoses but we just can’t wait anymore.

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rhubay · 29/10/2024 13:39

Look at the NICE guidelines for adult ADHD assessment. If you have to get a private assessment you could look for someone who is also currently or has recently been working in the NHS undertaking assessments, and who follows the NICE guidelines in their private practice. You want someone who will take time to understand and be curious about the overall picture/history.

rhubay · 29/10/2024 13:43

That's just assessment.

Shared care normally relates to prescribing arrangements in the event of a) diagnosis and b) medication being relevant. A person doing an assessment is not necessarily also qualified to prescribe. You may want to find someone who can do both.

Shared care depends on whether your GP is prepared to enter into a shared care arrangement.

L3moncello · 29/10/2024 13:43

Thankyou
Do you know how shared care works?

OP posts:

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L3moncello · 29/10/2024 13:44

Sorry I meant right to choose

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L3moncello · 29/10/2024 13:52

Do you know if you are taken off the nhs wait list once you are put on your right to choose provider waiting list?

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yarnbarn · 29/10/2024 13:54

I wasn't aware there was a priority list, does that relate to the NHS or right to choose provider ?

kitchenhelprequired · 29/10/2024 14:00

If there's an assessment via right to choose like psychiatry UK and the GP doesn't agree to shared care it just means you stay with Psychiatry UK for medication rather than transitioning to GP following titration. This is what they told me when I checked what happens if you need to move GP's while in the process of assessment/titration.

L3moncello · 29/10/2024 14:04

kitchenhelprequired · 29/10/2024 14:00

If there's an assessment via right to choose like psychiatry UK and the GP doesn't agree to shared care it just means you stay with Psychiatry UK for medication rather than transitioning to GP following titration. This is what they told me when I checked what happens if you need to move GP's while in the process of assessment/titration.

But who pays for it?

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L3moncello · 29/10/2024 14:05

yarnbarn · 29/10/2024 13:54

I wasn't aware there was a priority list, does that relate to the NHS or right to choose provider ?

NHS

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yarnbarn · 29/10/2024 14:14

How does it work? The priority list?

Octavia64 · 29/10/2024 14:27

Shared care refers to the sharing of care between consultant and GP.

Adhd prescription medicine normally needs to be prescribed and supervised and reviewed regularly by a consultant, whether nhs or private.

Some GPs will accept "shared care" where they monitor the patient - take blood pressure etc and review medication. Some GPs will not.

ApriCat · 29/10/2024 14:33

With complex mental health and other diagnoses I'd say you are right to want joined-up care that will take her other diagnoses into account.

Serencwtch · 29/10/2024 14:43

You need to contact your GP and ask if they will accept a shared care agreement. If there are complex mental health needs they may refuse if they feel they don't have the skills to support the prescription.
It's worth checking if a shared care agreement is possible before you pay for the assessment as if it's refused you have wasted the money and still need to wait for the NHS assessment.
If DC has been assessed as being a priority is that because they are detained under a section? If so do they have an advocate?

L3moncello · 29/10/2024 14:53

Do you know how right to choose works with all this? I’m so worried about her other diagnoses and complexities. The list I’ve seen of right to choose providers look shit .

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kitchenhelprequired · 29/10/2024 18:12

But who pays for it?

@L3moncello not you (I checked that when I called)

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