School not supporting ADHD screening

[readingrecord]

My DD10 with ASD needs to constantly fidget, can not sit still, lacks focus and is easily distracted. Also takes ages to go to sleep and reports seeing racing images/ "films in her brain". Her GP referred her to a Right to Choose provider, but after receiving the screening form back from the class teacher, the provider is refusing to assess and I have to provide further evidence if I disagree with their decision. My DD is already allowed movement breaks in class and the use of a fidget toy. She also masks heavily at school, so perhaps her restlessness is dampened down in the school setting by the accommodations made for her ASD. What other evidence can I provide and how can I be sure that the ASD is not "overshadowing" the ADHD? My DD has weekly piano lessons and the piano teacher notices the restlessness, so would a letter from the piano teacher be enough or do I need any further evidence? Any advice, please.

So they are supporting the assessment, they have returned the questionnaire which is part of the assessment. Based on the information they have the clinicians have decided that further assessment is not appropriate or required. It appears that rather than wanting an assessment you want a diagnosis.

@lemonts The screening is actually part of pre-assessment or triage, but thanks for the insight!
As you can see from my post my DD already has a diagnosis, so no reason for me to "want" another one, other than to understand and try to help her restlessness, especially if she needs medication for it.

You could speak to the SENCO at the school. What evidence the service will take into account when reviewing the decision will depend on the service, so you are better off asking them if they will use reports from extra-curricular activities.

The service should take into account the existing ASD diagnosis.

It may be that the difficulties you describe are down to ASD.

@scoopofmintchocchipicecream Thank you, yes, will ask the SENCO, good idea. When overwhelmed in the classroom, DD goes to SENCO's office to play with fidgets, help tidy, etc, which she loves. I am aware that a high percentage of people with ASD also have ADHD as co-morbility, so just want to be certain of her condition.__

Meant co-morbidity, sorry.

My DD9 (also with an ASD diagnosis) was also originally refused a Right to Choose assessment based on the school questionnaire. It was almost pointless filling in our form as they seem to disregard it if the school form doesn't reach the threshold.

However, we had had a private screening, which had included an in-person appointment and QB check. The QB check had shown in line with ADHD levels for impulsivity and inattention (and the clinician had observed other signs) so had concluded that DD had a high probability of receiving a diagnosis.

So I sent this in with my appeal (although I had already stated the results of it in my original information so as I said, just shows how they disregard everything else!). I also highlighted research showing the high co-morbidity of ASD and ADHD and that ASD can mask other conditions.

They agreed to do the assessment and DD received a diagnosis of moderate-severe ADHD 🙄

@Namechange923 This is really helpful and glad you managed to get a full picture of your DD's needs. We are in London and will be great if you could recommend clinic for in person screening and QB test. My GPs have agreed to shared care with the RTC provider, so if I get a positive on the screening, I can appeal to the RTC provider and potentially be able to access medication through the GP. Will speak to the SENCO too, but might need stronger evidence, given how high the threshold is.

We are in Kent and went to the Children's Wellness Centre in Tunbridge Wells for the screening. They have another clinic in Chiswick.

https://www.childrenswellnesscentre.co.uk/adhd-screening/

Well that was exactly my point. They have triaged and decided that further assessment is not appropriate/required at this point. You appear to want to circumvent that clinical decision because you think they are wrong. It therefore appears that you are seeking a diagnosis rather than an assessment. Your further responses on the thread appear to reinforce that position.

@Namechange923 Thank you so much! We can easily get to Chiswick.