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Ongoing ADHD care

Good follow-up asks what is working now.

ADHD needs can change with work, study, relationships, health and life stage. Review keeps support proportionate and prescribing clinically safe.

An ADHD assessment does not guarantee a diagnosis, medication, prescription or shared-care agreement. Please do not email medical details.

A patient and clinician discussing a structured care assessment
Specialist pathway guideReview the person, not just the dose.ObserveUnderstandPlan
Illustrative image
GMC-registered doctorsRelevant ADHD expertise confirmed before booking
CQC-registered serviceCare within a regulated setting
30+ years combined experienceExperienced clinician-led care
At a glance

The detail that protects the decision.

ADHD care should be careful enough to consider history, daily function, strengths, other possible explanations and the support needed next.

01

Function and goals

Review looks at daily benefit, remaining difficulty and whether treatment still supports the outcomes that matter to you.

02

Health and adverse effects

Physical measures, appetite, sleep, mood, anxiety, substance use and other medicines are reviewed when relevant.

03

The next care arrangement

Responsibilities between specialist, patient, NHS GP and pharmacy stay explicit, including when shared care changes.

Clinical review

A pathway built around evidence and context.

The clinician brings together the person’s account, reliable supporting information, clinical expertise and recognised diagnostic and treatment standards.

The aim is an accurate, useful formulation—not a predetermined outcome.

01

Treatment benefit

Consider attention, impulsivity, restlessness, emotional regulation and functioning across key settings.

02

Monitoring

Provide measurements and other safety information at the intervals specified by the clinician and applicable guidance.

03

Life changes

Discuss pregnancy, new health conditions, other medicines, driving, work risks, travel and changes in substance use.

04

Annual specialist review

Reconsider overall need, medicine, dose, adverse effects, preferences, non-medication support and future monitoring.

Before you proceed

Make the scope clear.

Good preparation reduces delay, protects confidentiality and makes the clinical discussion more useful.

Have ready

  • Current medicine, dose and pharmacy details
  • Examples of benefit and remaining difficulty
  • Side effects, missed doses or concerns about duration of effect
  • Requested weight, pulse and blood pressure records
  • Updates from your NHS GP, mental-health team or other clinicians

Important limits

  • Appointments and prescriptions must be requested with sufficient notice
  • Monitoring cannot be skipped because you feel stable
  • The clinician may need in-person assessment or additional records
  • Dose changes are not made solely on request
  • If shared care ends, a safe alternative must be agreed before relying on further supply
A clear route

From question to next step.

Each stage should explain what is needed, who is responsible and what remains subject to clinical review.

01

Record

Track benefit, function, adverse effects and requested measurements.

02

Review

Discuss clinical progress and material changes with the responsible clinician.

03

Adjust

Continue, change or stop treatment only through an agreed plan.

04

Coordinate

Confirm prescribing, monitoring and the next specialist review.

Useful answers

The practical questions.

Clear expectations matter before assessment, treatment or transfer of care.

How often will I need review?

The clinician sets the schedule according to treatment stage, age, medicine, risk and current guidance. Titration usually needs closer contact than stable maintenance.

Why do I need physical measurements?

Some ADHD medicines can affect pulse, blood pressure, appetite or weight. Monitoring supports a safer decision about ongoing treatment.

Can a review be remote?

Some reviews may be suitable remotely if reliable information is available. The clinician may require in-person examination or measurements.

What if I stop taking medicine?

Tell the responsible clinician. Some medicines should not be changed or restarted without advice, and the reasons for stopping may affect the next plan.

What happens if my NHS GP stops shared care?

Contact the specialist service promptly. Do not assume either service has automatically taken over; responsibility and a safe supply plan must be clarified.

ADHD pathway enquiries

Start with the service details.

Email your name, contact details and whether the enquiry concerns an adult or a child or young person. Please do not include symptoms, reports, medicines or other medical information in ordinary email; the team will explain the secure clinical route.

Allhours GP ADHD Services

Eligibility, clinician, process, current fees and continuing-care scope are confirmed before payment.

Address22 Oxford Court,
Manchester
AssessmentSeparate specialist pathway
Official guidance used for this page:
General information only. Eligibility, diagnosis and treatment depend on an individual assessment by an appropriately qualified clinician with relevant ADHD training and expertise.

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