Stability first
Shared care is generally considered after titration, when the medicine, dose, benefit and adverse effects are sufficiently stable.
Shared care
Shared care is an agreement—never a guarantee.
After medication is stabilised, a specialist may ask an NHS GP to take on agreed prescribing and monitoring while specialist review continues.
An ADHD assessment does not guarantee a diagnosis, medication, prescription or shared-care agreement. Please do not email medical details.
GMC-registered doctorsRelevant ADHD expertise confirmed before booking
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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.
Written responsibilities
The agreement describes what the specialist, GP and patient each monitor, prescribe, review and communicate.
Specialist oversight continues
Shared care does not discharge the person from appropriate specialist review or make the NHS GP solely responsible for specialist decisions.
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
Before treatment
You may wish to ask your NHS practice about its approach, while recognising that a final decision needs clinical details later.
02
At stabilisation
The specialist documents diagnosis, treatment, response, monitoring and the actions requested from primary care.
03
GP decision
The NHS GP considers competence, local arrangements, information, workload and patient safety before accepting or declining.
04
If circumstances change
Dose changes, adverse effects, missed reviews or clinical instability usually return management to the specialist.
Before you proceed
Make the scope clear.
Good preparation reduces delay, protects confidentiality and makes the clinical discussion more useful.
Have ready
- NHS GP practice and prescriber details
- Diagnostic report and treatment summary
- Stable medicine, dose and monitoring results
- Specialist contact and review arrangements
- A plan for private prescriptions and reviews if shared care is declined
Important limits
- Shared care cannot be promised as part of a private assessment sale
- Acceptance by one GP does not bind another practice
- Private and NHS policies may change
- The specialist must remain available for advice and review as agreed
- Prescription and medicine costs continue privately if shared care is not accepted
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.
Stabilise
Complete specialist titration and required monitoring.
Request
The specialist sends a complete written shared-care proposal.
Decide
The NHS GP accepts, asks questions or declines according to safe local practice.
Continue
Follow the agreed prescribing, monitoring and specialist-review responsibilities.
Useful answers
The practical questions.
Clear expectations matter before assessment, treatment or transfer of care.
Is my NHS GP required to accept shared care?
No. Shared care requires agreement. Your NHS GP makes an independent decision and may decline.
When can shared care be requested?
Usually after specialist initiation and dose stabilisation, with diagnosis, response, monitoring and responsibilities documented.
Do I still need private specialist reviews?
Yes, where the agreement requires ongoing specialist oversight. The frequency and cost should be clear before shared care is requested.
What if my GP declines?
The specialist should explain the private prescribing and review route or other appropriate options. Do not stop or change medicine without clinical advice.
Can shared care continue if my dose changes?
A material treatment change normally needs specialist review and may temporarily return prescribing responsibility to the specialist, depending on the agreement.
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.
Emailinfo@allhoursgp.com
Address22 Oxford Court,
Manchester
Manchester
AssessmentSeparate specialist pathway
Official guidance used for this page:
NICE NG87: ADHD diagnosis and management ↗NHS: ADHD in adults ↗NHS: ADHD in children and young people ↗GMC: prescribing and managing medicines ↗
General information only. Eligibility, diagnosis and treatment depend on an individual assessment by an appropriately qualified clinician with relevant ADHD training and expertise.