St George’s Medical Centre

ADHD Prescribing Shared Care Adults

ADHD Shared Care

Shared care is an agreement between specialist services and GP

We are not obliged to agree to shared care.

As a team of clinicians at St George’s Medical Centre we want to help patients get the care they need and will help facilitate where possible. This may change as we are currently in a period of unified action regarding our GP contract.

For now we have agreed that we will consider taking over prescribing of ADHD medications from NHS or private ADHD specialist services if:

  • The patient is started on and stabilised on the medication by the specialist service. We would expect this to take at least 3 months so at least the first 3 months of prescriptions need to be provided by the specialist service.
  • A written shared care document is signed between ourselves and the specialist service. This document should be sent from the specialist service to request our consideration of signing.
  • Any dose changes are requested in writing by the specialist service, with a follow up review provided by the specialist service after any dose changes.
  • At least a yearly review is undertaken by the specialist service.
  • If the patient is having problems with their medication the specialist service needs to be able to provide a review.
  • The patient needs to attend the surgery every 6 months for physical health check.
  • If the recommended medication is out of stock the specialist service provides advice on suitable alternatives

If the above points are not met we will not be able to continue prescribing.

 

Documents below are the links to the Cambridgeshire and Peterborough Shared Care Documents for ADHD.

ADHD Prescribing Shared Care Adults