Treatment process pathway
ADHD medication packages fully inclusive - please see packages below for more details of what is included. Please note each package excludes the cost of your ADHD medication, as this is paid directly at your local pharmacy - ADHD medication costs can vary greatly from £30 to £150 for a months supply.
This service is solely run by highly experienced, knowledgeable and ADHD service lead Nurse prescribers who also maintain an NMC pin.
It is the patients responsibility to contact their GP prior to starting ADHD medication privately to discuss GP acceptance around the private Shared Care Agreement (SCA) and their requirements. Further SCA information can be found below.
We endeavour to provide an inclusive service across Northamptonshire and the wider UK, providing safe access to ADHD medication where feasible and appropriate within the confines of a small private practice.
We reserve the right to refuse clients who are more complex due to risk issues relating to mental health and/or physical health where we feel NHS services may be more suitable.
We are able to work with most clients who approach us, but we cannot guarantee you will be accepted.
Please also note, that if the prescriber feels that the ADHD diagnostic report is not adequate and meet the standard required this shall be communicated back to you and most likely not accepted to start medication process.
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You will initially be sent a pre-medical assessment form, nurse disclaimer form, consent checklist, GP consent and rating scale to complete and return to us, alongside your ADHD diagnostic report and your medical summary which you can obtain from your GP.
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You will also receive medication information leaflets and about our service.
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A nurse prescriber, will review all the documents and determine suitability.
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You will need to buy your own Blood Pressure Machine, as this a requirement as part of your regular medication reviews to provide your BP, HR and Weight in line with Nice Guidelines.
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If suitable, an invoice will be sent to you and upon receipt of payment, you will be offered an initial appointment with a nurse prescriber.
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Please have a look at my prices below, to see what is included.
1
Medication Initiation and Titration- 18 years+
up to 12 weeks ( 3 months)
£850.00
5 Non-Medical Prescriber (NMP) appointments with your treatment plan, including:
medication initiation appointment, 30-minute appointments
follow up reviews 15-minute appointments
final discharge review 30-minute appointments
up to 5 prescriptions and all prescriptions shall be sent to your home address via Royal Mail 24 tracked- the prescription does not cover the medication cost as this will need to be paid separately at the pharmacist.
Responsive support via email during your titration period outside of your appointment if required
You will need to submit BP, pulse, weight, side effects form during your treatment pathway.
Final prescription of 14 days at time of discharge if required.
When stable on medication at therapeutic dose, your care will be transferred to your GP under Shared Care Agreement in the hope they agree continuity of your ADHD medication, please note this is not guaranteed and a we advise a prior discussion with your GP regarding acceptance of SCA from a private provider.
You will also receive a copy of your SCA, travel letter, supporting letter, coping strategy leaflets and a booklet on employment support.
2
Additional follow up medication reviews
pay as you go appointments
£150 per appointment up to 20- minutes
If therapeutic dose is not reached within the 3-months package, you will be offered pay as you go appointments to get you stable on your medication.
This is at a discounted price, and only applies to clients who were treated under package 1 initially.
When stable on medication at therapeutic dose, your care will be transferred to your GP under Shared Care Agreement. Shared Care Agreement in the hope they agree continuity of your ADHD medication, please note this is not guaranteed and a we advise a prior discussion with your GP regarding acceptance of SCA from a private provider.
You will also receive a copy of your SCA, travel letter, supporting letter, coping strategy leaflets and a booklet on employment support.
Additional Charges:
We can offer ADHD Annual and/or 6 monthly reviews with an NMP required as part of the Shared Care agreement ( up to 30 mins)
£200.00
Ad-hoc support once discharge via email
£75.00
If GP is unable to prescribe the medication, under a shared care agreement, we can offer this service for you as follows, Ongoing Repeat Prescription ( it does not include the cost of the medication, which is paid separately at the pharmacy)
£50.00
We can offer an initial appointment to discuss re-titration and on-going treatment, if you wanted to go back on your previous ADHD medication and dose. Which includes review of all completed forms and one initial app.
£300.00
What is Shared Care Agreement: is a formal arrangement between a specialist (usually in a hospital or secondary care setting) and a General Practitioner (GP) to jointly manage a patient’s care, especially when prescribing certain medications or monitoring a long-term condition. These agreements are commonly used in the UK NHS but similar models exist in other healthcare systems.
✅ What is a Shared Care Agreement?
It typically involves:
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A specialist initiating a treatment or prescribing a medication that requires monitoring or special knowledge (e.g. methotrexate, lithium, ADHD medications).
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The GP continuing the prescription and monitoring, once the patient is stable.
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Clear roles and responsibilities outlined for both the GP and the specialist.
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A plan for what happens if the condition worsens or complications arise.
❌ Can a GP Decline a Shared Care Agreement?
Yes, a GP can decline to enter or continue a Shared Care Agreement.
According to NHS guidance, shared care must be voluntary, and GPs cannot be forced to accept responsibility for specialist care if they do not feel it is appropriate or safe.
📄 What Happens if a GP Declines?
If the GP declines:
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The specialist remains responsible for prescribing and monitoring.
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The hospital or specialist service may need to continue providing the medication.
✅ Best Practice
For shared care to work well:
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A clear protocol should be in place.
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It is the patients responsibility to contact their GP prior to starting ADHD medication privately to discuss GP acceptance around the private SCA and their requirements.