For adults already diagnosed / England & Wales
Your GP said no to shared care. That is not the end of your treatment.
A shared care agreement is voluntary. When a practice declines one, responsibility for prescribing stays with a specialist. We are that specialist — a CQC-registered service led by a nurse independent prescriber.
What usually happens next
“Your diagnosis is fine. We just can’t take over the prescribing.” And then you are holding a report nobody will act on.
Why this happens
A refusal is about the practice, not about you
GPs are not obliged to accept shared care, and many decline for reasons that have nothing to do with the quality of your assessment. A practice may have no clinician trained in ADHD medication, no system for the monitoring these drugs require, or a blanket policy against agreements with private providers.
None of that invalidates your diagnosis. It means the prescribing has to sit somewhere else, with someone qualified and regulated to hold it. That is a straightforward clinical arrangement, and it is what we do.
How it works
Three steps, in this order, without exception
We cannot continue a prescription on the strength of a PDF. Before any medication decision, a prescriber reviews the diagnosis you already have. Sometimes that review finds gaps. We would rather tell you that at the start than halfway through a titration.
Diagnostic review
You send your assessment report and consent to us requesting your GP record. A prescriber checks the assessment against NICE standards, confirms the diagnosis stands, and takes a full physical and mental health history.
£145 · payable regardless of outcomeTitration
If medication is clinically appropriate, we find your effective dose. Regular reviews, blood pressure, pulse and weight monitoring throughout, and a written plan shared with your GP at every change.
£495 · complete pathway to stable doseOngoing prescribing
Once stable, we hold the prescribing under specialist supervision. Monthly private prescriptions, an annual review, and we will approach your GP about shared care again — practices do change their position.
£40 / month · cancel any timeFees
Everything you would pay, listed here
Medication is charged separately by the pharmacy at private prescription rates. We do not sell medication and we take no payment from any pharmacy.
- Diagnostic reviewRequired before any prescribing decision. Payable whether or not we go on to prescribe.
- £145
- Titration pathwayAll appointments and monitoring from first dose to stable dose. One fee, however long it takes.
- £495
- Ongoing prescribingMonthly prescription issue, dose queries, and correspondence with your GP.
- £40 / month
- Annual reviewThe yearly specialist review required to continue treatment safely.
- £185
Before you book
What we will not do
Read this properly. It will save you money.
- We will not issue a prescription at the review appointment. The review exists to establish whether prescribing is safe and appropriate — it is not a formality.
- We will not continue a diagnosis we cannot verify. If your assessment does not meet NICE standards, we will tell you, and the review fee still applies.
- We will not prescribe without your GP’s knowledge. We require consent to request your record and to write to your practice. This is a safety requirement, not an administrative one.
- We will not prescribe where there is an untreated cardiac concern, an active substance misuse problem, or an unmanaged mental health crisis. We will help you get to the right service instead.
- We do not accept patients under 18, and we do not currently accept referrals from Scotland or Northern Ireland.
Questions
Answers, before you ask
Is my private diagnosis still valid if my GP refused shared care?
Yes. Declining a shared care agreement is a decision about who writes the prescription. It is not a judgement on your diagnosis. A practice can decline shared care for a diagnosis it fully accepts.
Can I stay with you indefinitely?
Yes. Some patients remain with us for years because their practice will not take shared care on. Others transfer back once a new GP joins the practice or the policy changes. We revisit it at every annual review, at no extra cost.
What happens if the review finds my assessment was inadequate?
We tell you exactly what is missing and what would be needed to put it right. In some cases that means a fresh assessment. We will set out the options and the cost, and you are under no obligation to take them up with us.
Who actually sees me?
A registered nurse independent prescriber with specialist experience in adult ADHD, working within a CQC-registered service and regulated by the Nursing and Midwifery Council. Appointments are remote, by secure video.
Do you take NHS Right to Choose referrals?
No. We are an independent service and all fees are self-funded. If cost is the barrier, ask your GP about a Right to Choose referral to an NHS-contracted provider — the assessment and, in some areas, titration are free at the point of use.
Next step
Book the review. Get a clear answer.
Forty-five minutes with a prescriber who will tell you honestly whether we can take your treatment on, and what it will involve if we can.