Straight answers, before you spend anything.

Yes. Focus Gently is live and accepting enquiries for private adult ADHD assessments, titration and ongoing medication reviews. We are registered with the Care Quality Commission, the independent regulator of health and social care in England.

Neither. You can come to us directly, with or without a GP referral.

If you already have an ADHD diagnosis from elsewhere, you may be able to book a medication review or treatment planning appointment rather than a full assessment. We’ll need to see your diagnostic report first so we can be sure it meets the standard we’d need to prescribe safely — tell us on your free call and we’ll say straight away whether it does.

Start with our free online screener. It’s a validated self-report questionnaire that takes about two minutes and gives you an instant summary to keep. It cannot diagnose ADHD — only a full clinical assessment can do that — but it will tell you whether taking things further is likely to be worthwhile.

Then book a free 15-minute call. If we don’t think an assessment will help you, we’ll say so and point you somewhere more useful, rather than taking the booking.

No. We’re a remote service for adults aged 18 and over, and there are situations where we’re not the safest option — for example where there are significant untreated mental health difficulties, complex physical health risks, or a need for face-to-face care. Where that’s the case we’ll tell you and explain what we’d suggest instead.

If you need urgent help, contact your GP, call NHS 111, or in an emergency call 999. We are not an emergency or crisis service.

Either a GMC-registered consultant psychiatrist or an NMC-registered nurse independent prescriber, both specialists in adult ADHD, working within our clinical governance framework.

We allocate your clinician on clinical grounds, using the information you give us before your appointment — it isn’t a paid upgrade, and the fee is the same either way. You’ll be told who you’re seeing before the day, and you stay with the same clinician from your first appointment through to your report.

A 90-minute structured clinical assessment carried out remotely, using validated diagnostic tools alongside a full clinical and developmental history. We’ll ask about childhood and current difficulties, education and work, mental and physical health, family history and daily functioning.

You’ll be asked to complete some questionnaires beforehand. Where possible we also ask for information from someone who knew you as a child or knows you well now — it strengthens the assessment, though it isn’t always essential.

No, and we’d be wary of any service that suggests otherwise. An assessment establishes whether you meet the diagnostic criteria for ADHD. Sometimes the answer is no — and sometimes something else better explains what you’ve been living with, which is worth knowing too.

Either way you receive a full written outcome letter and honest guidance on what to consider next.

Within 10 working days of your final assessment appointment. If we miss that, we credit you £100 automatically — you don’t need to chase us or ask. The clock pauses if we’re waiting on information we’ve asked you for.

You receive a clear clinical outcome and a written report you keep. Depending on the outcome, next steps may include treatment planning, a titration pathway where medication is appropriate, psychoeducation and practical strategies, and a letter to your GP where clinically relevant.

We won’t assess you and disappear. Your clinician will talk you through the options and how to stay in touch with us.

• We’ll tell you before you pay if we don’t think an assessment will help you.
• If your clinician stops your assessment because it isn’t the right thing for you, there’s no fee — and you still get a written summary.
• Your report arrives within 10 working days, or we credit you £100 automatically.
• If you think something was missed, your clinician will review your file again and respond in writing, free of charge.

These sit alongside your statutory rights under the Consumer Rights Act 2015 and do not replace them.

No, and we think that’s the right answer. The assessment is a clinical service — its value is in a thorough expert evaluation and a clear outcome letter, not in receiving a particular result. That work is identical whichever conclusion we reach, so the fee is chargeable either way.

There’s a second reason. A refund tied to the diagnosis would mean we only get paid when we diagnose, which is exactly the pressure that shouldn’t exist anywhere near this decision. Our clinicians are paid the same whatever the outcome, and that’s deliberate.

You don’t need to claim the report credit — if we miss the date, we apply it. For a free re-review, email info@focusgently.com saying what you think was missed, and your clinician will respond in writing. Requesting a re-review doesn’t affect your right to make a formal complaint, and it doesn’t pause our complaints process.

Yes, where it is clinically appropriate and safe. Medication is never guaranteed. It depends on the outcome of your assessment, your medical and mental health history, physical observations, risk assessment and a shared decision made with your clinician.

We need a clear picture of your physical health before starting. That typically includes blood pressure, pulse, height and weight, along with your medical and mental health history, current medication, substance use history, and any relevant cardiac or physical health risks.

Some people need further information, GP input or specialist advice before medication can be considered. We’ll tell you what’s needed and why.

Titration means finding the right medication and dose for you, safely. The pathway includes an initial review of 45–60 minutes and up to three follow-ups over 8–10 weeks, with cardiovascular monitoring, side-effect review and dose adjustment throughout.

If you need more time to reach a stable dose, additional reviews are available at the standard rate. We won’t discharge you before you’re stable simply because a pathway has ended.

No. Medication is dispensed and charged separately by the pharmacy. Our fees cover clinical time, monitoring and documentation only.

NICE guidance expects adults on ADHD medication to be reviewed at least once a year. The review covers how well treatment is working, whether continuing medication remains appropriate for you, side effects, and cardiovascular monitoring, and produces an updated letter for your GP. It’s a condition of us continuing to prescribe.

Yes. There’s no minimum term and you can stop at any time.

Please tell us before you do. Cancelling ends prescribing through this service, so arrange alternative prescribing first — shared care with your GP, for example — to avoid a gap in your medication. We’ll help you do that safely.

We prepare a full shared care request, with your titration history, monitoring records and a clear summary for your practice. Whether to accept it is your GP’s decision, not ours. Some practices and some local NHS areas decline shared care with private providers, and we can’t override that.

It’s worth asking your practice about their position early — ideally before you book — so you know where you stand.

You won’t be left stranded. If shared care isn’t accepted, we can continue prescribing privately for as long as it remains clinically appropriate and you keep up your reviews. There’s an ongoing cost to that, which we’ll set out clearly so you can decide with the full picture.

Yes, where it’s clinically relevant — and we’d strongly encourage it. Your GP holds your full medical record, and safe prescribing depends on them knowing what you’re taking. We’ll always discuss this with you first.

Complete the booking or enquiry form on our website. We’ll review your information and guide you to the right appointment type — or tell you if we don’t think an appointment is the right step. We’ll contact you using the details you provide to confirm next steps and anything we need beforehand.

Full payment is taken at the time of booking to secure your appointment. Once payment is confirmed we’ll email your appointment details and a secure joining link. Payment options to spread the cost are available at booking.

The adult ADHD assessment is £750, and the price is the same whoever you see and whatever the outcome. Titration, additional reviews and annual reviews are priced separately and listed on our booking page. There are no hidden costs, and nothing costs more depending on the answer you get.

Yes. With at least 48 hours’ notice there’s no charge — we’ll move your appointment or refund you in full. Contact us on 020 8798 0321 or at info@focusgently.com as early as you can.

If you cancel with less than 48 hours’ notice or don’t attend, we retain £50 for assessments and the assessment-and-treatment package, or £20 for review appointments, to cover the reserved clinical time. The balance is refunded. We may waive this once at our discretion where there’s a genuine reason such as a medical emergency.

We’ll offer you the earliest suitable alternative or a full refund of that appointment’s fee, whichever you prefer.

Tell us. Start with a free re-review if you think something clinical was missed, or contact us directly to raise a concern. We have a formal complaints procedure and we’ll give you a copy on request. If you’re not satisfied with how we handle a complaint, you can raise it with the Care Quality Commission, and your statutory rights under the Consumer Rights Act 2015 are unaffected throughout.