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Clairemind

Clairemind journal · England

ADHD shared care agreements explained in plain English

A shared care agreement means your specialist and your GP share responsibility for your ADHD medication. NICE guidance says this can happen once a specialist has found a stable dose. GPs aren't always able to agree to it, so it helps to ask early.

Screening is not a diagnosis. You can ask for help without being certain that ADHD is the explanation.

What NICE says

NICE guideline NG87 recommends that, after titration and dose stabilisation, prescribing and monitoring of ADHD medication should be carried out under shared care arrangements with primary care.

Source: NICE guideline NG87: ADHD diagnosis and management

Questions to ask

  1. Ask your specialist whether they offer shared care with GPs once your dose is stable.
  2. Ask your GP practice whether it can take part in shared care for ADHD medication.
  3. Check who will do your regular monitoring and repeat prescriptions.
  4. Keep a note of your dose, any side effects and review dates.

Source: NICE guideline NG87: ADHD diagnosis and management

Questions people ask

Does my GP have to agree to shared care?

Shared care is an agreement between your specialist and GP practice, so ask both early. If it isn't agreed, ask your specialist how prescribing will continue.

When does shared care start?

NICE says it follows titration and dose stabilisation by the specialist.

Choose your next step

By Clairemind · General information, not personal medical advice.

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