ADHD - FOI Response Register

1. Do you have local provisions for all to receive NHS ADHD services? If no, and if relevant, under the NICE guidelines please detail on alternate services which the NHS will fund.

ADHD pathway established in adult mental health.

2. Current waiting time for NHS adult ADHD diagnosis

Longest wait since November 2022 – 8 months

3. Current waiting time for NHS child ADHD diagnosis

N/A

4. Number of adults on waiting list for ADHD diagnosis

81

5. Number of children on waiting list for ADHD diagnosis

N/A

6. Based on the individual who is currently on the waiting list, what is the longest so far a patient has been waiting for a diagnosis.

Since November 2022

7. How are the waiting list ordered? (i.e. first come first served? or are patients added based on urgency of how symptoms affect them, once on waiting list is it position fixed or can they be bumped down or up?)

Wait list ordered by date of referral received. Patients occasionally assessed sooner when other mental health issues persist.

8. If someone moves out of your region are they removed from the waiting list?

If someone moves from region they would be advised to register with a local CMHT and transferred to their care.

9.  If someone moves into the region do they have to begin at the bottom of the waiting list all over again?

As above, wait list is arranged by date of referral received.

10.  Budget value in GBP and percentage allocated to ADHD services

N/A

11.  Do you operate under 'Right to Choose' (i.e. patients can choose where to get ADHD diagnosis funded by NHS, and can be referred to certain private providers with NHS contracts for diagnoses if NHS waiting list are long)

No

12.  If relevant, cost to the NHS of using private practices for diagnosis

N/A

13.  Do you accept private diagnoses and shared care? (i.e. patient seeks private diagnosis due to long NHS waiting lists, will GP then accept this diagnosis and allow patient to receive NHS prescription rather than private?)

Yes, depending on country of assessment as guidelines may vary

14.  How many staff are trained to diagnose and treat ADHD within your region?

Currently two psychiatrists working within the team are able to assess for ADHD

15.  Are you making any improvements to these services/do you have any plans to improve these services.

Yes, we are aiming on cutting the wait time for assessment.

 Aim to train the nurses in the CMHT for medication monitoring

 Finalising shared care protocol with primary care

16.  Does the region have targets relating to ADHD care and the aforementioned points? If so what are these? Are they being met?

No

17.  If a patient was presenting with severe depression and based on the ADHD pre assessment undertaken by a GP they showed high likelihood of having ADHD. Would this affect any of the answers to the above points? I.e. would they have access to more support/earlier ADHD diagnosis?

As above, ADHD assessments may sometimes take place alongside assessment for other mental health issues where persistent.