Local shared care guideline for the management of medications prescribed to adults with Attention Deficit Hyperactivity Disorder

NICE recommends that primary care may take over the prescribing and monitoring of Attention Deficit Hyperactivity Disorder (ADHD) medication after titration and dose stabilisation under a Shared Care Protocol arrangement. Within NCL there are formally approved shared care guidelines (NCL SCG) which have been agreed via a formal NCL process with our NCL ADHD providers (not service providers outside of NCL). It is not intended that the NCL SCG is used or adopted by any service provider other than the locally commissioned NCL ADHD services.

GPs are not under obligation to accept shared care and the proposed responsibilities if they are not happy about any aspect of the proposed shared care arrangement. GPs are advised to discuss this with patients prior to referral to manage expectations. 

See NCL Prescribing Dilemmas: a guide for primary care prescribers for more information regarding ADHD shared care.


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Patient choice guidance

NHS England NCL Wide

Choice in mental health care

Guidance on implementing patients’ legal rights to choose the provider and team for their mental health care NCL Wide

Right to Choose: ADHD & ASD

Patient choice guidance for attention deficit hyperactivity and autism spectrum disorder referrals NCL Wide

ADHD UK

NHS Choices and Right to Choose (NHS England) NCL Wide

Supporting your neurodivergent child

Booklet with resources and information across NCL NCL Wide

Text on prescribing to use in your referral

https://view.officeapps.live.com NCL Wide

ASD and ADHD information

West and north London ICB NCL Wide


Review date: Tuesday, 11 May 2027