If you live in England, and your GP refers you for a physical or mental health condition, in most cases you have the legal right to choose the organisation (qualified provider) you would like to go to, giving you greater freedom of choice and control over your care. Please note that RTC does not cover Scotland, Wales or Northern Ireland.

We accept Right to Choose referrals for any adult living in England, with only one exception. As we are currently contracted with NHS Lincolnshire ICB, we cannot accept RTC referrals for Lincolnshire patients, instead you would need to be referred to them directly by your GP and the ICB would then refer them to us.

If you are new to this service and have never been a patient of ours before, then you can be referred to us on the Right to Choose pathway. However, funding is limited to diagnosis only as NHS Staffordshire ICB are currently unable to fund treatment with us.

We can currently only accept adults aged 18-60 via the Right to Choose pathway. Children can very often be diagnosed through the Children and Adolescent Mental Health Service (CAMHS) via school referral.

We continue to experience increasing demand for both our Adult ADHD and Autism services, which have inevitably created longer waiting lists for assessment and treatment. Due to varying factors, the time you will need to wait for an assessment can fluctuate but currently the waiting time from receiving your Right to Choose referral from your GP surgery to your initial consultation is approximately 12-18 weeks.

Once you have been diagnosed with ADHD, the clinician who diagnosed you will refer you to our Titration Team. You will then receive an appointment for medication titration, currently within 6 weeks, but subject to change depending on varying factors.

No,. If you have undergone a diagnosis with us as a private patient, then you need to continue your treatment as a private patient and and you wont be able to be referred to us via the Right to Choose pathway by your GP for medication management and titration.

Yes, you can be referred to us via Right to Choose if you have an existing diagnosis of ADHD. However, due to the terms of our contract, you will require an initial ADHD Assessment with us first before you can be referred to our medication titration team. Diagnosis Reports

At the end of your consultation, if not earlier, your clinician will let you know whether you have been diagnosed with ADHD/ASD or not. This declaration of diagnosis is the start of a new journey and one that we will share with you throughout your treatment. If you are not diagnosed with either condition, we will explain why and suggest your next steps.

We aim to send you your full assessment report within 6-8 weeks of your assessment date. Our admin team will password protect your report before sending this to you via email to ensure your privacy. DNA and Discharge

If you are unable to attend your appointment, please notify us as soon as possible as we have a 72-hour policy for appointment cancellations. Please note that if you cancel your appointment within this timeframe, it will be recorded as a DNA (Did Not Attend).

If you miss your appointment, then this will be recorded as a DNA (Did Not Attend). We will arrange another appointment for you, however, we do have a strict 2 x DNA policy in place. If you DNA twice, without advising us in advance that you cannot attend, then you will be discharged from our service, as our clinicians still need to be paid for their time allocated to all appointments, and most NHS Integrate Care Boards (ICBs) will also only fund 2 missed appointments.

If you change your address, please inform us as soon as possible. If you a Right to Choose patient and you change GP surgery, we will need to change the funding to your new ICB to continue your treatment. If, however, you are an NHS Lincolnshire ICB patient and move outside of their area, then unfortunately we will no longer be funded to see you and you will need to get a fresh referral to us from your new GP.

Due to the increasing volume of prescription requests that we receive, we advise allowing 7-10 working days for your prescriptions to arrive.

Please email for all prescription requests and medication queries. To help us expedite your request, be sure to include your up-to-date blood pressure, pulse rate and weight readings which we will forward on to your allocated clinician. PLEASE NOTE THAT WE CANNOT DEAL WITH PRESCRIPTION REQUESTS OR MEDICATION QUERIES OVER THE PHONE.

We ask you to provide your up-to-date blood pressure, pulse rate and weight readings at every appointment. We are unable to send you any prescriptions without this information. We have a duty of care to our patients and need these details to ensure safe prescribing.

As most of our appointments are conducted virtually, we ask that patients either attend their GP surgery, local pharmacy or use a home blood pressure monitor to take these observations.

If you are a Right to Choose or Staffordshire patient, your prescription will be sent to our private pharmacy, PPG. They will then contact you to arrange delivery of your medication which is usually delivered by DPD. If you have not received you prescription or missed a delivery, please contact PPG direct on 01923 858 322. If you are a private or NHS Lincolnshire patient, your clinician will send your prescription direct to your home address via the post office. You can then take this prescription to any pharmacy of your choice.

Once you are stable on your medication, which differs from patient to patient, your allocated clinician will send a Shared Care Agreement to your GP surgery. Your GP will then either accept or reject this agreement. If they accept, then you can start ordering your medication through them and we will see you for annual reviews. If they reject the Shared Care Agreement, then you can request out of appointment prescriptions from us, and we will see you for annual reviews.

Titration is the process that introduces your body to medication safely and works out the most suitable medication and dose for you. Safe clinical practice involves careful prescriber monitoring and supervision until you have reached a stable or optimised dose to help you achieve the maximum benefit with minimum side effects. Your prescriber will ask you for regular feedback, including the reporting of any potential side effects.

The titration process is personalised to each patient, so we do not place a specific timeframe on the length of the titration journey. On average, the process lasts 2-4 months, but the timeframe can be shorter or longer, depending on the individual.

The medications used to treat and manage the symptoms of ADHD are known as controlled drugs and initially need to be prescribed through a specialist ADHD clinician. The medication needs to be titrated with careful monitoring, and not all GPs are happy to carry out this process

The titration process typically takes 2-4 months, or longer if needed. This will allow your body to adjust to the new medication and find your optimal dose. This means that you will feel maximum treatment effects from your medication with minimum side effects. At this stage, you will then be referred back to your assessing consultant for an end of titration review. If your consultant is happy that your treatment is now stabilised, they will write to your GP to recommend that your prescription be continued under a Shared Care Agreement. This means that ongoing prescriptions will be issued by your GP surgery, and there will be an expectation that your medication will be reviewed on a six-monthly basis by your GP. You will also be offered an annual review either by us or perhaps by another service, such as your local NHS team.

Yes, there is an age limit for ADHD assessments. Currently, assessments are available for individuals up to the age of 65. Unfortunately, we are unable to offer ADHD assessments for those over 65.