Prescribing

ADHD shared care

Shared care is an agreement about who does what. It is not an automatic transfer of prescribing to your GP.

Short answer

The NHS notes that a GP may be able to take over ADHD prescribing when a shared-care agreement exists between the GP and ADHD specialist.

Responsibilities

What shared care can look like

Specialist

Typically establishes diagnosis, initiates treatment, stabilises the regimen and retains specialist responsibilities defined in the agreement.

GP / primary care

May take on agreed repeat prescribing and monitoring once treatment is stable, if the practice accepts the arrangement.

NHS – ADHD in adults ↗ · NHS SPS – modified-release methylphenidate ↗

Plan ahead

What if a GP does not agree?

Shared care depends on an agreed arrangement and local/practice circumstances. A private or RTC diagnosis does not automatically compel a GP to take over prescribing. Before starting a pathway, ask the provider what happens if shared care is declined and what ongoing specialist prescribing would cost or involve.