ADHD Shared Care UK – A Patient Guide
Shared care allows your NHS GP to take over prescribing ADHD medication after an initial private diagnosis and titration. This guide explains how it works and how to navigate potential GP reluctance.
What is shared care?
Shared care is a formal arrangement between a private specialist clinic and your NHS GP, where the GP agrees to continue prescribing medication that was initiated by the specialist. For ADHD, this typically happens after you have been through the titration phase and are stable on a medication dose.
Why shared care matters financially
A private ADHD clinic prescription costs £50–£100 per month in many cases. NHS prescriptions cost £9.90 per item (or free if you have a prepayment certificate). Over a year, shared care can save £500–£1,000+.
What if my GP refuses shared care?
Some GPs refuse to enter shared care arrangements for ADHD, often citing lack of confidence with the medication or local ICB guidance. If your GP refuses, ask them to put the reason in writing. You can escalate to the practice manager, your ICB, or contact your MP if the refusal appears to be against NHS guidance. The BMA and RCGP have both stated that GPs should engage with shared care requests.
ADHD clinics that support shared care
Not all private clinics are equal when it comes to supporting shared care. The best clinics provide a comprehensive shared care pack to your GP, are responsive to GP queries, and will support you through the process. Check our clinic profiles to see which clinics offer shared care support.
Frequently asked questions
Can a GP refuse to prescribe ADHD medication on shared care?
Technically yes — GPs cannot be forced to prescribe. However, NHS England guidance and the BMA position is that GPs should engage with shared care unless there is a clinically valid reason not to. Blanket refusals based on the medication being "private" are not clinically appropriate.
How long does shared care take to set up?
Typically 4–12 weeks from when the private clinic sends the shared care request to your GP. The private clinic should provide all necessary documentation, protocol, and monitoring guidance to your GP practice.