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Shared care · Not guaranteed

ADHD Shared Care

Clinically reviewed by Shamir Patel(GPhC) Last reviewed September 2026

Direct answer

What is ADHD shared care?

ADHD shared care is an arrangement in which a specialist starts and stabilises ADHD medication and a GP then agrees to continue prescribing, with the specialist retaining responsibility for review. Shared care arrangements are subject to individual GP practice agreement and cannot be guaranteed.

  • Only after titration is complete and stable
  • GP agreement is voluntary
  • Specialist remains involved
  • Private prescribing continues if not agreed

How shared care works

After stable titration, the specialist sends the GP a shared-care request setting out responsibilities, monitoring and when to refer back. The GP decides whether to accept.

Shared care with ADHD Path: step by step

Shared care can only be requested once your medication is working well. At ADHD Path we ask that you have been stable and optimised on the same medication and dose for 3 consecutive months before we approach your NHS GP.

If your NHS GP is willing to accept shared care, we complete the shared care agreement forms and letter to request it. This is a one-off fee of £150. Your GP decides whether to accept — shared care is at their discretion and cannot be guaranteed.

If your GP approves shared care, we still review you every 6 months (£99 per 6 months) to check that your medication remains effective and is being prescribed safely by your GP. After each review we write to your GP to confirm whether it remains appropriate to continue.

If you are not eligible for shared care, or your GP declines it, you can stay under our care: our clinicians continue to prescribe and monitor you, with repeat prescriptions (clinician approved only) at £49 per month plus the 6-monthly monitoring review.

  • Stable and optimised for 3 consecutive months
  • Shared care agreement letter and forms — £150 one-off
  • Six-monthly ADHD Path review and letter to your GP — £99 per 6 months
  • If shared care isn't possible: repeat prescriptions — £49 per month

Can my GP refuse shared care?

Yes. GPs may decline for reasons including competence, local policy or workload. This is their professional decision.

If shared care isn't agreed

You can continue private prescribing and monitoring, ask the GP about local NHS options, or discuss alternatives with your clinician.

Book an ADHD Assessment

Structured clinical assessment and written outcome.

Book an ADHD Assessment

Frequently asked questions

Does ADHD Path guarantee shared care?

No. We will provide your GP with the information they need, but agreement is their decision.

Should I check with my GP before booking?

If shared care matters to you, it's sensible to ask your practice about their policy first.

What monitoring continues under shared care?

Typically at least annual specialist review plus GP checks of blood pressure, pulse and weight.

Related questions

Related ADHD Path services

Clinical authorship & review

Mark Thornton-Jones, Specialist ADHD Pharmacist & Independent Prescriber

Written by

Mark Thornton-Jones

MPharm (Liverpool John Moores, 2010), Non-Medical Prescribing (Distinction), CPPE General Practice Pathway, ADHD diagnosis & management (2025) · Specialist ADHD Pharmacist & Independent Prescriber

GPhC 2076283
Shamir Patel, CQC Registered Manager & Clinical Pharmacist

Clinically reviewed by

Shamir Patel

MPharm, Independent Prescriber · CQC Registered Manager & Clinical Pharmacist

GPhC 2049338
Published
1 September 2026
Last reviewed
28 September 2026
Next review
28 September 2027

References

  1. Attention deficit hyperactivity disorder: diagnosis and management (NG87). National Institute for Health and Care Excellence (NICE), 2018, updated 2019. Source
  2. Attention deficit hyperactivity disorder — Clinical Knowledge Summary. NICE CKS. Source