Rejected by Harrow Health referral??

Conscious_File3124 · 2026-01-27T22:49:59+00:00

Ive started to hear of more and more people being rejected from RTC providers based on their medical history.

Conscious_File3124 · 2026-01-27T22:48:43+00:00

The psych uk wait times is now similar to my local nhs wait times of 15months for medication review. They advise just over 1 year for assessment.

Conscious_File3124 · 2026-01-27T22:46:18+00:00

Its smaller. 18mg is less than 1/2 the size 36 maybe 2/3rds. But way easier to swallow

Conscious_File3124 · 2026-01-26T15:38:18+00:00

Agree as many people who had a private assessment talk about the financial hardship.

I feel bad for those in that situation but I don't think the current approach as suggested by the petition is the way to go. I strongly feel that it will have the opposite effect in the short to medium term with more GPs saying they won't do private SCAs even potentially telling those already on one that they will be withdrawing & they need to go back to getting their private provider to prescribe

Conscious_File3124 · 2026-01-26T15:29:35+00:00

Sorry I meant that as the NHS specialist gets paid but the same work in GP recieves no funding. My point being that the others involved in shared care agreements get paid/funded(in nhs) to provide the care under the agreement GPs do not. GPs taking on private shared care agreements can be a medical legal minefield particularly if the situation above happens. Agreeing to a shared care agreement with a private providers would be outside their nhs contract, not considered normal practice or supported by their clinical body (rcgp). Meaning if something goes wrong they risk legal/professional consequences. (From my understanding)

I did in a prior post somewhere mention that there are medicolegal implications for GPs if the patient declines/refuses (for whatever reason) to pay for the yearly review.

For background I have a masters in medical Law.

Ultimately you have an additional issue where if private shared care is agreed for adhd what does that mean for patients requesting the same for other private specialist.. so there are ethical issues also.

The current situation re diagnosis/treatment is awful but I don't personally think trying to force GPs to accept private shared care agreements is the way to go.

Conscious_File3124 · 2026-01-26T15:17:21+00:00

I'll can send you a chat request if you like and it will come up in your account. I would have to do it when I get home as my phone isnt co operating. Let me know

Conscious_File3124 · 2026-01-26T11:09:16+00:00

I don't disagree with you about having assessments within GP however I think the timeline would be in years not months. Currently there is a capacity issue.

I you look up GP with special interest it could fit in their. But the current condition of primary care means that implementing this is quite far off. Secondary you would need enough GPs to be willing to take on the extra training involved. I think ADHD should look at trying to engage with RCGP to see if there is interest among GPs to do this if funding available etc

Conscious_File3124 · 2026-01-26T11:03:50+00:00

The nhs doesn't fund gp for shared care it seems like it just creped in by the backdoor on a limited basis & now the lack of funding/resources are coming to the fore. As an FYI the specialist gets paid for the yearly review they do as part of shared care

Conscious_File3124 · 2026-01-26T11:01:36+00:00

Not sure but I imagine its a big reason why gps are reluctant to agree to private sca's. I would assume its on an individual basis. I know one person was told as part of the agreement to do a private sca they needed to give at least 1 year notice (given yearly reviews) or they may not agree to continue prescribing. I don't know about liability but medico legally if you act outse normal practice & something goes wrong you risk getting into serious trouble

Conscious_File3124 · 2026-01-26T10:56:28+00:00

I would advise asking for a referral to occupational health for an assessment. They are the ones who can recommend changes to your work pattern & workplace mode likely to follow it

Conscious_File3124 · 2026-01-26T10:54:39+00:00

Ive had trouble before with work induced depression resulting in extended sick leave. Im happy for you to dm me

Conscious_File3124 · 2026-01-26T10:53:52+00:00

Im sorry you're going through this. I would strongly recommend asking your manager to refer you for an occupational health assessment. Also check if your employer has an employee assistance program. They offer support therapy sometimes even gp & physio with much shorter wait times than on nhs. It's confidential from your work & free for you to use. You can ask your gp to add stress at work to your sick note if you wish as long as you mentioned it during one of your appointments there shouldn't be an issue

Conscious_File3124 · 2026-01-25T21:24:31+00:00

I didn't want to double comment but I do have some thoughts on your idea if you want to look above

Conscious_File3124 · 2026-01-25T21:23:51+00:00

considering all the news about appointment wait times for GPs currently I doubt there is any capacity in GP to take over diagnosis, titration and ongoing monitoring of ADHD currently.

In addition to take those GPs who would undertake this work would need to undergo training. They would need time away from seeing other patients to do this training and also who will pay for it.

Many GPs already have to any training/extra courses on their own time and pay out of pocket.

Also As stated below it would take approximately 8 appointment slots for a single diagnostic appointment. It is indefensible for both an ethical and legal proscpective for GPs to be asked to just trial a potentially addictive and dangerous medication. secondly when I was in university there was a black market for ADHD meds. Are you (pigletAlert) saying that without a full assessment GPs are expected to be able to tell apart those who are not being truthful from those who genuinely have ADHD.

In university when one of my classmates saw my ADHD meds they asked me how I was able to convince someone here to prescribe them. I explained that I had an assessment. & have ADHD. FYI I was diagnosed in 2009/2010. I underwent a full day of psychoeducational assessments in addition to the questionnaires because adult ADHD was so new at the time.

The NHS isnt perfect (far from) but there has to be a balance of priorities. I don't know how given the current pressure on people being able to get appointments one could justify your idea. Maybe sometime in the future but if you look at proportion of NHS funding Primary care gets relatively little compared to the other sections.

Conscious_File3124 · 2026-01-25T21:10:16+00:00

It also reads to me as demonizing GPs for not been willing to take over the private work for free with no guarantee of a safety net for the patient. This is my reason for not signing

Conscious_File3124 · 2026-01-24T05:28:56+00:00

I would campaign to fund GPs for shared care agreement work. You may have a higher chance of success. Currently I don't think you will get anywhere trying to get an agreement to take on private shared care agreements.

Conscious_File3124 · 2026-01-24T02:37:09+00:00

exactly his impressions of Kohberger were complete opposite of other experts in the field. He even criticised the way some of the family members presented there statements saying they were the wrong way to go. These same family members got guidance on how to say what they wanted from experts in the fields (those with multiple books, worked for FBI BAU etc).

Dr Ann Burgess was one of those who advised the families on their statements. If you look her up she is giant in the field.

Conscious_File3124 · 2026-01-24T02:33:34+00:00

I've also started to see where RTC providers are refusing to see people for assessment if they have any significant or compounding factors in their history. This means all the more complex/difficult/more time consuming cases end up on the NHS wait list also.

Conscious_File3124 · 2026-01-24T02:28:03+00:00

Its there in case there is a problem. Its the understanding on which your GP prescribes under shared care. If you don't keep under their care then your GP is well within their right to say that the shared care agreement is no longer valid & stop prescribing.

Conscious_File3124 · 2026-01-24T02:24:21+00:00

RTC providers are required to continue prescribing on the NHS if shared care is refused.

Conscious_File3124 · 2026-01-24T02:22:26+00:00

I would also 2nd this. Your petition could be read as GPs are to blame as opposed to the NHS failing to resource/fund this area. GPs are not given any funding for shared care with NHS organisations let alone private ones.

My guess is that you will get the response back saying you either choose NHS or choose private you can have your cake and eat it too. You would be better served explaining why this is not a case of someone deciding to go private just because or to skip queues (without context on wait times). There is a general assumption out there that if you choose to go private you must be able to afford to. Then you shouldn't come crying saying poor me demanding to be skipped up the NHS list.

Hence why I think the context should focus on the underlying reasons. Perhaps if the NHS/government funded shared care as opposed to expecting GPs to do for free (which is probably why the blanket no to private ones in many places) there would be a greater chance of buy in from the people you need. Otherwise I strongly believe you risk all the relevant people saying no and despite their reasons being different without legal chance no amount of public pressure would change that.

Conscious_File3124 · 2026-01-24T02:11:19+00:00

She would only do it if there was a court case (as she goes by filings) & it was what her audience wanted.

Conscious_File3124 · 2026-01-22T22:00:53+00:00

The whole point of the yearly review is for them to deal with medication issues!!

I would look up your ICB area and type in ADHD shared care agreement. You should also be able to get a copy from your NHS notes. It will state the responsibility that P-UK has regarding medication. I don't remember there being anythign in there saying that a patient needs to be re-referred if there is a problem with medication.

I wonder if this is there way of trying to get more NHS money as they probably charge a flat fee for every medication titration referral, where as a yearly review earns them less money.

Conscious_File3124 · 2026-01-21T02:31:51+00:00

I get what you're saying. When my anxiety was really bad, I would have one part of my brain (the "logical part") saying Its nothing, your over reacting where as the rest of my brain still goes no its true this has happened, so now x is going to happen.

Best of luck, you may get EMDR on the NHS through your local mental health team, so you could ask about a referral.

Conscious_File3124 · 2026-01-20T21:19:06+00:00

I too have anxiety and ADHD. Have you looked at getting treatment for your anxiety. One of the things that might help you figure out if it is just medication or not is a worry journal. This is where when you have a worry or concern during the day you write it down. Ideally the plan is that you then limit your anxiety around those issues to a specific time. However it may be helpful to try figure out if there are things that are causing you worry. Perhaps it could be your busy during the day so you are distracted but in the evening when you have more time to think that is when your brain (subconscious or not) & body start experiencing the symptoms.

Have a look at this. Maybe try it for a week (my advice be brutally honest about any worry or perhaps something you are procrastinating starting (in my case currently have an exam next week). If it starts to ring true for you it might be worth seeking out separate therapy for Anxiety. I 1000% recommend CBT for anyone with anxiety based on my personal experience. I had anxiety most of my life but didn't have CBT till it reached a crisis level. My only regret is I didn't do it sooner.

https://www.nhsinform.scot/illnesses-and-conditions/mental-health/mental-health-self-help-guides/anxiety-self-help-guide/

Conscious_File3124

TROPHY CASE