Terms and Conditions

• Standard administration time for general adult or persistent physical symptom assessment includes standard appointment related correspondence, report writing including your treatment plan, reviewing of any required documentation, liaison with GP’s including time taken to contact them and discuss background, initial prescription letter (where appropriate); 60 minutes maximum. Anything taken over this time will be charged at the standard administrative fee.
• Neurodiversity assessments require more time to review the corroborative developmental information required for the assessment and therefore include 90 minutes administrative time in the assessment fee for the administrative tasks specified above as well as reviewing developmental and corroborative information. This assessment fee also includes the extra time required to write the reports. Any administrative time taken in excess of this will be charged at the standard fees below.

The additional standard administrative charges are:

1. 1. Minimum charge £30 (10 minute block)
   2. Additional time £30 per 10 minute block

Examples of chargeable administrative services:

• Report revisions (after the first revision if a mistake was made and at the discretion of Dr Murton) £30 minimum
• Complex GP correspondence beyond standard minimum (£30 minimum)
• Extended treatment plan modifications £30-£90
• Multiple prescription adjustments requiring documentation (£30 minimum)

Notification and Consent:

We will notify you before incurring additional administrative charges and seek your consent for these. We will try to provide an estimate of costs beforehand.

Notification of Charges:

You will be notified of any additional administrative charges via email through our patient management system, Carebit. The notification will include a breakdown of the charges, the services provided, and payment instructions. Please ensure your email address is current in the Carebit system to receive these important communication.

ADHD Assessment and Medication Management

Detailed information about ADHD assessment fees, medication management costs, and the complete treatment pathway will be provided to all patients enquiring or booking ADHD assessments, “ADHD Assessment – Fees & Information Sheet”.

Pre-Assessment Requirements:

Before ADHD medication can be prescribed, physical health checks are required:

Always Required:

• Height and weight measurements
• Blood pressure monitoring
• Pulse/heart rate monitoring

Sometimes Required (only in specific cases):

• ECG or cardiology assessment
• Required at doctor’s discretion based on individual health profile and guided by NICE guidance

These assessments will be requested from your GP. If your GP is unable to provide them, private assessments may be necessary (self-funded). We can recommend private providers if needed.

No Guarantee of Diagnosis or Medication:

• ADHD assessment does not guarantee a diagnosis
• Diagnosis does not guarantee medication suitability
• Medication suitability depends on physical health assessment results, and other factors in the individual’s clinical assessment
• Alternative treatments will be recommended if medication is not suitable

Medication Titration Period

If ADHD medication is prescribed, a time-limited titration period is required to find the right medication and dose.

Titration Process:

• Typically completed in 1-2 months (may extend to 3-4 months in complex cases)
• Home monitoring equipment provided (blood pressure, pulse, weight monitor)
• Weekly observation reviews required during titration
• You record readings at home and report weekly
• Dr. Murton reviews your observations remotely
• Charged per minute for clinical review time
• Face-to-face or telephone appointments available if needed for complex issues

Titration is Time-Limited:

• This intensive weekly monitoring period is temporary
• Once the right medication and dose is found, you move to standard 6-monthly monitoring
• We cannot extend titration indefinitely
• Medication may need to be stopped if ineffective or causing side effects
• Costs incurred are not refundable

Ongoing Medication Management (After Titration):

ADHD medications are controlled drugs requiring mandatory ongoing monitoring.

Monitoring Requirements:

• Review appointments every 6 months (mandatory)
• 30-minute appointments
• Blood pressure, pulse, and weight checks at each review
• Review of symptoms, side effects, and medication effectiveness
• These appointments are required by law for continued prescribing
• If you miss 6-monthly monitoring, we must stop prescribing

Prescription Requirements:

• ADHD prescriptions valid for 30 days only (legal requirement for controlled drugs)
• Monthly prescriptions needed throughout treatment, these are chargeable.
• Must be written on special prescription forms and posted by hand (legal requirement)
• We cannot issue prescriptions for longer than 30 days

GP Shared Care:

• We work to establish shared care with your NHS GP where possible
• Many GPs do not provide ADHD shared care with private providers
• We cannot guarantee shared care will be available
• Administration around shared care agreements will be charged at standard administrative rates

Important:

• Ongoing monitoring is mandatory for safe prescribing of controlled medications
• Costs vary based on individual response to medication
• We cannot predict individual costs – everyone responds differently

For complete fee information and cost scenarios refer to our “ADHD Assessment – Fees & Information Sheet”.