Shared Care ADHD Prescribing

At Rubicon Private Health, we support patients already diagnosed with ADHD through shared care arrangements. Working alongside your specialist, we ensure safe, consistent, and convenient ongoing management of your ADHD medication — helping you maintain stability and continuity of care without disruption.

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(Clinically correct, governance-safe, and aligned with GMC/NHS shared-care expectations)

ADHD Shared Care

Safe, responsible prescribing in collaboration with your private psychiatrist

Many patients with ADHD are assessed and treated by private psychiatrists, but find that their NHS GP surgery will not continue prescribing medications such as methylphenidate, lisdexamfetamine, or atomoxetine. This can leave patients in a difficult position despite being stable on treatment.

At Rubicon Private Health, we offer temporary shared care prescribing for suitable patients, provided the arrangement is clinically safe, properly documented, and supported by your private psychiatrist.

We prioritise patient safety, clear communication, and responsible prescribing.

Our offering

What We Offer

1. Shared Care for a Defined Period

We can prescribe ADHD medication after a private psychiatrist has:

Completed a full diagnostic assessment
Initiated treatment
Performed titration and dose stabilisation
Provided detailed documentation of diagnosis, medication, dose, response, side effects, and monitoring

Once you are stable, we can enter a shared care arrangement and continue prescribing for an agreed period.

When and How Shared Care Can Be Safely Considered

2. Clear Conditions for Shared Care Prescribing

Shared care is not automatic.

It is a voluntary clinical agreement that depends on:

Safety
Adequate documentation
Specialist support
The GP’s clinical confidence in continuing treatment

Key principles:

Voluntary Agreement

A private GP can choose to take part in shared care, but is under no obligation to do so.

Full Clinical Responsibility

The clinician who ultimately signs the prescription accepts full legal and clinical responsibility for that medication.

We only take over prescribing once we are satisfied that the treatment is appropriate and safe.

Stabilisation Must Be Completed by the Psychiatrist

Clear Roles and Responsibilities for Safe Prescribing

Your private psychiatrist must

Diagnose
Initiate
Titrate
Stabilise
Provide a clear treatment plan

We do not initiate ADHD medication.

Memorandum of Understanding (MoU)

Where appropriate, we may use a written MoU outlining responsibilities:

Psychiatrist: diagnostic clarity, initiation, titration, specialist advice
Rubicon GP: prescribing during stability, monitoring vitals, medication reviews
Patient: adherence, attending reviews, sharing information

This ensures safe governance for controlled drugs

Prioritising Patient Safety and Good Governance

3. When We Cannot Offer Shared Care

We may not be able to take over prescribing if:

Diagnosis or assessment documentation is unclear
Multiple previous prescribers are involved
Medication is not stabilised
The psychiatrist is unwilling to collaborate
There are safety concerns (blood pressure, cardiac history, substance use)
There is no monitoring plan
Irregularities in the treatment record
Red-flag symptoms are present

Our priority is safe prescribing, not convenience.

We will always explain our clinical reasoning if shared care is not suitable.

Structured Follow-Up Focused on Safety and Response

4. Safe Monitoring and Follow-Up

If we do accept shared care, we will:

Review cardiovascular history
Check blood pressure and pulse
Monitor weight and sleep
Review side effects
Review response
Conduct medication reviews at appropriate intervals
Liaise with your psychiatrist if needed

If concerns arise, we may temporarily pause treatment or request a specialist re-review.

Why Choose us

Why Patients Choose Rubicon

Experienced GP
Clear, structured shared-care process
Transparent boundaries and governance
Collaboration with private psychiatrists
Patient-centred but safety-first approach
No judgement, no dismissal — just responsible care

We understand how difficult it can be when NHS shared care is refused. Our role is to provide a safe bridge, not an unregulated shortcut