In contrast the link I found for Doncaster area prescribing committee, dated July 2008, only discusses the shared care arrangements for patients diagnosed as children.
Quote 'This protocol sets out guidelines for assessment and treatment of children over 6 years with ADHD and delineated responsibilities when care is to be shared between Primary Care and Paediatrics and includes the transitional arrangements between Paediatrics and Adult Psychiatry.'
Having read the link below for 'Hull and East Riding's shared care agreement for patients diagnosed ADHD during childhood and treated with Atomoxetine'. I notice they flag the medication up as being in their 'Red' traffic light prescribing category where it is prescribed to adults, as opposed to 'Amber' for the prescriptions of children.
I've a feeling that medications in the 'Red' category aren't going to pop up in any shared care arrangements. They must have some precedent for the use of it in adults to have classified it I think. But I can't tell if that is in relation only to those diagnosed as children, or to those diagnosed as adults too. (The link is dated 2007, and noted to be due for review in 2009)
The Worcestershire one is really interesting chrysallis but not for the right reasons!
It looks exciting doesn't it that Worcestershire NHS has Prescribing Guidelines and Shared Care for ADHD?
But we've (AADD-UK) received two letters, both written this month, one is from Worcestershire Mental Health Partnership NHS Trust, and the other is from Worcestershire PCT.
Worcestershire PCT merely tell us that they will find out what their plans are regarding implementing the NICE Guidelines and will get back to us (they haven't yet).
Worcestershire Mental Health specifically say the following:
Quote:
The Trust would be happy to provide the service [for adults with ADHD] but at the present time the commissioner is unable to fund this type of service and we are unable to provide a service that we are not funded for.
I would suggest that you write to the Chief Executive of Worcestershire PCT with regard to the funding of this service.
Which of course we did, and got the letter I referred to first.
So it looks as if while the Worcestershire Area Prescribing Committee was spending time and money working out the Prescribing Guidelines, Worcestershire Primary Care Trust didn't actually set aside funding for the service and again
Note to myself: I really must learn to use the preview button so that I don't have to hit the modify button everytime I post something.
Still looking on the brighter side chrysallis, this is really good evidence to submit with the petition It really shows the need for ring fenced funding for ADHD services!