GP Referral Process
Healthcare Central London accepts adult ADHD referrals via the NHS e-Referral Service (eRS) under the Right to Choose pathway.
Supporting you and your patient with the Adult ADHD Right to Choose referral process
To help make the referral as efficient as possible, we’ve developed a folder of content to guide you through the process.
Download our process guidance for GPs
Within the file you’ll find:
- The mandatory eRS referral you need to complete, selecting Healthcare Central London as the service provider.
- Additional documents that the patient must complete – you can support them through this process by completing the documents with them. Documents include: an Adult ADHD Self-Report Scale, an informant form or a WURS form for those who do not have an informant.
- A step-by-step guide on making the referral via eRS.
Eligibility criteria
Patients are eligible for referral if they:
- Are aged 18 or over
- Are registered with a GP in England
- Are seeking an ADHD assessment
- Meet criteria for referral under NHS Right to Choose
- Referrals should be made in line with NICE guidance (NG87).
How to Refer via eRS
Referrals must be submitted using the NHS e-Referral Service (eRS).
- Discuss ADHD concerns with the patient and agree that referral is appropriate.
- The patient requests referral to Healthcare Central London under Right to Choose.
- Select the Healthcare Central London ADHD service on eRS.
- Complete the referral and attach the required information (see below).
- Submit the referral via eRS.
Once received, the service will contact the patient directly to arrange assessment and discuss any required adjustments.
A GP referral template letter is available here to support the referral process and can be uploaded to eRS if helpful.
Referral information required
Please include:
- Patient demographics and NHS number
- Confirmation of patient consent
- Brief clinical summary and relevant history
- Current medications Any known risks or safeguarding concerns
- Reason for referral (suspected adult ADHD)
- Information about the patient’s informant
Required baseline information:
- Height – within the last 12 months (unless there has been a relevant change)
- Weight & BMI – within the last 3 months
- Blood Pressure – within the last 3 months
- ECG – only if clinically indicated (e.g., relevant cardiac history or medications)
Blood tests: NICE guidance does not mandate routine blood tests prior to ADHD medication initiation. However, as part of our service protocol to support safe and holistic prescribing, we request the following within the last 12 months (or more recently if there are known abnormalities):
- Full Blood Count (FBC)
- Urea & Electrolytes (U&E)
- Liver Function Tests (LFTs)
- HbA1c
- Lipid profile
- TSH (if known or suspected thyroid issues)
Download our referrer guidance documents
Assessment, diagnosis and treatment
Assessments are carried out by appropriately qualified clinicians in accordance with NICE guidance.
A comprehensive diagnostic report is provided following assessment.
Where clinically indicated, the service can initiate ADHD medication, prescribed by qualified medical clinicians.
With patient consent, the diagnostic outcome, report and medication recommendations are shared with the referring GP.
Medication and Shared Care
We provide medication initiation and titration.
Ongoing prescribing can continue under shared care arrangements, subject to local ICB policy and GP agreement.
Clear treatment plans and monitoring guidance are provided to support continuity of care.
Research
As a centre of excellence for ADHD diagnosis and treatment, we want to strengthen care through ongoing clinical research and learning.
Via the research team at Central London Healthcare, we are running clinically-validated studies with our client base. Find out more about our research offer here.