Private shared care requests

Private shared care agreements

ADHD in adults

We have been reviewing PMG's guidance around adult ADHD and shared care with the multiple providers that we get these requests from. Having discussed with other local practices and the local LMC over the last few months we have published an updated policy that will go live on 1st June 2024.

We will only agree to shared care guidance with the Retreat – the locally NHS commissioned service. To ensure safe, well-monitored and evidence based prescribing, we will not be accepting any new or requests for ongoing prescribing from any other clinics.

Any patients with shared care agreements we have already accepted will be offered a referral to the NHS medication review service via the Retreat. We will continue prescribing under shared care guidance with the Retreat or these patients can remain under their Right to choose or private provider but we won't be taking over responsibility for prescribing medication going forward.

See policy here - this will be reviewed regularly.

ADHD in children

Similarly, will not be taking on any shared care agreements from Right to Choose or private providers for children with ADHD. We will take over shared care agreements with the locally commissioned NHS service via TEWV (Orca House is their community base for children and young people’s services. It is also known as York CAMHS).

Gender Identity Disorder

PMG will not take on any new requests for shared care agreements (SCA) for GID medications. As a local system, we have raised concerns about patient safety in the absence of a funded, formal shared care agreement process with NHSE, as unmonitored hormone prescribing can cause serious complications to a patient's health.

Patients already prescribed hormone therapy by PMG will continue to be reviewed, but should complications or concerns arise- the medication may need to be stopped or reduced and re-referral back to the Leeds Specialist Clinic- as there is no current SCA support for prescribers.

Unfortunately we are unable to continue prescribing for patients that newly register with us, even if stable and prescribed by your previous practice. We ask that you approach your private provider or NHS GID clinic for ongoing prescriptions.