As part of the NHS Right to Choose framework, if you are referred for an ADHD or Autism Assessment you now have the legal right to choose The Owl Centre as your healthcare service provider.
Right to Choose for Patients
How do I get referred?
Just follow these simple few steps.
Step 1 - Download Screening Tool
To start the Right to Choose process, first download the relevant Screening which you can download below, complete it and get it ready to send to your GP. Please ensure that you meet our Suitability Criteria.
Step 2 - Referral Request Letter
Once you have completed the Screening, you will need to complete the relevant Referral Request Letter. You will need to provide copies of these to your GP who will discuss your referral with you.
Step 3 - GP Referral
If your GP thinks a referral is necessary, they will complete and send a referral form to us with your Screening and a copy of your medical summary care record.
Step 4 - Referral Confirmation
We will send your GP an email to confirm that we have received your referral.
Step 5 - Referral Review
Once we have received your referral, we will ask you to provide some supplementary information by email. Once received, our clinical team will review your referral and if accepted, you will be asked to fill out our pre-assessment forms.
Step 6 - Ready to go
When you have completed your pre-assessment forms, you will be added to our assessment wait list. We will get in touch with you when we are ready to schedule your assessment appointment.
What does your assessment look like?
Pre-Assessment Forms
Our secure system will send you some different questionnaires to complete about your history, strengths and challenges. We will also ask you for details of someone who knows you well such as a relative, partner or close friend to provide some information too. Information gathered from questionnaires is reviewed and analysed by our clinical team before your assessment.
Appointment Confirmation
When you have reached the top of our wait list, our administration team will arrange a convenient time and day for a secure online video session using Microsoft Teams with you and your clinician. You are welcome to have somebody with you for this appointment. This appointment usually takes around 2 hours.
We complete our appointments online. There are many benefits to online assessments, including reduced change of routine, being in a familiar and comfortable environment, reduced communication demand with an online call, and no travel required. We can provide support and strategies to help you access the appointment online if this is something you think you will find difficult. We understand that you might find it difficult to engage in the session, so you are welcome to take regular movement breaks throughout the session.
Assessment Session
Your assessment session consists of two components.
- The first part of your session will systematically cover your developmental history but will also cover your medical, psychiatric and educational history. Some individuals may feel comfortable with having a familiar person with them who knew them during early childhood such as a parent/carer or sibling to provide more information on their early life.
- In the second component, the clinician will ask you questions relating to various daily living elements and focus on ADHD characteristics. The clinician will also ask you about additional topics such as your sleep, mental health and behaviour. In addition to gathering information from you, the clinician will make observations on how you present during the session.
Assessment Outcome
After the assessment session, the clinician will agree on an appropriate outcome based on all the information and evidence from all components of the assessment as well as the diagnostic criteria from the DSM-V-TR. Often, we can discuss the assessment feedback and outcome at the end of your assessment session, which will include the diagnostic outcome, a summary of the overall assessment and suggestions for appropriate strategies or interventions that may be beneficial; however, on occasion, we may request additional information from you to help with formulating an outcome.
If this is the case, the clinician will arrange a phone appointment with you at a convenient time. You are welcome to have somebody with you for this appointment.
Assessment Report
Following the outcome of your assessment, you and your GP will receive a comprehensive and detailed report within approximately 4-6 weeks.
Post-diagnostic Care
If you are diagnosed, we will signpost you to relevant resources and support. Where clinically appropriate, we are also able to offer ADHD medication services. If medication is deemed suitable, we can prescribe medication and are able to offer shared care. If a shared care agreement is not accepted by the patient’s GP, we can continue to prescribe medication.
Suitability Criteria
The Owl Centre provides high-quality online assessments that offer a convenient and accessible option for many individuals. However, online assessments may not be suitable for everyone. If any of the following apply to your patient, we advise that an in-person assessment with an alternative healthcare provider would be more appropriate.
ADHD Medication
Attention Deficit Hyperactivity Disorder (ADHD) is a common condition that significantly impacts many adults, affecting various aspects of their everyday lives. While not a cure, medication plays a crucial role in managing ADHD symptoms, offering transformative benefits.
Our expert clinicians offer online consultations to guide you in finding the best medication and dosage through our personalised titration process.
Right to Choose FAQ’s
What is a Right to Choose (RTC) ADHD assessment?
The RTC pathway allows you to choose an NHS-approved provider, like us, for your ADHD assessment and treatment. It gives you the flexibility to bypass local NHS waiting lists and access care more quickly, all still funded by the NHS.
Am I eligible for the RTC ADHD assessment service?
To be eligible, you must be registered with a GP in England, aged 18 or over, and your GP must agree to refer you. You must not already be on another ADHD waiting list or receiving ADHD treatment elsewhere. We’re happy to help guide you through the process. Please note that some patients are not suitable for online assessments (see suitability criteria).
How do I get referred to your RTC service?
Speak to your GP and request a referral to our service under the Right to Choose pathway. We provide a template letter to make this process as easy as possible for you and your GP.
Is there a cost for the assessment or treatment?
No, the assessment and medication initiation are fully funded by the NHS under the RTC scheme. There are no costs to you for the assessment, diagnosis, or initial treatment.
What does the ADHD assessment involve?
Our assessment includes an in-depth clinical interview with a qualified specialist, questionnaires to gather further information, and if necessary, additional collateral information (such as from family members or past records). We take a thorough, person-centred approach to ensure an accurate diagnosis.
What happens if I’m diagnosed with ADHD?
If you receive an ADHD diagnosis, we will discuss treatment options with you, including the possibility of starting medication. Our team will guide you through the process of initiating medication safely, with regular reviews to monitor progress and adjust treatment as needed.
Can you prescribe ADHD medication?
Yes, we have a dedicated team of experienced non-medical prescribers who can initiate and manage ADHD medication under the NHS. Once your medication is stabilised, we will provide a clear plan for your GP to continue your prescription. This is known as a shared care agreement.
How long does it take to get an appointment after my GP refers me?
We aim to offer assessment appointments within a few weeks of receiving your referral, much faster than many standard NHS waiting lists. You will receive regular updates on your place in the queue.
Do I need to prepare anything before the assessment?
It’s helpful to think about your experiences both in childhood and adulthood. We’ll also send you some questionnaires to complete in advance, and if possible, gather information from someone who knew you as a child (though this isn’t essential).
What if I already have a mental health diagnosis? Can I still be assessed?
Absolutely. Many people with ADHD also experience other mental health conditions. Our team is experienced in recognising and differentiating ADHD alongside other diagnoses, ensuring a comprehensive and accurate assessment.
Will my GP continue prescribing my ADHD medication after the assessment?
Once we’ve safely stabilised your medication, we’ll provide your GP with a detailed care plan and request that they take over prescribing. Most GPs are happy to continue prescriptions, but we’ll support you and your GP with all necessary documentation.
What if my GP won’t accept a shared care agreement?
While most GPs are happy to continue prescribing once you’re stabilised, occasionally a GP may be unable to do so. Don’t worry — we can continue to provide your ADHD medication directly through our service, ensuring continuity of care. We’ll discuss all options with you clearly.
Can I choose not to take medication if I’m diagnosed with ADHD?
Yes, the choice is entirely yours. We’ll discuss all treatment options, including non-medication strategies like coaching or lifestyle adjustments, to help you decide what works best for you.
Is your service confidential?
Yes, your privacy is very important to us. All information shared during your assessment and treatment is handled confidentially and in line with NHS and data protection guidelines.
Can I access ADHD coaching or support after diagnosis?
Yes, we offer coaching services for adults diagnosed with ADHD. Coaching can help you develop practical strategies to manage symptoms and achieve your goals alongside or instead of medication.
I’ve previously been assessed but didn’t receive a diagnosis. Can I be reassessed?
Yes, you can request a reassessment, especially if your previous assessment didn’t feel thorough or if your circumstances have changed. We’ll review your history carefully and conduct a fresh, independent assessment.
Information for GPs
If you’re a GP looking for information about Right to Choose and how to refer a patient, you’ll find it here.
