What do we need from you before the appointment?

There is certain information that patients must provide ADHD Direct before attending for their appointment. Our clinicians may not be able to complete the appointment or communicate with patient’s GP if they will not be given this information by the patient.

Forms and questionnaires

While we know that for some of our patients, filling out forms is not easy, it is important that all forms and all sections of received forms are completed. This is especially important for ADHD and Autism Assessments.

NOTE: Failure to return completed questionnaires before the appointment will result in cancelling the appointment and the deposit paid will be kept by ADHD Direct. New appointment will need to be booked and new deposit will need to be paid.

Measurements – blood pressure, pulse, weight

Patients who attend the clinic for their Medication Review face-to-face appointment will have their blood pressure, pulse and weight checked by one of the nurses. Children will also have their height checked. Those of our patients who choose to book Medication Review as a virtual appointment will be asked to check their measurements by themselves and send these measurements to ADHD Direct by email. We can recommend blood pressure monitors – please ask one of our staff for this recommendation.

NOTE: Our clinicians will not communicate with patient’s GP until measurements are provided. This may result in patients’ treatment being stopped.

Those of our patients who receive private prescriptions from ADHD Direct, may not be able to continue their treatment until up-to-date measurements are provided before/during patient’s Medication Review appointment.

Attending for regular Medication Review appointments

Patients who are taking ADHD medication must be regularly monitored by ADHD Specialist. When our patients’ treatment is not changing and patient is not reporting any side effects, we will be asking to meet with patients for a Medication Review appointment every six or twelve months.

Medication Review appointments will however need to happen more frequently when patient’s medication will be changing, or just after initiating ADHD treatment.  As per NICE guidelines ADHD Clinicians must meet with the patient 4 – 6 weeks after:

• Changing the type of the medication
• Changing the dose of the medication

More frequent Medication Review appointments will in most situations apply to patients who are initiating their ADHD treatment. Some patients will try one type of ADHD medication and will not need to be changing it to different type of the medication. Other patients will need to change either the type or dose of their medication several times, before finding optimum dose, one that will reduce or eliminate ADHD symptoms without potential side effects.

Shared Care – what it is and how it works?

Shared Care is an arrangement between Private Healthcare provider and the NHS. Shared care is when patient makes a decision to pay for his or her treatment, but his or her prescriptions are being done by NHS GP. We – ADHD Direct - are “sharing care” over our patients with these patients’ GPs by looking after patients during Medication Review appointments, and co-working with GPs. Every time our consultants meet with a patient, a letter is being sent to patient’s GP summarising patient’s treatment and recommending specific ADHD medication. Based on this recommendation, GP writes prescription. Shared care allows patients, who for various reasons decide to join Private Healthcare to look after their finance in a cost-effective way.
We always advise patients to contact their GP to see if they would be happy to prescribe ADHD medication should it be required. The decision to prescribe via the NHS is up to the individual GP.  Although it does not happen often, some GPs refuse to prescribe ADHD medication based on our recommendation. We have also worked with GPs who agree to prescribe and provide patient with the NHS prescription only when patient’s treatment is stable and no side effects are being reported. In case when GP refuses to engage in shared care, we can offer private prescriptions and there is a group of patients who receive private prescriptions from our service regularly. Private prescriptions involve additional costs of medication and private prescriptions themselves.

NOTE: Our clinicians will also communicate with and write to GP’s of patients who receive private prescriptions from ADHD Direct. This is to ensure that GPs have information on all the medication/prescriptions that patients receive, including the medication/prescriptions from private healthcare providers.

Costs of private prescriptions and medication

Private prescription fee is not the only cost that patients need to cover when GPs refuse to engage in shared care. Please see below for estimated costs of ADHD medication. We are providing estimated costs only, as different pharmacies will add individual provision/mark up.

NOTE: all private prescriptions are valid for 28 days only. This means that after 28 days from the date written on the prescription has passed, the prescription will no longer be accepted by the pharmacy.

Xaggitin XL 18mg Tablets (Ethypharm UK Ltd) 

Methylphenidate hydrochloride 18mg 

• 30 tablets [PoM] [CD2] 
• NHS indicative price = £15.58 

 

Xaggitin XL 27mg Tablets (Ethypharm UK Ltd) 

Methylphenidate hydrochloride 27mg 

• 30 tablets [PoM] [CD2] 
• NHS indicative price = £18.40  

 

Xaggitin XL 36mg Tablets (Ethypharm UK Ltd) 

Methylphenidate hydrochloride 36mg 

• 30 tablets [PoM] [CD2] 
• NHS indicative price = £21.22 
• Drug Tariff (Part VIIIA Category C) price = £42.45 

 

Xaggitin XL 54mg Tablets (Ethypharm UK Ltd) 

Methylphenidate hydrochloride 54mg 

• 30 tablets [PoM] [CD2] 
• NHS indicative price = £36.80 

 

Mediniket XL 5mg capsules (Flynn Pharma Ltd)  

Methylphenidate hydrochloride 5mg 

• 30 capsules [PoM] [cd2] 
• NHS indicative price = £24.04 

 

Mediniket XL 10mg capsules (Flynn Pharma Ltd) 

Methylphenidate hydrochloride 10mg 

• 30 capsules 
• NHS indicative price = £24.04  

 

Mediniket XL 20mg capsules (Flynn Pharma Ltd) 

Methylphenidate hydrochloride 20mg 

• 30 capsules 
• NHS indicative price = £28.86  

 

Mediniket XL 30mg capsules (Flynn Pharma Ltd) 

Methylphenidate hydrochloride 30mg 

• 30 capsules 
• NHS indicative price = £33.66  

 

Mediniket XL 40mg capsules (Flynn Pharma Ltd) 

Methylphenidate hydrochloride 40mg 

• 30 capsules [PoM] [CD2] 
• NHS indicative price = £57.72 

 

 

 

 

Mediniket XL 50mg capsules (Flynn Pharma Ltd) 

Methylphenidate hydrochloride 50mg 

• 30 capsules [PoM] [CD2] 
• NHS indicative price = £62.52 

 

Mediniket XL 60mg capsules (Flynn Pharma Ltd) 

Methylphenidate hydrochloride 60mg 

• 30 capsules [PoM] [CD2] 
• NHS indicative price = £67.32 

 

Equasym XL 10mg Capsules (Shire Pharmaceuticals Ltd) 

Methylphenidate hydrochloride 10mg 

• 30 capsules [PoM] [CD2] 
• NHS indicative price = £25.00 

 

Equasym XL 20mg Capsules (Shire Pharmaceuticals Ltd) 

Methylphenidate hydrochloride 20mg 

• 30 capsules [PoM] [CD2] 
• NHS indicative price = £30.00 

 

Equasym XL 30mg Capsules (Shire Pharmaceuticals Ltd) 

Methylphenidate hydrochloride 30mg 

• 30 capsules [PoM] [CD2] 
• NHS indicative price = £35.00 

 

Elvanse 20mg capsules (Shire Pharmaceuticals Ltd)  

Lisdexamfetamine dimesylate 30mg 

• 28 capsules [PoM] [CD2] 
• NNS indicative price = £54.62 

 

Elvanse 30mg capsules (Shire Pharmaceuticals Ltd)  

Lisdexamfetamine dimesylate 30mg 

• 28 capsules [PoM] [CD2] 
• NNS indicative price = £58.24 

 

Elvanse 40mg capsules (Shire Pharmaceuticals Ltd) 

Lisdexamfetamine dimesylate 40mg 

• 28 capsules [PoM] [CD2] 
• NHS indicative price = £62.82 

 

Elvanse 50mg capsules (Shire Pharmaceuticals Ltd) 

Lisdexamfetamine dimesylate 50mg 

• 28 capsules [PoM] [CD2] 
• NHS indicative price = £68.60 

 

Elvanse 60mg capsules (Shire Pharmaceuticals Ltd) 

Lisdexamfetamine dimesylate 60mg 

• 28 capsules [PoM] [CD2] 
• NHS indicative price = £75.18 

 

Elvanse 70mg capsules (Shire Pharmaceuticals Ltd) 

Lisdexamfetamine dimesylate 70mg 

• 28 capsules [PoM] [CD2] 
• NHS indicative price = £83.16 

 

Guanfacine (Intuniv®) 

1mg tab 

• 28 Capsules  
• NHS indicative price = £56.00 

Guanfacine (Intuniv®) 

2mg tab 

• 28 Capsules  
• NHS indicative price = £58.52 

Guanfacine (Intuniv®) 

3mg tab 

• 28 Capsules  
• NHS indicative price = £65.52 

Guanfacine (Intuniv®) 

4mg tab 

• 28 Capsules  
• NHS indicative price = £76.16 

 

Payments

ADHD Initial Assessment and ADHD Treatment Initiation

25% deposit payment must be made at the time of booking ADHD Initial Assessment and ADHD Treatment Initiation appointments. Remaining balance invoice must be paid before the appointment.

Medication Reviews and Coaching Sessions

We ask our patients to pay in full when booking types of appointments detailed above.

Virtual appointments

We are asking all our patients to ensure that they are able to connect with their clinician by Zoom. Zoom app can be downloaded for free online. It is also possible to use Zoom in the browser.

We are always asking all of our patients who choose to book their appointments as online appointments to test their connections before their appointments.

Private Health Insurance

We advise that you check with your insurer before booking an appointment with ADHD Direct and ensure that you comply with their pre-authorisation policy. In most cases, you will need to pay for the session and reclaim the cost subsequently from your insurer.