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Adult ADHD Services

  • Our Adult ADHD service provides an assessment, diagnostic and treatment service to adults over the age of 18 who have a GP registered in Bexley, Bromley, or Greenwich. 

    National demand for ADHD services 

    As awareness of ADHD grows, more people are reaching out for support. We're working hard to support everyone referred to our service and appreciate your patience while you wait.

    While it may take a few days for us to respond to enquiries, please be assured we endeavour to respond to all queries.

    We're also continuing to improve how we communicate, making it easier to find information, access support and stay informed about your care.

    Your wellbeing is important to us. If you're waiting for an assessment, review or treatment, we'll contact you when it's your turn. Thank you for your patience and for allowing us to support you.

    Please note: Our wait times are an estimate and can vary. 

    We are not a crisis service

    If you're in crisis, please call NHS 111 and select the mental health option or go to your local A&E department. 

    Do you have feedback you'd like to share with us?

    Feedback is really important to us, we are always looking for ways we can improve the service, and would love to hear your feedback on our resources.

    If you are able to spare the time, please let us know how we are doing by taking our short patient experience survey.

  • Service hours:

    Waiting well

    We know waiting for an assessment or review can be difficult, but you have not been forgotten. Our resources offer information, support and guidance while you wait.

    Video resources

    We've created useful videos to answer common questions, provide reassurance and help you understand the support available whilst you wait.

    Explore our video resources

Our team

Our ADHD team are made up of specialist professionals including doctors, nurse prescribers, assistant psychologists, ADHD practitioners and administrators.

We cover the areas of Bexley, Bromley and Greenwich and are responsible for the assessment and treatment of ADHD for adults over the age of 18 who are not open to secondary mental health teams.

We are currently based Carlton Parade in Orpington, Kent.

Clients are assessed either on site at Carlton Parade or online via Microsoft Teams.

Clients are reviewed either on site at Carlton Parade, online via Microsoft Teams or via telephone.

Our aims

We are commissioned by the SEL ICB to carry out ADHD assessments and provide treatment through medication and psychoeducation.

We offer:

  • Full robust ADHD assessments using DIVA-5
  • Initiation of medication with regular medication reviews
  • Annual medication reviews for clients who have been diagnosed and are under shared care.
  • Specialist reviews and advice when requested by GP’s and other health care professionals.
  • Psychoeducation groups focusing on understanding your symptoms and evidence based coping strategies.

Medication

Once your medication has been stabilised, our service can continue prescribing for up to three months. After this period, prescribing is transferred to your GP. This approach is necessary because of the high demand on our service and our responsibility to offer treatment to patients who have not yet started medication but need it.

Shared Care Agreement

Both you and your GP have the right to decline a shared care agreement. If a shared care agreement is not accepted, we will provide up to three months of prescriptions to allow you time to make alternative arrangements. Some patients choose to register with a GP practice that is able to take over prescribing. Unfortunately, due to national demand on ADHD services, we are unable to continue prescribing beyond this three-month period.

To avoid delays, if you are beginning the medication pathway, we strongly recommend that you contact your GP as early as possible to check whether they are willing to enter into a shared care agreement.

How to access this service

The Adult ADHD Service offers assessment, diagnosis and treatment for adults aged 18 and over who are registered with a GP in Bexley, Bromley or Greenwich.

We are not able to accept referrals for people who are currently receiving care from secondary mental health services. This is to make sure your care is joined‑up, as your existing community mental health team is responsible for providing ADHD assessment or treatment while you are under their care.

Due to very high demand for ADHD services across the NHS, we are unable to offer second‑opinion assessments. This allows us to focus our capacity on people who have not yet had an ADHD assessment or access to treatment.

If you would like to be referred to the Adult ADHD Service, please contact your GP, who will refer you through the appropriate pathway.

Referrals

We have three referral routes, depending on the type of support you need.

1. First‑time ADHD assessments

If you have never had an ADHD assessment and are not experiencing moderate to severe mental health difficulties, your GP should refer you to the South East London (SEL) ADHD Referral Triage Service.

2. ADHD assessments with mental health needs

If you need an ADHD assessment and are experiencing moderate to severe mental health difficulties, your GP should refer you to your local Mental Health Hub. The Hub will carry out a triage appointment to confirm the most appropriate pathway and any additional support you may need.

3. Medication referrals

A medication referral is needed if you:

  • want to start ADHD medication
  • are receiving ADHD medication privately and wish to transfer to NHS care
  • need a shared care annual review

Your GP should refer you via your local Mental Health Hub.

Please note: If your ADHD diagnosis was made outside Oxleas, your GP must provide a full diagnostic report. This is because ADHD medication can only be prescribed when the diagnostic assessment meets national standards and uses recognised, evidence-based tools.

If a full diagnostic report cannot be provided, or if it does not meet the required criteria, you may need to undergo a new NHS ADHD assessment before medication can be considered. 

 

How to contact this service

Please be advised we are in high demand and not an urgent care crisis service. Therefore, we can take a few days to respond but please be assured we endeavour to respond to all queries.
For general enquiries and assessment related information

Please email us: oxl-tr.adultadhd@nhs.net

For medication and follow up treatment related queries

Please email: oxl-tr.adultadhdmedication@nhs.net

For urgent queries

Please call us: 01689 892 363

Please note: We are not a crisis service. If you are in crisis, please call NHS 111 and select the mental health option or go to your local A&E Department.

Our opening times

We're open Monday to Friday, 9am until 5pm (excluding public holidays) - please note we only offer appointments during these hours.

Contact information for General Practitioners and Healthcare Professionals:

Assessments

Email: oxl-tr.seladhdreferraltriage@nhs.net

Tel: 0208 308 3110

Treatment -  including medication and psychoeducation

Bexley Mental Health Hub

Email:   oxl-tr.referralsbexley@nhs.net

Tel: 0203 668 9490

Bromley Mental Health Hub

Email: oxl-tr.bromleymentalhealthhub@nhs.net

Tel: 020 8659 2151 - select option two

Greenwich Mental Health Hub

Email : oxl-tr.gmhhreferrals@nhs.net

Tel: 0208 301 8960

Useful information

Medication stock and pharmacy options

If your pharmacy doesn’t have your medication in stock, you can request a prescription token and take it to another pharmacy. You can check availability using online medication stock checkers via — Boots , Lloyds Pharmacy , Pharmacy2U .

There are a range of support resources available both before and after assessment. We’ve listed a selection recommended by our patients and clinicians:

Please note: these resources are independently managed and are not affiliated with Oxleas NHS Foundation Trust's Adult ADHD Service.

Waiting times

Demand for our Adult ADHD Service is very high, and waiting times may be several years. 
We’re unable to give individual or estimated appointment timeframes, and people joining the waiting list should be aware there will be a long wait for:
  • ADHD assessments
  • Medication reviews

We recognise the impact that long waiting times can have and appreciate your patience. We’ll continue to update our website if there are significant changes to our service.

We are kind, we are fair, we listen