ADHD Annual Reviews Service

A guide for clinicians

About this service.

The Enhanced Primary Care Hubs for Adult ADHD Reviews are commissioned by NHS Herefordshire & Worcestershire to support Primary Care in delivering safe, compliant annual reviews for adults diagnosed with ADHD.

This service is delivered by Vertis Health—Worcestershire’s GP Federation—and led by a team of UKAAN-trained clinicians working in close partnership with local practices.

Who can be referred to this service?

This service is suitable for patients who:

  • Are aged 18 or over

  • Are registered with a GP in Worcestershire

  • Have a confirmed diagnosis of ADHD (childhood or adult)

  • Are currently prescribed ADHD medication

Please note: This is a review service. New assessments and diagnosis are not part of this pathway.

Patients who have been diagnosed by another provider but have not been given medication cannot be referred to this service—please direct these patients into the Assessments service, where a new pathway is currently being implemented.

How can I refer a patient into this service?

As this programme launches, we will be in contact with practices and PCNs across Worcestershire to request lists of patients eligible for this service, using a preset EMIS search template.

Eligible patients may be provided in bulk through this format - with Vertis Health then making contact with those due an annual review over the course of the year.

If you would like to refer a patient on a one-off basis, you can do so via eRS. Please search for ADHD Reviews Service Worcestershire Vertis Health - Y00459.

This is located under the speciality Neurology and the clinic type Cognitive Disorders.  

For eRS to function correctly, the attachment of a referral letter must be set as a mandatory requirement. However, as we have full access to EMIS, this may be brief—a simple “Please review this patient” is more than enough.

We also maintain open communication lines via:

  • Email, to the usual Vertis Health inbox

  • Direct telephone booking line for patient or practice queries on 01905 671753

If you would like to reach out for more information on referrals, please do not hesitate to do so.

Supporting Shared Care.

Safe, Specialist Support for GP-Led ADHD Management

The Enhanced Primary Care Hubs for Adult ADHD Reviews are built to support the NHS Herefordshire & Worcestershire Shared Care Agreement, ensuring a structured, safe, and collaborative model for ongoing ADHD treatment in primary care.

Details of how Vertis Health aligns with the Shared Care Agreement may also be downloaded here.

Vertis Health acts as your clinical support partner—delivering high-quality annual ADHD medication reviews on behalf of practices. Here’s what that means in practice.

Comprehensive Medication Reviews

Our clinicians are:

  • UKAAN-trained in ADHD diagnosis, treatment and prescribing

  • GP-led, ensuring local expertise and relevance

  • Supported by robust EMIS-based templates to standardise care and record outcomes into your patient records in real time

Each review includes:

  • Full side effect discussion (inc. hepatic and psychiatric warnings)

  • Review of contraindications and comorbidities

  • Cardiovascular risk checks and BP/pulse monitoring

  • Review of seizures, tics, sleep, and other psychiatric symptoms

  • Lifestyle and compliance discussion

  • Clear documentation and outcome summary recorded directly into EMIS

Prescribing - what we do, and what we don’t

If during review:

  • Medication is deemed inappropriate or not tolerated

  • New side effects or contraindications emerge

  • Patient preference or clinical need prompts a change

…our prescribers will initiate titration (if appropriate), following HWICB pathways. You will be updated at each stage, and prescribing responsibility will only transfer once dose is stable.

We do:

  • Initiate and titrate new medication only when clinically indicated

  • Provide clear titration plans aligned with HWICB Shared Care Guidance

  • Arrange ECGs at our Redditch HQ where required

We don’t:

  • Prescribe for patients already under GP Shared Care unless a change is required

Communication & Signposting

We believe in proactive and clear communication and signposting:

  • All reviews are recorded in your patient’s EMIS record

  • Urgent issues trigger an EMIS task to your practice

  • You’ll be notified if a patient disengages from the reviews process

  • Where new mental or physical health issues are identified, patients are signposted to a variety of local resources and services