Shared Care: What to expect
When your prescriber feels your medication dose has been adjusted to the level that works best for you, you’ll be invited to an End of Titration Review.
This review is a chance to:
- Talk about how your treatment is going.
- Adjust your plan if needed.
- Discuss whether extra support, such as therapy or wellbeing resources, may help alongside medication.
After your review, we’ll write to your GP and ask if they’re happy to take part in a Shared Care Agreement (SCA).
Shared care simply means that your treatment is looked after by both your GP and Psychiatry UK.
In practice, this usually means:
- Your GP will issue your repeat prescriptions.
- Your GP surgery will check your blood pressure, pulse and weight every 6 months.
- You’ll be invited to an annual review after 12 months. Sometimes this is carried out by Psychiatry UK, and sometimes by your local NHS team or primary care service, depending on your area.
If you ever have concerns about your medication, your GP is the first person to contact. They can always reach out to us if they feel specialist advice is needed.
For more details, you can download our guide: Shared Care: How it Works.
Most GPs are supportive, but occasionally they may decline, for reasons such as:
- The medication isn’t funded locally.
- Local services require their own assessment before accepting a diagnosis.
If this happens, don’t worry — Psychiatry UK will continue to prescribe your medication.
Yes — but once we request a Shared Care Agreement, your portal will change to ‘View only’ mode.
You’ll still be able to:
- See your notes.
- View and download attachments.
If you need to speak to the titration team, you can reach us through Live Chat or call us on 0330 124 1980.
Your assessment report will also include helpful links to resources.
If you ever need emergency care, please follow the guidance here.
We know that managing ADHD is about more than medication. That’s why we’ve put together some helpful guides and links:
Additional support resources are available in our resource section.
AADDUK – Support groups and forums run by adults with ADHD.
ADDISS – Friendly information and resources for people with ADHD.
ADDitude Magazine – An online hub with advice for people with ADHD and their families.
UKAAN – A resource for both professionals and adults with ADHD.
ADHD UK – A charity offering guidance and raising awareness about ADHD.
Frequently Asked Questions
- Your GP issues your prescriptions.
- Your GP monitors your blood pressure, pulse and weight every 6 months.
- We’ll contact you for your annual review (or your local ADHD service may do this if they’re managing your care).
- If your GP feels you need an earlier review, they’ll let us know.
- We’ll send your clinic letter and Shared Care Agreement to your GP.
- If they accept, your GP will provide your prescriptions.
- If they haven’t responded within 4 weeks, we’ll follow up and let you know.
- While you’re waiting, please continue requesting prescriptions from us, as you did during titration.
- Most GPs are happy to, but if they can’t, we’ll continue to prescribe for you.
- In some areas, certain medications legally cannot be prescribed by a GP — in these cases, we’ll continue your prescriptions and bill the local NHS board (ICB).
- If you’re linked to a local ADHD service, your prescribing may be transferred there instead.
If you run into difficulties, please reach out to us through our Live Chat or call us on 0330 124 1980.
