ADHD clinic for adults: Feedback on services for attention deficit hyperactivity disorder

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Summary of report content

With waiting times for ADHD referrals running at 156 weeks in Islington, the CCG asked Healthwatch to help them review the existing service to see how waiting times can be reduced. For this report HW spoke to 7 current users of the service; two attended a meeting, four service users were interviewed by phone and one gave feedback by email. Key learning points from these interviews were: • All the respondents (except for one who was assessed when the service was fairly new so didn’t have to wait very long) waited from 6 to 12 months for the assessment, with some finding the initial interview distressing and the wait excruciating. • Patients were very willing to consider alternative models if this would help others (or themselves) to be seen more quickly. They felt a need for the service to be more holistic. • It was felt that other staff such as nurses and volunteer (with lived in experience) could have been involved in the process. • There were mixed feelings about group support/work as the respondents all had different symptoms. Three respondents found group sessions would have been useful while others were not so sure. The respondent who sent feedback via email said it would be useful to know who to contact to discuss any concerns relating to ADHD medication he was taking. • There was a suggestion that it would be helpful to access support and advice whilst waiting for assessment. This seemed like a good idea as most people who were sent for assessment did end up with a diagnosis, but even if they did not, they could benefit from the learning around issues such as sleep and hygiene. Overall HW gave some additional thoughts/suggestions to help improve the service including how to find a quicker way to have patients’ mediations reviewed by the trust, if their GP is unable to do this and the need to be seen quicker. No further recommendations were made by HW and there was no response from the provider.

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General details

Report title 
ADHD clinic for adults: Feedback on services for attention deficit hyperactivity disorder
Local Healthwatch 
Healthwatch Islington
Date of publication 
Wednesday, 25 October, 2017
Date evidence capture began 
Tuesday, 1 August, 2017
Date evidence capture finished 
Thursday, 31 August, 2017
Type of report 
Report
Key themes 
Continuity of care
Holistic support
Quality of care
Referrals
Healthwatch reference number 
Rep-1762

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
CCG
Primary research method used 
Focus group
Structured interview
Survey
How was the information collected? 
Meeting

Details of health and care services included in the report

Community services 
Other

Details about conditions and diseases

Types of disabilities 
Learning or understanding or concentrating
Types of long term conditions 
Other

Details of people who shared their views

Number of people who shared their views 
7
Age group 
All
Gender 
All
Ethnicity 
All
Specific ethnicity if known 
All
Sexual orientation 
Not known
Does the information include public's views? 
No
Does the information include carer's, friend's or relative's views? 
No
Does the information include staff's views? 
No
Does the information include other people's views? 
No
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
No
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
No

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.