Feedback on ADHD clinic for adults

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Summary of report content

The ADHD service for Islington and Camden residents, which was introduced in 2013/14, for 18 and over, is provided by the Camden and Islington NHS Foundation Trust. The service, which is for residents aged 18 and over, provides specialist assessment, as well as medical and psychological interventions where necessary. With over 400 referrals made to the service each year, Islington CCG, with the help of Healthwatch and talks with the Camden and Islington Foundation Trust, are reviewing the service with the aim to reduce waiting times. Seven service users were asked about their experience with; The assessment process; Medication and Group work. Excessive forms, additional health checks, waiting for the GP checks (due to the NICE guidance of patient prescriptions) delayed the assessment process from 6 to 12 months with some of the participants finding the initial interview distressing and the wait excruciating for their mental health. 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. Overall HW gave some additional thoughts/suggestions to help improve the service. • Is there a way of making it quicker for patients to have their medication reviewed by the Trust, if their GP is unable to do this? • Patients were very willing to consider alternative models if this would help others (or themselves) to be seen more quickly. • There was a suggestion that it would be helpful to access support and advice whilst waiting for assessment. This seems like a good idea as most people who are sent for assessment do end up with a diagnosis, but even if they do not, they could benefit from the learning around issues such as sleep hygiene.

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General details

Report title 
Feedback on ADHD clinic for adults
Local Healthwatch 
Healthwatch Islington
Date of publication 
Saturday, 30 September, 2017
Date evidence capture began 
Thursday, 31 August, 2017
Date evidence capture finished 
Thursday, 31 August, 2017
Type of report 
Report
Key themes 
Access
Communication between staff and patients
Diagnosis
Holistic support
Lifestyle and wellbeing
Quality of treatment
Healthwatch reference number 
Rep-1681

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 
Structured interview
How was the information collected? 
Telephone

Details of health and care services included in the report

Mental health services 
Learning disability service

Details about conditions and diseases

Types of disabilities 
Other

Details of people who shared their views

Number of people who shared their views 
7
Age group 
All people 18 and over
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

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.