How to Get a Shared Care Agreement

Step-by-Step Guide to Getting a Shared Care Agreement

Many patients assume that GPs must accept Shared Care, but this is not the case. Some GPs refuse outright, while others have strict conditions for approval.

A Shared Care Agreement (SCA) allows an NHS GP to take over prescribing ADHD medication initially prescribed by a private specialist, ensuring continued treatment under the NHS.

This guide will help you understand:
✔️ Who qualifies for shared care
✔️ How to request an SCA
✔️ What to do if your GP refuses

Who Is Eligible for a Shared Care Agreement?

Your GP is more likely to approve Shared Care if:
✔️ You have been on the same ADHD medication for at least 3 months
✔️ Your specialist is GMC-registered and follows NICE guidelines
✔️ Your GP has experience prescribing ADHD medication
✔️ Your medication is within NHS prescribing guidelines

📌 GPs are not legally required to enter an SCA, so it's essential to present your case well.

Step 1: Have an Early Conversation with Your GP

🗣️ Before booking a private ADHD assessment, ask your GP these questions:
✔️ "Would you be open to a Shared Care Agreement with [Specialist Name]?"
✔️ "What requirements does your practice have for shared care?"
✔️ "Are there any local NHS policies that affect shared care for ADHD?"

🚨 Some GPs have a ‘no shared care’ policy. If so, you may need to:
📌 Find a different NHS GP
📌 Remain under private care for medication

💡 Choosing a specialist who follows NICE guidelines improves the chances of approval.

Step 2: Obtain a Shared Care Request Letter

📌 Use a professionally written letter to formally request shared care from your GP.

📝 What’s Included in the Letter?
✅ A clear request for Shared Care based on NICE guidelines
✅ Information about your private ADHD specialist
✅ Details of your medication and treatment stability

💡 Submitting a structured request increases the likelihood of approval.

Step 3: What If Your GP Refuses?

If your GP denies shared care, consider:

✅ Providing NICE guidelines that show Shared Care is best practice
✅ Asking for written reasons so you can appeal the decision
✅ Seeking a second opinion from another GP

📌 If your GP refuses Shared Care, they must explain why in writing.

💡 Some patients successfully appeal refusals by citing NHS policies and NICE guidance.

FAQs About Getting Shared Care

❓ How long does it take to set up shared care?

✅ It usually takes 4-8 weeks after your specialist makes the request.

❓ Can any GP accept shared care?

✅ No, GPs must feel comfortable prescribing ADHD medication and have the necessary NHS permissions.

❓ What if my GP initially accepts shared care but later withdraws?

✅ If a GP changes their mind, they must provide a reason and help transfer your care.

Next Steps

📌 If your GP accepts shared care:

  • Your prescriptions will be covered by the NHS

  • You will have regular check-ups with your GP

  • You will save money on private prescriptions