Autism and ASD

What is ASD?

Autism Spectrum Disorder (ASD) is a neurological and developmental disorder that affects how people interact with others, communicate, learn and behave. GP’s are unable to make a diagnosis of Autism. You will need to be referred for an Assessment with a Clinical Psychologist. Due to the increasing demand for Adult Autism services it is our aim as a practice to help you understand your options if you would like to be referred to an Autism specialist.

Patients Journey

1 GP appointment or an Occupational Therapist appointment

2 Secretaries or Clinician Signpost Patients to LSMP ASD website information  

3 Complete AQ-10 Autism Spectrum Quotient Patients should have received a text with the email address to send the form back to  

4 Patients MUST confirm their preferred Service Choice (see options on the drop down tab below)  

5 Once the Secretaries have received both the completed form and service choice confirmation – this is passed back to the referring Clinician  

6 Clinician’s then confirm if the referral is to go ahead and if so, provide referral letter / complete the relevant service form  

7 Referral is processed and confirmation text is sent to the patient   

Service Choices

Picture2
Psychiatry-UK Service
RTC Assessment
Online-Only service
Clinical Partners
RTC Assessment only
Online Only Service
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Oakdale Centre
RTC Face to Face Autism Assessment
Variable clinic locations

Psychiatry UK Right To Choose | Dr J and Colleagues
RTC Face to Face Autism Assessment
Variable clinic locations – Not in Leeds

What is the
Right to Choose pathway?

The RTC pathway, gives patients the right to choose their service provider for mental health & physical health conditions. 

More information about the Right to Choose pathway can be found on the NHS England website  Right to Choose – Information  If the eligibility criteria are met, the NHS will fund your assessment.

Please note the pathway only applies to services in England. The pathway does not apply to services that are part of NHS Wales, Scotland, or Northern Ireland.

How do I request a
Right to Choose referral? 

When referring via the NHS under the right to choose, a GP or Occupational Therapist appointment is the first step.

The Clinician will ask you questions relating to your symptoms to determine whether an assessment is clinically necessary.

The Clinician will need to review your AQ10 form. If you have not already done so, please download and complete:AQ-10 Adult june 20th 2012.pptx . Please return this to the email below.

If the Clinician determines that an assessment is required, you can advise them in the appointment that you wish to exercise your right to choose.

You MUST confirm your choice of Right to Choose service.

You can also confirm this by emailing lsmp.general@nhs.net or calling the secretaries on 0113 295 4488 using option 2

Private Autism Assessments

Patients can opt to have a Private Autism Assessment. 

Please be aware – Patients will need to arrange/book their Private Autism Assessments with a service of their choice.

GP’s can provide a private referral letter if this is a requirement for services or health insurance purposes. It is important to note that if you undergo a Private Autism Assessment this will be self-funded. 

You will have to cover the costs of your Autism Assessment and any follow-up appointments.

It is important to be aware that some Private Services Autism Diagnosis Reports are not recognised by the NHS. 

This means, should you wish to change your care to the NHS, the NHS Specialist may request that you undergo a new assessment.

Specialist Autism Funding – Independent Funding Request (IFR)

In some cases, after a diagnosis, patients may wish to access specialist autism services, such as Autism Specific Counselling. 

These services are not routinely covered by the NHS, and instead can be paid for privately, some services start at around £55, per hour session.

However, you may be eligible to apply for an Independent Funding Request (IFR) through the Leeds CCG commissioning group, if your circumstances meet the criteria for exception.

The process of applying for funding begins with your GP, who will first discuss your request, current diagnosis, and suitability for funding. If it decided to proceed with an IFR request, the GP will then complete the required paperwork.

It is usually requested that you supply a supporting statement, regarding your personal circumstances, as this can support with an application. The GP will then send the information to the IFR panel for consideration.

The response usually takes about 6 weeks, so a full request, including GP time and appointment could take up to 8 weeks to complete.

The ICB will then write to the GP and confirm whether funding has been granted or declined. We will inform you of the outcome in either case.

If successful, the GP will make an appropriate referral for counselling to one of the approved providers, such as Specialists Autism Service.

Medication

Whilst there is no specific medication for Autism.  Medication can be prescribed for patients experiencing other mental health conditions such as anxiety, or depression when clinically appropriate and discussed with a health care professional. If you feel you need support for a mental health problem, please contact the practice for support. 

Medications and Travel

Travelling with medication

If you take regular medication(s) and are planning to go abroad, we recommend following these steps to ensure that you have your prescription(s) for the length of the trip.

NHS regulations stipulate that a single prescription should not be for more than 3 months of medication, maximum, at the discretion of your clinician. If you are travelling longer than 3 months, you will need to seek a medical review and/or further supply of medication from a medical service in the country you will be visiting.

Non-urgent advice: Please Note

Please contact us one month before your flight to let us know what medication you may need and how long you are going away for.

The prescribing clinician may issue a prescription that is shorter than 3 months if this is deemed to be safer for you. The practice can provide a stamped and signed letter stating your regular medication.

This is particularly important if you have diabetes and use insulin as you will be travelling with needles and lancets for testing your sugar levels.

Carry your medication in labelled packaging. NHS guidelines advise that you carry the majority in your hand luggage in a separate easily accessible bag and then some spare in your suitcase luggage in case of loss or damages.

If you are travelling with liquid medicines over 100mls, contact the airline and airports you are travelling through. This also includes medications such as inhalers. You may need a document to prove the liquid form of the medication is necessary. Carrying over 100mls can sometimes mean this medication needs to be screened separately to your luggage. Inform security before your X-Ray that you have liquid medication with you. 

If you need to travel with needles or syringes you will need to carry the relevant medication alongside the equipment. You will not be able to travel with needles and syringes only.

If you are travelling to a warm country, get advice from the pharmacy on how to store your medication or see the NHS website‘s advice for storing your medications.

The country you are travelling to may have restrictions on the medications that they allow into the country. You will want to contact the embassy of the country you are travelling to to confirm the regulations. If any of the medications you are taking are controlled drugs, then you will need to contact the relevant embassy before you travel.

Use of Benzodiazepines (and related medications) for flying

Flight anxiety does not come under the remit of General Medical Services as defined in the GP contract and so we are not obliged to prescribe for this. Patients who still wish to take benzodiazepines for flight anxiety are advised to consult with a private GP or travel clinic.

Additionally, please consider the following information:

According to the prescribing guidelines doctors follow (British National Formulary) diazepam is contraindicated (not allowed) in treating phobic states. It also states that “the use of benzodiazepines to treat short-term ‘mild’ anxiety is inappropriate.” Your doctor would be taking a significant legal risk by prescribing against these guidelines. They are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.

NICE guidelines suggest that medication should not be used for mild and self-limiting mental health disorders. In more significant anxiety related states, benzodiazepines, sedating antihistamines or antipsychotics should not be prescribed. Benzodiazepines are only advised for the short-term use for a crisis in generalised anxiety disorder in which case they are not fit to fly. Fear of flying in isolation is not a generalised anxiety disorder.

Although plane emergencies are a rare occurrence there are concerns about reduced awareness and reaction times for patients taking Diazepam which could pose a significant risk of not being able to react in a manner which could save their life in the event of an emergency on board necessitating evacuation.

Whilst most people find Diazepam sedating, a small number have paradoxical agitation and aggression. They can also cause disinhibition and lead you to behave in a way that you would not normally which can pose a risk on the plane. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law. A similar effect can be seen with alcohol, which has led to people being removed from flights.

A study published in 1997 from the Stanford University School of Medicine showed that there is evidence use of Benzodiazepines stops the normal adjustment response that would gradually lessen anxiety over time and therefore perpetuates and may increase anxiety in the long term, especially if used repeatedly.

Diazepam and similar controlled drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police. The passenger may also need to use a different strategy for the homeward bound journey and/or other legs of the journey.

Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing, you may fail this having taken diazepam.

It is important to declare all medical conditions and medications you take to your travel insurer. If not, there is a risk of nullifying any insurance policy you may have.

Fear of Flying Courses

Most major airlines offer courses. Please see some examples below.

Easy Jet

www.fearlessflyer.easyjet.com 

British Airways

http://flyingwithconfidence.com/courses 

Virgin Atlantic

https://flywith.virginatlantic.com/bb/en/wellbeing-and-health/flying-without-fear.html

Flying without fear

https://www.flyingwithoutfear.com/

Adult ADHD Referrals

What is ADHD?

Attention Deficit Hyperactivity Disorder (ADHD) is a condition that affects people’s behaviour.
Please read the information below to understand your options if you would like to be referred to an ADHD specialist.
GP’s are unable to make a diagnosis of ADHD or start any ADHD medications.
In view of the extremely high demand for Adult ADHD services, please be aware that the waiting times for services can vary.

Patients Journey

  1. GP appointment or Occupational Therapist Appointment
  2. Secretaries or Clinician Signpost Patients to LSMP ADHD website information
  3. Complete Form – Patients will receive a text message with the email address to send this back to
  4. Patients MUST confirm their preferred Service choice (see options below)
  5. Once the Secretaries have received both the completed form and service choice confirmation – this is passed back to the referring Clinician
  6. Clinicians then confirm if the referral is to go ahead and if so, provide a letter / complete the relevant service form.
  7. Referral is processed and confirmation text is sent to the patient 

Local Support

Peer Support Sessions

Find us on Facebook: West Yorkshire ADHD Support Group Chat

Email: support@wyadhd.org.uk

Phone: 0113 8563459

ADHD Peer Support

Pop along for a friendly chat.

For dates and times, contact Kirsty

Phone: 07566759576

Email: kirsty.jamieson@leeds.gov.uk

Service Choices

Leeds ADHD Service
Assessment and Medication
Temporarily closed as of 11.10.2024
Psychiatry-UK Service
RTC Assessment and Medication
Online-Only service
ADHD 360
RTC Assessment and Medication Online Service Only
Clinical Partners
RTC Assessment and Medication available under RTC
Oakdale Centre
RTC Assessment and
medication available for patients who have been diagnosed by this service
Care ADHD
RTC Assessment and Medication
Online-Only service

Psychiatry UK Right To Choose | Dr J and Colleagues
RTC Face to Face Assessment and Medication Variable clinic locations – Not in Leeds
Holistic ADHD Solutions
RTC Face to Face Assessment and Medication Current Location – Leeds Tower Clinic

Non-urgent advice: Not all Right to Choose providers offer Medication Titration

Please keep this in mind when choosing a service.

If you are Assessed and Diagnosed by a service that does not offer medication under the RTC and you then wish to start medication, you will require a re-referral to an alternative service that provides this.

What is the
Right to Choose pathway?

The RTC pathway, gives patients the right to choose their service provider for mental health & physical health conditions. More information about the Right to Choose pathway can be found on the NHS England website.

Right to Choose – Information

If the eligibility criteria are met, the NHS will fund your assessment and treatment.

We recommend the following link for detailed RTC information regarding ADHD pathways: How to get an NHS Assessment via ‘Right to Choose’

Please note the pathway only applies to services in England. The pathway does not apply to services that are part of NHS Wales, Scotland, or Northern Ireland.

How do I request a
Right to Choose referral? 

When referring via the NHS under the right to choose, a GP or Occupational Therapist appointment is the first step.

The Clinician will ask you questions relating to your symptoms to determine whether an assessment is clinically necessary.

The Clinician will need to review your ASRS form. If you have not already done so, please download and complete: ASRS Form to complete. Please return this to the email below.

If the Clinician determines that an assessment is required, you can advise them in the appointment that you wish to exercise your right to choose.

You MUST confirm your choice of Right to Choose service.

You can also confirm this by emailing lsmp.general@nhs.net or calling the secretaries on 0113 295 4488 using option 2


Shared Care Agreements

At the end of the titration period a Shared Care Agreement is sent to the GP by the ADHD service. This is an agreement made between the ADHD Specialist and the GP which enables the GP to take over the prescribing. Most referring GPs are happy to take this on, but there is no obligation for them to do so. There are also some areas of England where certain medications cannot be prescribed by a GP and they are legally unable to accept the SCA.

A Shared Care Agreement can only be set up after the following conditions are met:

The patient must have received an ADHD diagnosis by a specialist and has been monitored by the specialist until stabilized on medication. The patient must continue to have annual reviews with the specialist.

The Specialist may request physical health monitoring to be carried out by the GP. E.g. Blood tests and/or ECG.

The frequency of this monitoring will be determined by the specialist and the GP will follow clinical guidelines. Some services may offer their own monitoring.

The Shared Care Agreement documentation must be received from the Specialist and will form a part of your Medical Record.

Occasionally, E.G. if a patients circumstances change, the GP may hand the prescribing back to the Specialist. This is at the GP’s discretion and the patient would be fully informed.

There is some variation nationally between GP practices regarding Shared Care Agreements.

This may mean that any existing Shared Care Agreements held with a previous GP would be at the discretion of LSMP to continue and will be subject to local prescribing guidelines.

Similarly, a Shared Care Agreement set up with LSMP, may not be continued if you change GP practices in the future. 


Private ADHD Assessments

Due to the extremely high waiting times, many patients are now opting to have a Private ADHD Assessment.

Please be aware – Patients will need to arrange/book their Private ADHD Assessments with a service of their choice. GP’s can provide a private referral letter if this is a requirement for services or health insurance purposes.

It is important to note that if you undergo a Private ADHD Assessment this will be self-funded.

You will have to cover the costs of your ADHD Assessment. Annual Reviews. Medication Reviews. Private Prescription Fees.

If you would like your GP to take over the prescription – The above conditions need to be met for a Shared Care Agreement to be considered (please see Shared Care Agreement information above).

If the GP agrees to a Shared Care Agreement with the Private Specialist. You will still need to attend and pay for any Reviews. Your prescription will be changed to the NHS fee.  If you wish for all your treatment to be under the NHS – You will need to be re-referred to an NHS service (please see the Service Choices above). 

A Referral to an NHS service can be sent with a copy of your original diagnosis report.

It is important to be aware that some Private Services ADHD Diagnosis Reports are not recognised by the NHS.

This means, should you wish to change your care to the NHS, the NHS Specialist may request that you undergo a new assessment.


International Students / Medication Adderall

Some countries, such as the US may prescribe Adderall to treat ADHD. Unfortunately, Adderall cannot be prescribed by an NHS Clinician in the UK.  However, whilst in the UK, you may be able to access alternative ADHD Medications. Adderral may still be available via a Private Prescription from a Private ADHD Specialist.

Please see the Private ADHD Assessments information above.


Private or NHS referrals

If you have a current ADHD diagnosis and are on medication and you wish to arrange medication via the NHS after arriving in the UK, you will need to be referred to an NHS Titration service. For an NHS referral it is a good idea to get as much documentation as possible from your current doctor. However, it is possible that you will have to complete some diagnostic testing again, even with a prior diagnosis. It may take some time to access NHS ADHD Treatment as the waiting lists for services are long. Prescriptions from your overseas Psychiatrist will not be valid to be fulfilled by a UK Pharmacy.

If you wish to seek a Private referral – Please see the Private ADHD Assessment information above.


Update RE ADHD Medication: National Shortage

In Autumn of 2023, the Government announced that there were national supply issues affecting medications for the treatment of Attention Deficit Hyperactivity Disorder (ADHD) The shortage of these products was caused by a combination of manufacturing issues and an increase in global demand. Please see the below link which highlights supply disruptions and a full list of the medications affected.

NHS – National Supply Shortage of Medicines for ADHD


Further information / Useful Links

NHS Livewell

NHS advice about healthy living, including eating a balanced diet, healthy weight, exercise, quitting smoking and drinking less alcohol.

Leeds Stop Smoking Service

Now is the best time to quit

Stopping smoking is one of the best things we can do to improve our health.

When we stop, we give our lungs the chance to function better and improve our breathing.

It’s never too late to quit, Leeds Stop Smoking Service will help people to succeed.

To find out more about smoking cessation support that is available, please visit the Leeds Stop Smoking Service website or call the service on, 0800 169 4219.

This service offers face to face weekly group and one to one sessions in a variety of community venues which are mostly located in areas where smoking prevalence is the highest. Remote session are also offered for people who cannot attend in person.

Sessions are offered weekdays throughout the day and evening.

Clients are encouraged to use treatment to help them stop smoking, if these are prescription only medicines, the service will issue a request for prescription letter for other products, including nicotine replacement therapy and e-cigarettes.

If you’ve stopped smoking recently and would like your GP medical records to reflect this, then please complete the Smoking Questionaire below or contact the Leeds Student Medical Practice Reception Team on, 0113 295 4488.

Smoking Questionaire



Test Results

Most test results are available 7 days after your blood test/x-ray or scan. If after viewing these results you need further information then please contact the practice by contacting our Reception Team on 0113 295 4488. These can also be viewed via the NHS app.

The NHS App is a simple and secure way to access a range of NHS services on your smartphone or tablet.

Non-NHS Fees

Certain services are not included on the National Health Service. These include private medical examinations, private sick notes, letters to third parties, tests requested for employment and travel purposes, doctor’s signatures on official documents, and some vaccinations. Please check when you hand such requests to us whether a fee will be payable. A full list of private fees is available at our Reception Desk.

Asthma Clinic

Asthmatic patients will be contacted by the practice and reviewed by our trained Asthma nurse or a doctor. Asthmatic patients, if you have any concerns or queries regarding Asthma, please contact our Reception team on 0113 295 4488.

Cervical Smear Test Clinic

Appointments for smear tests can be booked with any of our Practice Nurses. Please note that routine smears are no longer required for patients under 25, unless there has been previous abnormal results

Child Health Clinics

Child Health Clinics

When children register with our Practice, we book them in to see one of our Nurses. During the appointment routine questions will be asked regarding the child’s household and educational establishment. The child’s immunisation history will also be assessed and, if required, immunisations will be offered.

Routine Vaccination Schedule

Children are due their immunisations at 8 weeks, 12 weeks, 16 weeks, 1 year and just before they turn 3 ½ years old.  When your child is due their immunisations, we will automatically send out an invitation for you to book an appointment at our Practice.

Please click on the following link to view the Routine Childhood Immunisation Schedule to see what your child is due.

Other immunisations are given by separate services such as the School Nursing Team. Please see the following link for further information: LCH 0-19 Health and Wellbeing – School Immunisation (leedscommunityhealthcare.nhs.uk).

For travel vaccinations, please see our Clinics & Services page.

International Patients / Uncertain or Incomplete Immunisation Status

Children who arrive in the UK have usually been vaccinated following a slightly different immunisation schedule. When attending for their first appointment with our Nurse, they will advise which immunisations are outstanding (if any) and will discuss the UK schedule with parents or guardians.

For further information please visit: Vaccination of individuals with uncertain or incomplete immunisation status – GOV.UK (www.gov.uk).

More Information

The NHS Website has a multitude of information for parents, patients and guardians to view. Please see: NHS vaccinations and when to have them – NHS (www.nhs.uk).

More information can be found on the what to expect after vaccinations information leaflet.

Measles, Mumps, Rubella (MMR)

Children up to the age of 18 years who missed, or have only partially completed the MMR course, can have a ‘catch-up’ vaccination on the NHS free of charge. If our records show your child does not have the required MMR status, we will automatically send out an invite for you to book them an appointment for this.

For more information, please visit: MMR (measles, mumps and rubella) vaccine – NHS (www.nhs.uk)

Information in Other Languages 

Measles: AfrikaansArabicBengaliCantoneseChinese (Simplified)FrenchGermanSomali, Romanian, Polish

What to expect after vaccinations: Chinese (Simplified)KurdishLithuanianPolishRomanianSomalianUrduVietnamese