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Right to choose

GP Right to Choose referrals

Referring your patient

Learn more about our digital referral process, suitability criteria, wait list, shared care policy, and risk information.

For GPs & healthcare professionals
This page is written for clinicians. If you are a patient, the content may not apply to you.

I'm a patient

Getting started

Completing your patient’s self-report form

Your patient needs to complete a self-report form that you will submit on their behalf to us as part of the referral process. The self-report form can be completed in one of two ways:

Patient-led

  • Your patient provides you with a completed self-report form.

  • You or your support team can then upload it within our digital referral process.

GP-led

  • You can complete the digital self-report form with your patient during an appointment, or capture the results on paper and then upload them.

  • Completing the self-report form can take up to 10 minutes, so it may not be possible to finish it within an appointment slot. You are welcome to begin the process with your patient, and if time runs out, retain the information and complete it later.

  • You or your support team can then upload it within our digital referral process.

Our services are not suitable to help in an emergency

If you have any specific questions or concerns

  • Email us at help@problemshared.net

  • Call us on 0203 835 2900

A note for GPs regarding our process for referring to shared care and local services

  • 1.

    We will continue prescribing and providing periodic reviews to your patient, irrespective of whether you (their GP) accept shared care, or whether local services accept the patient.

  • 2.

    Within our Right to Choose pathway, the patient is not receiving private care - they are receiving NHS-funded care through an NHS contract.

  • 3.

    We are not required to make a local services referral, but do so because we believe it is the best long-term outcome for the patient.

Please check our ADHD medication suitability criteria

Medication suitability

Get started with Right to Choose

How to start, in 6 simple steps.

If you/your child are seeking an autism or ADHD assessment with us through Right to Choose, follow these steps:

Your patient requests a referral

Your patient presents their completed self-report form to you.

They ask to be referred to ProblemShared for an online assessment.

You make the referral

Check that your patient meets the suitability criteria for our service.

Complete our referral process.

Patient begins enrolment

You will receive email confirmation that we have received your patient.

We will then ask your patient to provide us with some important enrolment information.

The referral is reviewed

Our clinical team will review the referral.

If accepted, your patient will be asked to complete some pre-assessment forms.

When they have done so, they will join our wait list.

We provide ongoing care

We will communicate with you and your patient throughout the entire journey to assessment.

If your patient fails to respond to our communications, or is not accepted into our service for any reason, we will notify you by email.

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Full clinical suitability criteria

Detailed information about who is suitable for an online assessment via NHS Right to Choose.

Please check our ADHD medication suitability criteria

Medication suitability

Age, communication and access needs

  • Your patient is below the age of 7 years old.

  • Your patient ise non-verbal and/or selectively mute.

  • Your patient is unable to communicate at conversational level in English. For specific learning difficulty/difficulties assessments, it is also a requirement to be able to communicate in written English.

  • Your patient has a significant visual or hearing impairment which means they are unable to access online assessments for specific learning difficulty/difficulties and autism. In certain cases, we are able to support clients for ADHD assessments and appointments.

Intellectual disability or developmental needs

  • Your patient has  a significant intellectual impairment/disability or severe development delay or an intellectual disability (IQ below 70).

Mental health, eating disorder or substance use

  • Your patient is currently psychotic, or have recently experienced a psychotic episode (within 3 months).

  • Your patient is currently deemed to pose a risk to themselves or others, have a plan or have acted to end their life in the past 3 months, and/or are actively engaged in self-harming behaviour.

  • Your patient is currently awaiting an appointment or receiving treatment for an active eating disorder or have been discharged within the last 6 months from a specialist eating disorder clinic.

  • Your patient’s drug and/or alcohol use is having a significant impact on daily life or they are currently receiving active treatment for substance addiction.

Neurological history or additional assessment needs

  • Your patient has had an acquired or traumatic head injury, brain surgery/neurosurgery or have a neurological condition which has impacted their cognitive function, which requires additional assessments that are not currently provided by ProblemShared.

Previous assessment history

  • Your patient has previously been assessed by the NHS for ADHD or autism and are seeking a second opinion assessment. When a private assessment has previously taken place, a second assessment review or full re-assessment can be offered.

Legal, safeguarding or detention status

  • Your patient is currently serving a prison sentence, are on probation or temporary release.

  • Your patient is undergoing a Safeguarding Investigation, have a child protection plan in place or are involved in an ongoing police or criminal investigation and cannot be seen until it has been concluded.

  • Your patient is currently detained in a hospital under the Mental Health Act 1983, or under a Community Treatment Order.

  • Your patient currently serves in the armed forces.

Technology, privacy and appointment requirements

  • Your patient does not have access to a laptop or computer (please note that a laptop or desktop computer which is at least 15” in size is required for specific learning difficulty/difficulties assessments). For autism and ADHD assessments, a tablet which is at least 10” and can be propped up to be used hands-free can also be used to access our service, but handheld devices such as mobile phones cannot.

  • Your patient does not have access to an internet connection in a private place.

  • Your patient is not willing to conduct the assessment with their camera turned on for the duration of the assessment.

  • Your patient is not willing to confirm their identification in an online video call.

  • Your patient is not willing to provide the contact details for their UK-based NHS GP.

Do any of the criteria above apply to your patient?