Service alerts and updates
Here, you can find information and resources regarding current affairs, policy changes, or industry updates that may affect our service.
Right to Choose Update
The latest updates about the Right to Choose Service
Latest
2025 NHS Payment Scheme consultation
NHS England is considering capping the amount of money its Integrated Care Boards (ICBs) spend on elective services. This includes neurodevelopmental (ND) assessments through Right to Choose. The consultation proposes tighter financial controls by effectively limiting the number of assessments each provider can complete. It is important to remember that the proposed changes are still at consultation stage and that no decisions have yet been made.
While this is a developing situation, we will:
- Continue our services as normal. If you are currently enrolled or active in our service, your status remains unchanged, and we are providing assessments and post-diagnostic treatment and support as per usual.
- Submit a formal objection to the proposed changes by February 28th as a relevant provider.
- Engage with our NHS Trust partners, other providers and third-sector organisations.
For clients referred by our insurer partners or directly by their NHS Trust, any potential change to RTC legislation will not impact your journey.
We ask you to please understand that our customer service teams will likely be under increased strain until the NHS provides us with further clarity. We kindly ask you to refer to our FAQs below and please refrain from contacting us unless necessary.
We will keep you updated as we learn more. Our commitment to providing high quality mind health support remains unchanged.
We understand that this news can be distressing, if you are at risk to yourself or others, please dial 111 or go to your nearest Emergency Department. You can also visit this page on our website to find out about how to access support in an emergency.
Frequently asked questions
Anything you’d like to ask?
We’re here to help you find the right support for you and your family.
What is the 2025 NHS Payment Scheme consultation?
NHS England is considering capping the amount of money its Integrated Care Boards (ICBs) spend on elective services. This includes neurodevelopmental (ND) assessments through Right to Choose. The consultation proposes tighter financial controls by effectively limiting the number of assessments each provider can complete. It is important to remember that the proposed changes are still at consultation stage and that no decisions have yet been made. We will continue to update our clients via email and on our website as further information becomes available.
When will the outcome of the NHS Payment Scheme consultation be announced?
The initial consultation period ends on 28th of February. The consultation period may be extended if more than 66% of Providers (NHS Trusts, ICBs and private providers) object. There is currently no set date by when the outcome of the consultation must be published. However, if there is to be a change to payment limits, ICBs must notify providers of these changes before 30th of April, 2025.
Where can I find more information about the NHS Payment Scheme consultation?
Will any changes resulting from the Payment Scheme consultation impact those who have already been referred for an assessment?
We are currently continuing assessments and the provision of post-diagnostic services for all clients who have already been referred to us. Should this change, we will update our Right to Choose clients via email and on our website.
Can I still be referred to ProblemShared for my assessment under Right to Choose?
Yes. ProblemShared is still accepting referrals under the Right to Choose and will continue to do so until the outcome of the consultation is announced.
I have an assessment booked, but my family member is on the waitlist without a booking – can we swap?
No. It is not possible to swap one client for another and maintain your position on the waitlist.
I am a GP and want to refer a patient to ProblemShared. Are you still accepting Right to Choose referrals?
Yes, we are.
I am a GP. How will I know if my client’s referral has been paused/stopped?
We continue to work in the manner we always have. Once a client has been referred, and they have filled out their pre-assessment questionnaires, they will be informed that they have been added to our waitlist.
Can I self-pay for Right to Choose?
ProblemShared does not currently offer self-pay. We are, however, developing a self-pay service for clients and will provide more information on this as soon as we are able.
Will Client Support be able to provide more information on the NHS Payment Scheme consultation?
No. All of the information that we have available is detailed in the FAQs.
GP collective action
The latest updates about the GP collective action
Latest
Important update: Impact of GP collective action on our medication clients
The British Medical Association (BMA) and GP Committee England (GPCE) have recently voted to support GP collective action which is linked to the negotiation on their contracts with NHS England.
Collective action is different from industrial action but it does mean that some GPs may stop or reduce certain work.
It is unknown how many GP practices will participate in collective action and it is therefore hard to judge the impact this will have on clients across England. However, our ADHD medication clients should be aware that collective action may:
- Limit or reduce shared care arrangements between GPs and providers such as NHS hospital doctors and private businesses such as ProblemShared.
- Lead to a reduction in the number of GPs offering ongoing monitoring services required for the continued prescribing of certain medication – specifically the management of ADHD, such as ECGs and blood pressure measurements.
What does this mean for you?
Observational Readings
To enter/ remain on the medication pathway, ProblemShared requires you to provide your up-to-date blood pressure, heart rate and weight. In a small number of cases, we may also require an ECG before providing a prescription.
Blood pressure and pulse check: Ask your GP if they will take a reading. If they refuse, you can either:
- • Buy a blood pressure machine online. These will read both your blood pressure and pulse.
- • Visit your local pharmacy or health kiosk where they will do it at no cost.
- • Buy a blood pressure machine online. These will read both your blood pressure and pulse.
If an ECG is required: Ask your GP if they will do an ECG and provide you with a copy. If they refuse:
- You can self-pay for ECG’s through a provider that is local to you.
- You can self-pay for ECG’s through a provider that is local to you.
Although the scope of collective action is outside our control, we are working closely with your local NHS and the wider GP community to try and ensure continuity of care where possible.
Your health and wellbeing remain our utmost priority, and we will continue to update this page with alerts and updates.
Need further help?
If you’re a client and have any specific questions or concerns, you can email us at help@problemshared.net.
We are not an emergency service. You can call the NHS on 111 for health needs or visit our emergency page to find a service that will be able to support you.