For the Adult pathway, the Lincolnshire Integrated Care Board use ADHD services from local Lincolnshire providers. Services are available for patients aged 16 and above, who have a diagnosis of ADHD or are presenting with ADHD symptoms that are moderately to severely impacting more than one area of their life.   These providers hold a current contract with the Lincs ICB to ensure high quality and service and are all monitored regularly.  Please note that there may be some variation to the assessment process depending on the provider that is allocated.  Your GP practice gets monthly updates on live waiting times for the ADHD pathway, so if you have any queries, please liaise with your GP practice.  These wait times are from the date of referral receipt, and this is subject to change depending on demand.

When you are near the top of the single point of access waiting list, the team will contact your GP to inform them of the outcome of the Single Point of Access, if your referral request has been approved a provider will be allocated for assessment based on presenting needs or patient choice.  If you are not accepted as clinically appropriate at the point of the single point of access, recommendations will be sent to the GP or referrer on the next steps to support you. If you are accepted, the independent practitioner will then contact you within 12 weeks to discuss the assessment in more detail. They may require further information from you to support the assessment.

For the Children and Young People pathway, an ADHD referral to the Community Paediatric Service should be considered where a child has difficulties with inattention and/or hyperactivity/impulsivity AND where these symptoms:

• are found in more than one setting
• were present before age 12
• have been present for 6+ months
• are impairing functioning and development
• are not better explained by other conditions (e.g. adverse life event, environment, substance misuse, depression or anxiety).

Assessment and follow-up support is available through this pathway for children aged 6 and up to their 16^th birthday, it is not appropriate for younger children. Referrals are preferred from schools/SENCOs as they are usually best placed to know a child's needs and how these impact on their behaviours within school and at home. Other healthcare professionals can also submit a referral such as GPs, Health Visitors and Children and Young People’s Nurses. The referral forms for professionals to complete are available on the Lincolnshire Local Offer Community Paediatric Service page, and once completed should be emailed to LHNT.community-paediatrics@nhs.net. Parents and referrers will be notified if the child is accepted onto the waiting list for an ADHD assessment by a Community Paediatrician, who will also provide any follow-up treatment and/or support required.