Appointments & Service Pricing

If a young person needs to be started on medication, this must be initiated and reviewed by a Consultant or specialist nurse prescriber.

ADHD Medication

When any young person is diagnosed with ADHD and they want to consider medication and are under 18 they would come into clinic to see either the Consultant or a specialist nurse prescriber for a medication initiation appointment.  The medication initiation appointment is an hour at £300 for a Consultant or £200 for a specialist nurse prescriber.

You need to be advised that if the decision is to start medication, you will need the a medication package which is an additional £500 and consists of minimum providing the initial prescription, communication with GP, e-mail communication or phone calls with parents/carers to monitor effect and titrate dose, two follow up face to face appointments, usually at 4-6 weeks and 8-10 weeks, depending on individual circumstances and all prescriptions required during the medication package period.  We usually invoice this up front.  This package covers the first 12-week period only.  A medication package is necessary because GPs will not prescribe unless on a stable, effective dose and supervised by a specialist, then they will consider doing so under a shared care agreement that we can complete.

If the GP accepts the shared care agreement, they will take over the issuing of prescriptions with follow up appointments here at EPIC.  The frequency of the follow up appointments will depend upon the complexity of the case and parental/carer request but will be at least 6 monthly at a cost of £150 (Consultant) or £100 (specialist nurse prescriber) for a 30 minute appointment.

If the GP does not accept the shared care agreement, we are happy to continue to prescribe.  However, we would charge £40 per monthly prescription, plus we would still need to do follow up appointments as set out above.

Please note that 7-10 days’ notice will be required for repeat prescriptions.  Please note that the pharmacist will charge for the medication.

Please note the approach for over 18s is very different.  We are happy to discuss this further with you.

Other Medication

We can offer for you to come into clinic to see either the Consultant or a specialist nurse prescriber for a medication initiation appointment.  The medication initiation appointment is an hour at £300 for a Consultant or £200 for a specialist nurse prescriber.

If medication is started, it might be that your GP can take over the issuing of prescriptions.  If your GP will not take over prescribing, we are happy to continue to prescribe.

We charge £40 per monthly prescription and would also need to do regular medication review appointments here at EPIC at a cost of £150 (Consultant) or £100 (specialist nurse prescriber) for a 30 minute appointment.    The frequency of the medication review appointments will depend upon the complexity of the case and parental/carer request but will be at least 6 monthly.

Please note that 7-10 days’ notice will be required for repeat prescriptions.  Please note that the pharmacist will charge for the medication.

When do I need to order my repeat prescription?

Please could you notify us 7-10 days for a repeat prescription to allow us, your GP and the pharmacist sufficient time to provide this.  Not all medication is readily available at a pharmacy and some medications can only be prescribed by certain Consultants or specialist nurse prescribers who do not work every day at clinic.

Supplementary Prescribing

As a clinic sometimes a prescription may be issued by one of the other Consultants or specialist nurse prescribers in order to avoid delay during staff absences.  This is done with the leading Consultant’s/Nurse Prescriber’s consent and instruction.