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Gatekeeping

Hergé

When I received my assessment results just before Christmas it stated that I should also be assessed for ADHD, as I demonstrated a significant overlap.

Today I spoke to my GP about being referred and got a surprising amount of resistance. Baring in mind this he has my full assessment results. He seemed to want me to justify why I felt I should be referred and to describe in detail the difficulties I experience.

Eventually he forwarded me an email with a questionnaire that I'd already completed for my ASD assessment. He also wants "a few paragraphs" to explain my thoughts on my answers.

I can appreciate that they don't want to waste resources but this seemed a bit much.

Parents

  • I can understand them being reluctant to refer people given current waiting lists. If it were me I'd have just said to the doctor that I didn't know why I needed to be referred and that the specialist clinic told me so. But then I don't know much about ADHD so that is a perfectly reasonable answer for me.

    It would be appropriate for your specialist clinic to write to your GP to ask them to refer you, rather than you asking yourself. They don't have to refer you, but the specialist should be able to ask.

    But to be honest I can't see any reason why the specialist you saw can't refer you for an ADHD assessment him/herself. In theory they should be able to do this (and thus bypass the GP), but there seems to be all sort of weird and wonderful policies and procedures in place that they like to adhere to for referrals.

    Good luck.

Reply

  • I can understand them being reluctant to refer people given current waiting lists. If it were me I'd have just said to the doctor that I didn't know why I needed to be referred and that the specialist clinic told me so. But then I don't know much about ADHD so that is a perfectly reasonable answer for me.

    It would be appropriate for your specialist clinic to write to your GP to ask them to refer you, rather than you asking yourself. They don't have to refer you, but the specialist should be able to ask.

    But to be honest I can't see any reason why the specialist you saw can't refer you for an ADHD assessment him/herself. In theory they should be able to do this (and thus bypass the GP), but there seems to be all sort of weird and wonderful policies and procedures in place that they like to adhere to for referrals.

    Good luck.

Children
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