Integrated Neurodevelopmental Team (INDT) – ADHD Service
The INDT ADHD Service provides diagnostic assessments for young people presenting with significant difficulties in relation to inattention, hyperactivity and impulsivity. We also provide ongoing medication management following a diagnosis.
The team is a multi-disciplinary team that is made up of a Consultant Psychiatrist, a Principal Clinical Psychologist / Team manager, Clinical Nurse Specialists / Prescribers, an Advanced Pharmacist and Healthcare Assistants.
The team is not a CAMHS service. Children and young people presenting with possible ADHD who also have significant mental health concerns should be referred to CAMHS in the first instance.
We work closely with CAMHS, Community Paediatrics and the IND ASD Team. Where a young person is presenting with ASD, in addition to ADHD, then the team can begin the ASD assessment and refer onto the ASD service for further assessment.
What we do?
Diagnostic assessments – The team follow the NICE guidelines for ADHD assessments (Overview | Attention deficit hyperactivity disorder: diagnosis and management | Guidance | NICE). Families and schools are asked to complete questionnaires prior to being seen. These are a key part of the assessment and if they are not returned then a child will be discharged. Once these questionnaires have been received a child is offered an appointment in clinic to complete a QB Test.
The QB Test is a computer based task that takes around 20 minutes to complete. It provides objective information about a child’s levels of inattention, activity and impulsivity which is then compared to a normative sample of children the same age and gender who do not have ADHD.
When the QB Test has been completed the team review the results, alongside the questionnaires, and decide the next steps. Some children with be offered a 45 minute follow up and others will be offered a 90 minute follow up depending on the child’s needs. Follow ups are typically completed remotely but families may be offered a face to face appointment if necessary.
Who to contact
- Contact Name
- Single point of access (SPA)
- Contact Position
- Administration
- Telephone
- 020 88368621 (option 2)
- Oxl-tr.childrenstherapies@nhs.net
- Website
- Oxleas Website
- Notes
How to complain
Patient advice and liaison service (PALS) oxl-tr.pals@nhs.net
0800 917 7159 or for formal complaints please contact oxl-tr.complaints@nhs.netOxleas Patient Experience survey
The Oxleas Patient Experience survey gives you the opportunity to feedback on the care and treatment you have received. We also encourage your friends, family and carers to also provide feedback. Hearing your views gives us a better understanding of the needs of our patients, families and carers which helps us to make sure that we are providing a good standard of care.
The short survey only takes a few minutes to complete and you can provide a written comment explaining what you think is working well and what is not. The Patient Experience team will collect the results of the surveys and these are shared with the relevant departments and management teams. This helps us to shape our services to continually improve the quality of the care and treatment we provide.
Where to go
- Address
-
High Point House
135 Shooters Hill
London
- Postcode
- SE18 3RZ
Other Details
Availability
- Referral required
- Yes
- Referral Details
Referrals are accepted from schools, GP’s, social care and other health services for children with a Greenwich GP aged 5-18.
In order for a referral to be accepted there needs to be evidence that a child or young person displays behaviours consistent with possible ADHD in more than one setting and that these difficulties are causing significant impairment.
Following a referral, or diagnosis, families are invited to create an account on Oxcare (https://oxcare.oxleas.nhs.uk), an online health record, using their child’s name and NHS number. Families are asked to invite the team to link with their child’s account. This enables families to access reports / letters written by the team, view the appointment diary, message the team and access self help and self management resources.Age range - 5-18
Local Offer
- Description
Behavioural support – Following a diagnosis all families are invited to a remote parent information session. In this session families are given information about ADHD and behavioural support for ADHD. Families are sent the slides following the session. Families are also sent Youtubes links to some resources developed by the team. Families receive a telephone following the parent session to answer any questions and to discuss medication.
The team do not provide ongoing behavioural support. If a family decide that they do not want medication then they are discharged.
Medication – When a child is started on medication they will be invited into clinic to complete a physical examination and discuss medication options. A prescription will then be provided if it is agreed to start medication. Families are asked to give feedback to the team about progress 2 weeks after starting medication. A child then has a follow up 4 weeks later. The team will prescribe medication for the first three months and will make any changes to medication that are required. When a child is stable on medication the team set up a shared care agreement with the GP. This means that the GP takes over the prescribing of medication and does some of the physical checks. The team offer medication reviews at least once a year but families can contact the team at any point to request a medication review if they have concerns.
When the team is prescribing medication families need to give 7 days notice for a new prescription as we receive a high number of requests for prescriptions.
Training to schools – The team offer training to schools about ADHD upon request.
When? How long?
The team see children and young people from age 5 up to 18.
If families decide that they do not want medication following a diagnosis of ADHD then the team will discharge.
If a family decide that they do want medication then they are offered an appointment with a prescribing nurse or the Consultant Psychiatrist. When a child is on medication they remain open to the team and are reviewed at least once a year ; however children will be offered reviews sooner if families contact us asking to discuss medication issues.
When a young person turns 18 they are discharged and the GP will continue to monitor medication.
- Contact Name
- Single point of access (SPA)
- Contact Telephone
- 0208 836 8621 (option 2)
- Contact Email
- Oxl-tr.childrenstherapies@nhs.net