Standard operating procedure

ADHD Assessment Process Procedure

How [Organisation Name] triages referrals, gathers pre-assessment information, conducts a structured diagnostic assessment, applies recognised criteria and reaches and records an attention deficit hyperactivity disorder diagnosis safely and consistently

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What's inside

This standard operating procedure is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Definitions and abbreviations
  • 4. Responsibilities
  • 5. Procedure
  • 6. Documentation and records
  • 7. Related documents
  • 8. Review and version control
  • 9. Disclaimer

Legislation & standards it maps to

  • National Institute for Health and Care Excellence, Attention deficit hyperactivity disorder: diagnosis and management, NICE guideline NG87 (2018, updated 2019)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 9 (Person-centred care) and Regulation 12 (Safe care and treatment)
  • Care Quality Commission (CQC) single assessment framework
  • Mental Capacity Act 2005 and its Code of Practice
  • Data Protection Act 2018 and the UK General Data Protection Regulation

Who it applies to

All consultant psychiatrists, specialist doctors, non-medical prescribers, specialist nurses, practitioner psychologists and other clinicians trained to assess and diagnose attention deficit hyperactivity disorder, together with assessment coordinators, administrative and reception staff who triage referrals or handle assessment information, and the registered manager or [Insert Job Title] at [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

ADHD (attention deficit hyperactivity disorder)
A condition that begins in childhood involving a lasting pattern of inattention and/or restlessness and impulsiveness that interferes with everyday life.
Adjunct
A test or tool used to add supporting information to an assessment, never relied on by itself to make a decision.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Coexisting condition
A separate condition, such as anxiety, depression or autism, that occurs alongside ADHD and must be identified and addressed.
Collateral or informant information
Information about a patient gathered from someone who knows them well, such as a partner, parent or school, to help confirm their history.
Contemporaneously
Written down at the time something happens, or as soon as possible afterwards, so the record is accurate.
Continuous performance test (CPT)
A computer-based test of attention, impulsiveness and activity (for example QbTest) used only to support an assessment, never to diagnose on its own.
Data Protection Act 2018
The UK law that governs how organisations collect, store and use people's personal information.
Differential diagnosis
An alternative condition that could better explain a person's symptoms and must be considered, and where appropriate ruled out, before diagnosing ADHD.
DIVA (Diagnostic Interview for ADHD in adults)
A recognised structured interview used to check an adult's symptoms and history against the criteria for ADHD.
DNA (did not attend)
A record that a patient did not come to a booked appointment.
Domain
An area of everyday life, such as home, school, work or relationships, in which symptoms may cause difficulty.
DSM-5
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition - a recognised system, published by the American Psychiatric Association, for classifying and diagnosing mental health conditions.
General practitioner (GP)
A doctor who provides general medical care in the community and usually coordinates a patient's overall care.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the standards providers must meet to be registered with the Care Quality Commission, including person-centred care (Regulation 9) and safe care and treatment (Regulation 12).
ICD-11
The International Classification of Diseases, Eleventh Revision - a recognised system, published by the World Health Organization, for classifying and diagnosing health conditions.
Impairment
A clinically significant difficulty in everyday functioning - for example in education, work, home life or relationships - caused by a person's symptoms.
Informed consent
Agreement to an assessment or treatment given freely after the risks, benefits and alternatives have been clearly explained.
Mental capacity
Whether a person is able to understand and make a particular decision for themselves at the time it needs to be made.
Mental Capacity Act 2005
The law that protects and supports people who may be unable to make particular decisions for themselves.
National Institute for Health and Care Excellence (NICE)
The national body that produces evidence-based guidance on best practice in health and care.
Near miss
An event that could have caused harm but did not, either by chance or because it was caught in time.
Neurodevelopmental condition
A condition that affects how the brain develops and works from an early age, influencing attention, behaviour, learning or social skills.
NICE guideline NG87
The National Institute for Health and Care Excellence guideline on diagnosing and managing ADHD, which this procedure follows.
Non-medical prescriber
A trained health professional who is not a doctor but is qualified to prescribe medicines, such as a nurse or pharmacist prescriber.
Parental responsibility
The legal rights and duties a parent or guardian has to make decisions about a child's upbringing and care.
Person-centred care
Care that is shaped around the individual's needs, wishes and circumstances rather than a one-size-fits-all approach.
Practitioner psychologist
A psychologist registered to assess and support people's mental health and behaviour, such as a clinical psychologist.
QbTest
A specific brand of computer-based continuous performance test that measures attention, impulsiveness and activity to support an ADHD assessment.
Registered manager
The person registered with the Care Quality Commission as responsible for the day-to-day running of a service.
Risk assessment
A structured check identifying what could cause harm and what is being done to prevent it.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
Shared care
An arrangement where responsibility for a patient's ongoing treatment is shared between the specialist service and another clinician, such as the GP.
Standard Operating Procedure (SOP)
A written, step-by-step instruction that sets out how a particular task or process should be carried out consistently and safely.
Structured diagnostic interview
A standardised clinical interview that systematically checks a patient's history against recognised diagnostic criteria.
Titration
The careful process of starting a medicine at a low dose and adjusting it gradually to find the most effective and well-tolerated level.
Triage
The structured screening of a referral to confirm an assessment is appropriate, set its priority and identify any urgent risk.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
Validated rating scale
A standardised, research-tested questionnaire used to measure the presence and severity of ADHD symptoms; it supports clinical judgement but is not a diagnostic test on its own.

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Related documents

PolicyADHD Assessment Policy£54.99
PolicyMedication Management Policy£54.99
PolicySafeguarding Children Policy£54.99
PolicyConsent & Capacity Policy£54.99

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