Standard operating procedure

Shared Care & GP Handover Procedure

Standard Operating Procedure for moving a stable patient to shared care with their general practitioner, agreeing who prescribes and monitors what, and maintaining a safe supply of medication throughout.

For ADHD ClinicRef BS-ADH-SOP-005See a sample (PDF) →
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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

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. Responsibilities: specialist service and GP
  • 7. Monitoring and continuity
  • 8. Records
  • 9. Related documents
  • 10. Review and version control
  • 11. Disclaimer

Legislation & standards it maps to

  • National Institute for Health and Care Excellence (NICE) Guideline NG87 - Attention deficit hyperactivity disorder: diagnosis and management
  • General Medical Council (GMC) - Good practice in prescribing and managing medicines and devices
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 12 (Safe care and treatment)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 17 (Good governance)
  • UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018

Who it applies to

All prescribers, clinicians and administrative staff at [Organisation Name] who diagnose, titrate, prescribe for, monitor or coordinate the care of patients receiving medication for attention deficit hyperactivity disorder (ADHD), and anyone responsible for liaison with patients' general practitioners (GPs).

Glossary

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

Attention deficit hyperactivity disorder (ADHD)
A condition affecting attention, activity and impulse control, which in some people is treated with medication.
Bridging prescription
A short prescription issued to cover the gap until the next regular prescriber takes over, so the patient does not run out of medication.
Cardiovascular
Relating to the heart and blood vessels, for example pulse and blood pressure.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Coexisting illness (comorbidity)
Another health condition a patient has at the same time as the one being treated.
Commissioner
The organisation that arranges and pays for healthcare services for a local population.
Data Protection Act 2018
The UK law that sits alongside the UK General Data Protection Regulation and governs how personal information is used.
Diversion (of medication)
When a prescribed medicine is passed to or used by someone other than the patient it was prescribed for.
Fundamental standards
The minimum standards of safety and quality below which care must never fall.
General Medical Council (GMC)
The body that registers doctors in the UK and sets the standards they must meet.
General practitioner (GP)
A community-based family doctor with whom a patient is registered for everyday medical care.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards that registered care providers must meet, enforced by the Care Quality Commission.
Informed consent
Agreement to treatment or information sharing given freely after the risks, benefits and alternatives have been clearly explained.
Interim prescription
A prescription provided at short notice to maintain supply when a gap in medication occurs or is about to occur.
Maintenance dose
The settled dose at which a patient's symptoms are controlled and no further routine dose changes are planned.
National Institute for Health and Care Excellence (NICE)
The body that produces evidence-based guidance on treatments and care for use across health and care services.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
NICE Guideline NG87
The National Institute for Health and Care Excellence guideline on diagnosing and managing attention deficit hyperactivity disorder.
Notifiable event
An incident a provider is legally required to report to the regulator, such as a death or serious injury.
Re-referral
Sending a patient back to the specialist service for renewed input when an agreed concern or threshold is reached.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Regulated activity
A type of care or treatment the law requires a provider to register with the regulator to deliver.
Shared care
An arrangement where a specialist service starts and stabilises treatment and the GP, having agreed in writing, takes over routine prescribing and monitoring while the specialist stays available for advice.
Shared care agreement (SCA)
The written document setting out who prescribes and monitors what, the medication and dose, review intervals and how to contact the specialist.
Standard Operating Procedure (SOP)
A written step-by-step instruction describing how a particular task or process is to be carried out consistently and safely.
Titration
The process of gradually adjusting a medication's dose until the right balance of benefit and tolerability is reached.
Tolerability
How well a patient copes with a medicine, including whether its side effects are acceptable to them.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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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