The number of children being admitted to hospitals in England for short stays increased by 41 per cent between 1996 and 2006, according to research published in PLoS One today by Dr Sonia Saxena and Alex Bottle from Imperial College London. The authors of the study say this increase may be linked to a shortfall in out-of-hours primary care services, but further research is needed before any firm conclusions can be drawn from the study. Other explanations include a change in hospital admission practices or in health-seeking behaviour by parents. The article was featured in the Daily Telegraph.
Dear Dr, I am writing to refer a 28-year-old male patient of mine, Mr [Patient's Name], for assessment for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD). After a thorough clinical assessment, I believe that Mr. [Patient's Name] meets the criteria for adult ADHD as outlined in NHS guidance for primary care teams in SE London. Mr [Patient's Name] has been under my care for XX years and, during this time, he reports several symptoms (greater than five symptoms in total) consistent with ADHD in adults that have been present for more than six months. These symptoms include difficulties in focusing, following through on tasks, hyperactivity, forgetfulness, impulsiveness, restlessness, and irritability. Mr [Patient's Name] also reports being easily distracted, struggling with time management, organisation, and completing tasks efficiently. Many of Mr [Patient's Name]'s symptoms have been present since he was under 12 years old; and have
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