The National Institute for Health Research Collaboration for Leadership for Applied Health Research and Care (CLAHRC) for Northwest London recently held a networking event to explore potential links between the NW London CLAHRC and GP Consortia in London. Amongst the speakers were myself; David Stout, Director of the Primary Care Trust Network, NHS Confederation; Dr Alan Cohen, Director of Primary Care, West London Mental Health Trust; Professor Derek Bell, Director, NIHR CLAHRC for Northwest London; and Ganesh Sathyamoorthy, Head of Operations and Delivery, NIHR CLAHRC for Northwest London. My talk at this meeting was on what role public health specialists could play in the new GP consortia. There are a number of areas in which public health specialists could support the new GP consortia, including needs assessment, planning health services, implementing preventive health care programmes, and evaluation of new programmes.
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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