Repeat Prescriptions & Reviews
After careful consideration,
we have made the difficult decision to close our ADHD Prescribing service on 21st October 2025.
When this service was first established, our primary aim was to provide high-quality ADHD assessments and prescriptions to safe titration for patients awaiting shared care with their NHS GP. Over time, many patients have remained under our care for ongoing private prescriptions. However, a number of national challenges have made it increasingly difficult to continue offering this safely and sustainably.
These challenges include:
- Widespread issues with NHS shared-care agreements, meaning that many GP practices are unable to take over prescribing responsibilities after diagnosis and titration.
- Delays and logistical difficulties in ensuring private prescriptions are received by patients on time, particularly through postal systems.
- The requirements of controlled drug prescriptions, meaning prescriptions are only acceptable on registered pink prescriptions in a handwritten form for patients.
- All Prescriptions will now come from London.
Despite our best efforts to find a sustainable solution, these challenges have made it impossible to maintain a safe, timely and cost-effective prescribing service.
We will therefore be moving to prescribing through an online pharmacy, from the 21 October 2025.
The pharmacy is not connected to Fiona Project, and we do not receive any reimbursements or commission on any prescriptions. The online pharmacy system is more secure, and this will affect how you get your prescriptions.
We have chosen Signature Pharmacy in London. We send all our prescriptions to Signature Pharmacy, and they will contact patients with a payment link and then deliver medication to your door by secure and tracked delivery.
Your prescription will always be generic and not branded unless you have a valid reason for branded medication, this is to give you the best value on medication.
This change occurs on 21st October 2025
After this date, we will no longer be issuing prescriptions for ADHD medication.
If you are currently under our care for ongoing prescriptions:
- We recommend that you begin discussions with your GP as soon as possible regarding shared care or transfer of prescribing.
- If shared care is not possible, you may wish to seek an alternative private ADHD prescription service, and we fully support that decision, you may also choose to continue with us.
- Patients in Scotland: There is still no direct communication on shared care, individual surgeries are posting their shared care status online. If you are seeking shared care, rather than an independent prescriber, you can contact Health Improvement Scotland on 0131 623 4300 for further advice.
- You Must use the Online Form to request your monthly prescriptions via our site and there
is a deadline of 20th of each month. Your first request has been actioned for you. You will need to action your November prescriptions on the site, under the tab provided.
- Thank you for allowing us to be part of your ADHD care journey. We remain deeply grateful for your understanding and patience during this period of change.
How this change in service will affect you:
Any patients accepted on to shared care will continue with us on quarterly reviews and you should book these online, those patients already on shared care are unaffected by these changes but will need to book their own quarterly reviews online.
Please find the form below.
Post titration or post 3 month prescribing – review monthly prescription requests
A large part of ADHD treatment is managing your own medication, and we will prescribe for you. You will take your prescription to a locally sourced pharmacy of your choice and obtain your medication.
Please note, once medication is commenced it is your responsibility to keep track of your remaining available doses and to book a review appointment to fulfil your new prescription. At these appointments you will need a most recent blood pressure reading and a pulse, and you most up to date weight if you have been asked to provide this regularly. This may be because your weight is under strict monitoring.
Important Notice:
If you reach titration and have had shared care refused or chose to continue without shared care you will need to pay for your follow-up appointments at the clinical rate of not for profit £30 for half an hour. These appointments are for monthly reviews and repeat prescriptions – post titration.
We do not charge for the prescription or postage to you but as we are not a registered charity we need to charge for the clinical rate of 30-minute appointments.
Please book your appointments within good time to meet your prescription needs.
We also have a prescribing service with Signature Pharmacy in London, who will receive your prescription from us, send you a payment link by email and your medication can be delivered to your door.
Please note – we do not have a trade agreement with any pharmacies and the prices they charge for their services are not within our control and we do not receive any remuneration from your prescriptions. Please contact the pharmacy independently if you require a breakdown of your prescription costs from them.
ADHD Medication rules and regulations:
We adhere to a strict set of practice rules and regulations: if you do not book into a review appointment, we cannot be responsible for gaps in your treatment journey.
We use Royal Mail for our prescription deliveries, we no longer track prescriptions, and we cannot take responsibility for lost or late delivered prescriptions.
We have had situations in the past where batch sent prescriptions have not arrived and we are working on a solution to this. All prescriptions must be handwritten and posted in accordance with best practice guidelines, and we may only fulfil prescriptions when we have up to date blood pressure and pulse and weight readings. Please keep these up to date and bring them to your review appointment. Or submit them via the WhatsApp number – prior to your booked appointment.

