NSW ADHD Prescribing Changes: What They Mean for Patients

An ADHD Continuation Prescriber is a GP who has completed the required NSW Health training and authorisation to provide ongoing stimulant prescribing for eligible patients whose ADHD diagnosis and treatment have already been established.

A key point to note is that these changes are about continuing treatment, not starting it. Patients must already have a diagnosis and treatment plan in place. 

For children and adolescents aged six years and over, the changes mainly affect ongoing management.

• A Paediatrician or other appropriate specialist is still involved in the initial assessment, diagnosis and the decision to start stimulant medication.

• Once treatment is established, many families may no longer need to see the specialist just for repeat prescriptions.

• Children are usually managed in a shared-care model and will still need regular reviews with their Paediatrician or other specialist. The frequency will depend on the child's individual needs.

For adults, the reforms can make ongoing treatment more accessible.

• Eligible adults can receive ongoing stimulant prescriptions through an authorised GP.

• This may reduce the need for some specialist appointments solely for repeat prescriptions.

• GPs can also provide more coordinated care when they are managing other health concerns alongside ADHD.

Not necessarily – it depends on your individual circumstances and your existing care arrangement.

Some specialists may:

• Continue to prescribe the medication themselves

• Use a shared-care approach

• Review you periodically

• Transfer ongoing prescribing to an authorised GP

Please discuss the most appropriate arrangement with your current specialist and GP.