‘People are desperate’: ADHD clinicians in England on a system in chaos

Key Highlights

• “They truly invested in developing their staff … a consultant paediatrician would often sit in on assessments to observe and provide detailed feedback.”But issues at the company emerged over time: the workload was massive and the quality of the clinical work did not seem to carry through into the reports sent to patients and GPs, which were often done by administrative staff to save time.
• “Over the 13 months I was there, I never actually saw a single report that appeared to have been written by me, even though they were sent out under my name,” he says.
• “I believe that was the core issue.”Other clinicians, working across different providers, describe the same disconnect.
• Alice, whose name has been changed, worked for a clinic from 2023 to 2024, and recalls annotating PDFs only to see them turned into highly templated letters.
• “They didn’t always feel personal or fully reflective of my input,” she said.