
You do not need to guess when your next review is due.
Please refer to your most recent clinical letter. At the end of every comprehensive report, Dr Ivantu includes a specific section titled "Care Plan." In this section, you will find the agreed follow-up consultation date and time (or the specific month due).
Action Required: It is your responsibility to ensure this appointment takes place as planned.
Note: Your GP also receives a copy of this letter. They have scheduled your prescription authorisation to expire on that specific date. If you miss the appointment, the GP’s system will automatically flag your prescription as "unsafe to issue."
To maintain your prescription and clinical safety, adherence to the following review schedule is mandatory under NICE guidelines:
In psychiatry, it is significantly easier to prevent a relapse than to treat an acute episode.
A follow-up is not just a "tick-box" exercise. It is a preventative medical examination designed to catch subtle issues before they become crises:

We advise all patients to log in to their Patient Portal and review the document titled "Shared Care Agreement."
By accepting NHS funding for your medication, you legally agreed to the Patient Responsibilities section, which mandates attendance at specialist reviews.
We understand that financial situations can change. If you find that you can no longer afford private follow-up care, please do not simply stop communicating (or "lose contact"). This puts your health and prescription status at immediate risk.
If you need to leave private care, you must take action:
Important Warning on Care Gaps: Please be aware that most local NHS ADHD services have significant waiting lists. If you discharge yourself from private care before the NHS service has accepted you, your GP may be forced to stop your prescription during the interim period. This creates a gap in treatment that can last months or years, depending on local resources.
Making Your Decision: Many patients find that maintaining their private follow-up (once every 6–12 months) is a necessary investment to bridge this gap and guarantee uninterrupted treatment. However, we respect that this is a personal decision.
Our priority is your safety. Whether you stay or transfer, please ensure you have a plan in place to avoid sudden withdrawal of care.
