Need access to ADHD medication? Your GP can now prescribe it without repeated specialist reviews
Canberra residents with Attention Deficit Hyperactivity Disorder (ADHD) are gaining increased access to medication management through a significant shift in healthcare protocols. Newly implemented changes allow appropriately trained general practitioners (GPs) to prescribe ADHD medications to eligible patients, reducing reliance on specialist reviews.
Streamlining ADHD Medication Access
Previously, patients aged six and older requiring ongoing ADHD medication needed regular reviews from psychiatrists, paediatricians, or neurologists. Now, GPs who have completed approved training can prescribe for patients who are stable on their medication and have a diagnosis from a relevant specialist. This change also removes the requirement for GPs to seek approval from the Chief Health Officer to continue prescribing.
Health Minister Rachel Stephen-Smith stated that these changes are intended to reduce delays, lessen the demand on specialist appointments, and alleviate unnecessary administrative burdens for both patients and healthcare professionals. She described the changes as “the first stage” in a broader effort to improve ADHD care within the Australian Capital Territory.
A “Sensible Reform”
The Australian Medical Association (AMA) ACT president, Dr. Kerrie Aust, characterized the revised pathway as a “sensible reform,” reflecting clinical realities and responding to calls from patients and families for improved access to timely treatment. Dr. Aust emphasized that the changes maintain essential safeguards while recognising the central role of GPs in patient care.
GPs who do not wish to expand their scope of practise in ADHD management can continue to prescribe medication through shared-care arrangements with specialists. A reciprocal change now requires psychiatrists, paediatricians, and neurologists to obtain Chief Health Officer approval to prescribe ADHD medications within specific dosage ranges.
What’s Next for ADHD Care in the ACT?
These changes represent an initial step, as further reforms are planned to allow GPs, with additional training, to diagnose ADHD and initiate medication. These future changes, expected later in the year, are designed to further improve access to care and reduce pressure on the health system, while maintaining safety and appropriate monitoring. It could lead to a more integrated and accessible system for individuals and families affected by ADHD.
Dr. Rebekah Hoffman, chair of the Royal Australian College of GPs (RACGP) NSW&ACT, noted that recognising the role GPs could play in managing ADHD was “overdue,” citing successful models already in place in Queensland. She highlighted that GPs are well-equipped to manage chronic conditions like ADHD, given their role in providing ongoing, holistic care.
Frequently Asked Questions
What changes have been made regarding ADHD medication prescriptions in Canberra?
Canberra GPs who have completed approved training can now prescribe ADHD medication to eligible, stable patients aged six and older with an existing diagnosis from a specialist, without needing repeat specialist reviews or Chief Health Officer approval.
What is the ACT Government’s long-term plan for ADHD care?
The ACT Government plans to implement further reforms later this year to allow GPs, with additional training, to diagnose ADHD and initiate medication for patients.
Can GPs still work with specialists to manage ADHD medication?
Yes, GPs who choose not to expand their ADHD scope of practise can continue to prescribe ADHD medications in a shared-care arrangement with paediatricians, psychiatrists and neurologists.
How might these changes impact the experience of individuals and families navigating ADHD care in the ACT?