Free response letter template
Your GP refused shared care — here's what to do next
Most refusals aren't final. This letter cites NHS England guidance and gives your GP a clear, professional reason to reconsider.
Used by hundreds of patients — written with reference to NHS England's shared care framework
Step 1 — Your details
The letter updates as you type.
Step 2 — Letter preview
Live preview13 July 2026 Dear The Practice Manager, I am writing regarding the shared care of my ADHD medication following my private diagnosis at [CLINIC NAME] in [DIAGNOSIS DATE]. I was diagnosed with ADHD and prescribed [MEDICATION]. My diagnosing clinician has recommended that ongoing prescribing be transferred to my GP under a shared care arrangement, as is standard practice following private ADHD assessments. I understand that GPs are not obligated to accept shared care arrangements. However, I would like to draw your attention to NHS England's guidance, which states that GPs should not refuse shared care solely on the basis that the diagnosis was made privately, and that decisions should be made on clinical grounds. I would be grateful if you could review this request and confirm your decision in writing. If there are specific clinical concerns or additional information required from my diagnosing clinician, please let me know and I will arrange this promptly. Thank you for your time. I look forward to your response. Yours sincerely, [YOUR NAME]
This letter is a template — review it before sending and adjust any details to match your situation.
What happens next?
1
Send the letter
Send to your GP practice by email or recorded post — keep a copy for your records.
2
If refused again, escalate
You can escalate to your ICB (Integrated Care Board) — we'll guide you through this.
3
Ask your clinic to advocate
Your diagnosing clinic may also be able to advocate on your behalf — contact them directly.