A recent paper by Jo Murray and colleagues published in JRSM Short Reports examined the impact of patients' use of the NHS Choices website on primary care consultations in England and Wales. They found that NHS Choices did alter healthcare-seeking behaviour, attitudes and knowledge among its users. Using NHS Choices appeared to result in reduced demand for primary care consultations among young, healthy users in particular. The authors concluded that the use of online medical services should be explored further.
Dear Dr, I am writing to refer a 28-year-old male patient of mine, Mr [Patient's Name], for assessment for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD). After a thorough clinical assessment, I believe that Mr. [Patient's Name] meets the criteria for adult ADHD as outlined in NHS guidance for primary care teams in SE London. Mr [Patient's Name] has been under my care for XX years and, during this time, he reports several symptoms (greater than five symptoms in total) consistent with ADHD in adults that have been present for more than six months. These symptoms include difficulties in focusing, following through on tasks, hyperactivity, forgetfulness, impulsiveness, restlessness, and irritability. Mr [Patient's Name] also reports being easily distracted, struggling with time management, organisation, and completing tasks efficiently. Many of Mr [Patient's Name]'s symptoms have been present since he was under 12 years old; and have
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