Wrexham ADHD Clinic Ltd – Terms and Conditions

Last Update: 05/02/2024

1. Overview

At Wrexham ADHD Clinic Ltd we want to ensure timely access to Neuro-developmental services for everyone. When you use our services, you commission the services of our members and associates, all of whom have extensive experience in managing ADHD in child and adolescents. Any professional providing diagnosis and medication services at Wrexham ADHD Clinic are registered with a professional regulatory body. 

Wrexham ADHD Clinic Ltd clinicians are registered with UK professional regulatory bodies in England and Wales.

By using Wrexham ADHD Clinic Ltd, including this website ‘www.adhdclinicwrexham.co.uk’, any digital applications, software (including but not limited to video consultations, and electronic communications system), you accept these terms and conditions in full, along with all other policies and procedures that may be published by www.adhdclinicwrexham.co.uk or otherwise communicated to you by Wrexham ADHD Clinic Ltd (the “Terms & Conditions”).

There are some limitations on our obligations which are set out in these terms. The most important of these are:

• We provide screening, ADHD assessment, ADHD medication management, and information/ signposting to other services. Some young people may not be suitable for treatment with medication, so if you have any doubts,  please check by giving us a call or by reading up on our website before you book an appointment.
• In order to provide our services we will need personal information from you. We will store that information securely and we will not share it with anyone unless you authorise us to do so or if we have a legal obligation to do (eg serious concerns of significant risk to you or others).
• We provide a secondary care service, and we emphasise linking back to your local primary care services, both for your safety, and for our peace of mind (in most cases, this is to your General Practitioner or a medical facility local to where you are based). We can provide the services to those who have good reason not to share details of a local medical practitioner, but this is on a case by case basis.
• We are based in the UK and subject to UK law so, though you may be somewhere else, your interaction with us is considered to be taking place in the UK. 

These terms may have to be changed or amended from time to time. Please make sure that you have checked the terms and conditions when you start your treatment with us. These terms were last updated on: 05/02/2024

Although Wrexham ADHD Clinic Ltd are qualified to provide NHS Services, consultations are only offered to privately paying patients via our website. 

Wrexham ADHD Clinic Ltd Limited is registered in Wales, Company number 14776968. 

Registered office and address for correspondence:

Unit 1E, 

Pentre Industrial Estate, 

Sandycroft, 

Flintshire, 

CH52DQ 

Contact via the website or direct to admin@adhdclinicwrexham.co.uk

You expressly understand, accept and agree that when providing the Services the Clinicians are independent medical / Nursing professionals that are individually responsible for the medical advice they offer to you via the Wrexham ADHD Clinic website.

By using the Wrexham ADHD Clinic website you accept that the provision of Services by Wrexham ADHD Clinic Ltd that enables you to consult with Clinicians on a private self-pay basis. Wrexham ADHD Clinic Ltd will automatically share your medical information with your NHS GP unless you opt out of this part of the Service. You will be presented with your options regarding medical record sharing before you start your first consultation on the Wrexham ADHD Clinic website and the choice to share your medical records is entirely yours.

2. What we need from you

When engaging in the services provided by Wrexham ADHD Clinic Ltd, valid and verifiable information is required to ensure suitable advice can be provided to each individual and understand the limitations of the services provided.

You must ensure that:

• any information you provide is accurate and in comprehensible English or in the language that it has been agreed that the consultation will take place.
• if you have any concerns about the suitability of the Services we provide for you or any information on the website, you can seek further medical advice from your GP or another medical professional.
• you follow any instructions you are given by our Clinicians.
• you follow any instructions regarding the use of any medicines or other health care products we recommend or prescribe (including in respect of use-by dates);
• you report any adverse or unexpected effects of treatments, that we have recommended to us.
• you keep any medicines prescribed out of the reach of children and in a secure environment.
• you inform us if any information that you have given to us becomes incomplete or false.
• you do not under any circumstances amend, alter or tamper with the contents of any documents created on the patient system or issued to you.

The Services and consultations are conducted according to your specific needs, as such please do not register multiple times for our services.

To access our Medication Management service, you must provide a diagnostic report with clear evidence of:

• A history about the young person’s behaviours and symptoms in different settings.
• A psychiatric history where appropriate, to rule out or explore, mood disorders that could account for the young person’s presenting needs.
• A medical history, to ensure that the young person does not have physical health concerns that could account for their presenting needs.
• A full developmental history, symptomatic behaviours of ADHD are present in all ages. The symptom criteria may require adjustment, to account for the age-appropriate changes in a young person’s presenting behavioural needs. This means the behaviours observed will look different in different age groups and should reflect their chronological age and learning ability.
• An observer report and assessments that include: a DIVA (diagnostic interview) or informal discussion with the Clinician and young person.
• A teacher interview by the Clinician assessing the stated young person, and a school observation. If a school observation was not possible or deemed appropriate for an older age group, a QB test is required, as this provides independent data and a profile of the young person’s inattentive, hyperactive and impulsive symptomatic behaviours.
• The teacher interview including a history of the young person’s presenting behavioural needs and strategies they have put in place to support them, learning needs- specific (dyslexic) or global delay, speech and language concerns, friendships and social groups in school, if the young person has any worries or concerns, and any other supporting information about the young person’s presentation.
• Clinical conclusions should not be made solely using rating scales such as the Conner or strengths and difficulties questionnaires, instead of, for example, a teacher interview.
• The information gathered must have explored and have either, rule out other conditions that mimic inattentive, hyperactive or impulsive symptoms, or can evidence that ADHD symptoms are present in addition to their co-existing needs. For example, a cognitive (learning) assessment might identify a young person has Dyslexia but still does not fully account for their presenting needs.
• The young person’s ADHD symptomatic behaviours must occur in two or more settings. This part of the criteria is to ensure that young people who have challenging behaviours, learning or mental health needs who present with difficulties in only one specific setting are not misdiagnosed and offered intervention that do not treat their presenting behavioural needs. In some cases, behavioural strategies and changes to their environment may be more likely to achieve the results desired.

A comprehensive assessment should have explored and be able to evidence and conclude, that the presenting symptoms are captured and understood in context of the diagnosis given and cannot be easily explained by other reasons/ disorders. For example, young people who present as being inattentive, are unable to retain information, easily distracted, - a differential diagnosis (an alternative explanation for their needs) puts forward another rationale to better explain why the young person is struggling; un-diagnosed learning needs, feeling very anxious, suffering with sleep deprivation, thyroid or other health needs.

It is important that as a neuro-developmental service we clarify on receipt of referral that a robust assessment has taken place, to ensure the treatment options accessed following a diagnosis are appropriate, and right for the young person’s needs. 

Where this is unavailable, Wrexham ADHD Clinic Ltd reserve the right to refuse medication management services. Wrexham ADHD Clinic Ltd can offer further assessment services to fill the gaps of assessment.

3. How our Services are regulated

Our services are provided from facilities in the UK in accordance with NICE guidance.

In the instance that you are using our services from outside the UK, you should check that the use of our services is legally permitted in the country or region in which you are residing. Our services are provided according to UK laws and regulations, and we cannot take any responsibility for any differences between the laws in the UK and any other rules about healthcare services anywhere other than the UK.

4. NHS Right to Choose

If you choose to access our services via the ‘NHS Right To Choose’, we will do our utmost to assist with this but cannot guarantee your application will be successful. You accept that this is a process that you are responsible for accessing via your GP.

5. Price and payment

If for any reason you are unable to authorise payment for the Services in advance, you acknowledge that neither Wrexham ADHD Clinic Ltd nor the Clinician shall be obliged to provide such services.

Any and all fees and charges incurred by a Patient are the sole responsibility of the individual whose details are held under the account and must be pre-authorised prior to your receiving the Services and settled immediately after the services have been provided. Consultations may be curtailed or Services suspended if at any time there are outstanding payments.

The fees will be outlined for each stage of the process. Pre-payment is required before the services are provided in each case. 

Our pricing structure is outlined on the website: www.adhdclinicwrexham.co.uk. Any deviations or additional payments required will be agreed on by all parties prior to the appointment.

The payment for any consultation is always payable prior to the appointment. 

You agree that any unpaid balance on your account shall become due within seven (7) days of notifying you of any such balance, after which date the balance shall bear daily interest at the rate of 3% per annum lending rate from time to time. The reasonable costs of collection, including any Court costs and reasonable legal costs, may be added as principal amounts to any such balance. If you think any charge is wrong please contact us promptly to let us know and we will not charge you interest on any disputed amounts until we have resolved the issue.

6. Prescribing Medicines

Clinicians will not prescribe medicines unless it is, in their professional opinion, in the best interests of their patient (and they may not be able to prescribe some medicines based on an online consultation, depending on the condition and your location).

You understand and accept there is no guarantee whatsoever that you will be issued or provided with a prescription for any medication and acknowledge that the issuing of any prescription is at the sole discretion of the Clinician, subject to the limitations applied by Wrexham ADHD Clinic Ltd policies from time to time.

In most cases, we will seek your agreement to provide medication recommendations to your local primary care service, rather than prescribing to you ourselves. This will normally save you money, as well as allowing you access to local primary care support, if required.

You accept that if we provide you with prescriptions, they will be private prescriptions unless otherwise stated during your consultation. We charge for a private prescription, and you will also incur the cost of the medicine(s) prescribed. You acknowledge this price is set independently by the pharmacy and not by Wrexham ADHD Clinic Ltd. The Patient is in no way obliged to get the prescribed medicine from a particular pharmacy.

Any prescription that you receive via Wrexham ADHD Clinic Ltd is only valid for use at legal UK pharmacies. You understand and agree that any prescriptions you acquire from us are solely for your personal use. Furthermore, you agree carefully to read all information provided to you and to follow the instructions provided, on the prescription(s) itself (the label applied by the pharmacy) or otherwise, prior to taking any of the prescribed medicines. You also hereby agree to contact your Clinician, another doctor or a pharmacist if you have any questions or do not fully understand the reasons you have been prescribed any medication or the instructions related to the medication.

Wrexham ADHD Clinic Ltd and its Clinicians are not responsible for any legal prescriptions provided to you that legal UK Pharmacies refuse to dispense. You accept that it remains an individual pharmacist’s right to refuse to fulfil any prescription and/or dispense medications when presented with a legal prescription. None of this affects your legal rights. All Controlled Drugs will be dispensed and delivered by Signature RX using recorded delivery.

Should you choose to collect your own prescribed medication and have the prescription sent to your address, we shall make reasonable effort to send a prescription acceptable to a recognised pharmacy close to your address.

Should you choose to have us send a prescription directly to a pharmacy, we will use reasonable efforts to deliver the prescription to a legal pharmacy of your choice, but we are not connected with and have no control over or responsibility for any individual pharmacy, their policies in relation to acceptance or otherwise of prescriptions, opening hours, cost or availability of medicines prescribed.

The dispensing chemists are independent of our organisation, and to the extent permitted by law, we disclaim responsibility for their acts and omissions.

We will be unable to offer a private prescription to any Patient who has not given consent to share information with their GP. This includes your consent for Wrexham ADHD Clinic Ltd to obtain a copy of your health summary.

7. Delivery of prescriptions

If you lose a prescription, or letter, a copy may be issued, subject to the prescribing Clinician agreeing to re-issue the document. There is no guarantee that a Clinician will agree to re-issue any document. In the event that the Clinician re-issues your lost prescription, or letter, you will be charged in accordance with the current cost for a copy. To request a prescription, or letter, previously issued via the system to be re-issued please contact us.

We will deliver it to the address (email or postal address) that you have provided in your account when booking. You accept that it is entirely your responsibility to ensure that the contact details you provide are accurate and up-to-date.

8. Delivery by email

The cost of delivering your prescription will be included in the Signature RX online link. The cost of letter once only, by email is included in the relevant administration fee, as shown in our Fees.

You understand and agree that documents sent by email are deemed to have been sent to you once the system marks the email containing the document as “sent”, including time and date stamping that prescription for Wrexham ADHD Clinic Ltd’s records. Such records shall be accepted by you, without question, as proof that we have sent the document and fulfilled our obligation to provide the same.

You accept that Wrexham ADHD Clinic Ltd is not responsible for the spam, junk or mail receipt prevention tactics of your email service provider/host, which may for whatever reason outside of Wrexham ADHD Clinic Ltd’s control filter emails from us away from your inbox. In such instances you understand and accept that you must take such access issues up with your email provider and not Wrexham ADHD Clinic Ltd.

If you do not contact us and inform us of an issue, we will deem documents by email to have been received by you within twenty-four (24) hours of us marking them as sent.

9. Consultations

Appointments will be arranged in advance via our website, telephone, or email correspondence.

Wrexham ADHD Clinic Ltd will advise you by email as soon as possible if it has to amend, change or cancel any consultation that you have booked.

You may be asked to show photo ID during a video consultation to enable our ADHD practitioners to confirm your identity before prescribing certain medication. ID we can accept:

• Current signed passport
• Residence permit issued by the Home Office
• EU or Swiss national identity photo-card
• Valid UK photo-card driving licence
• Valid armed or police forces photographic identity card
• Photographic disabled blue badge
• Citizen card
• Valid student ID with photograph

We may terminate our agreement with you:

• If for reasons outside our control, we are unable to provide the Services as detailed in these terms.
• If any fees or charges are not paid when due, and you still do not make payment within fourteen (14) days of us reminding you that payment is due on time.
• You do not, within a reasonable time of us asking for it, provide us with information that is necessary for us to provide the Services, for example valid contact details.
• If you breach (as determined by Wrexham ADHD Clinic Ltd) any of these Terms and Conditions.

You must compensate us if you breach these Terms and Conditions. If this happens, we may deduct from any refund due to you, or charge you, reasonable compensation for the net costs we will incur as a result of your breach. Wrexham ADHD Clinic Ltd will advise you of any termination via the contact email you have provided us with.

10. Cancellation Policy, Late arrivals, and Missed Appointments

If you have booked a session in advance via the Wrexham ADHD Clinic website, you may arrive and enter the consultation that you have booked up until ten (10) minutes after the scheduled start time of that session. Any later and you will be deemed to have missed the appointment.

Missed appointments occur when either you or a Clinician is not present in the video-consultation by the start time (as published by Wrexham ADHD Clinic Ltd on the Wrexham ADHD Clinic website) of an appointment confirmed by Wrexham ADHD Clinic Ltd. In these instances, you understand and agree that the following rules apply:

1. a) If an appointment is cancelled with more than 7 days’ notice we will provide a full refund. If an appointment is cancelled between 2 and 7 days before the appointment, a 50% fee (of the invoice total) will be payable. If an appointment is cancelled within 48 hours of appointment, the full invoice amount will be payable.
2. b) If a Missed Appointment occurs because a Clinician did not attend your appointment in time then we will refund the charge.

Any cancellations made with less than 48 hours' notice will be fully charged at 100% of the appointment fee and the patient will not be eligible for any refund.

You may cancel any booking you have made by contacting us via email or telephone. If your cancellation is successful you will receive an email from Wrexham ADHD Clinic to that effect; if you do not receive the cancellation email then you must either try again or Contact Us.

You accept that Wrexham ADHD Clinic is not responsible and will accept no liability for any costs, expenses or losses arising from your failure properly to cancel any consultation. You accept that failure to cancel an appointment may lead to you being charged a cancellation fee and/or the full fee for the appointment that you failed to cancel, subject to our sole discretion.

11. Refunds and Disruptions

If your consultation is determined by Wrexham ADHD Clinic Ltd (at its sole discretion) to have been disrupted, which terms shall include but not be limited to a Clinician ending an appointment at your request because you know them (Disrupted Consultation), Wrexham ADHD Clinic Ltd will refund the appointment.

If you think you are due a refund you must contact us as soon as possible providing details of the consultation and a full description in writing of the issue or concern you are raising.

We do not provide refunds where Wrexham ADHD Clinic Ltd is not at fault, such as in the following circumstances (which is not an exhaustive list but an indication only):

1. If you are unable to have a private prescription, legitimately and correctly provided via the Wrexham ADHD Clinic website, fulfilled and/or the associated medication dispensed at a pharmacy of your choice for whatever reason.
2. If your consultation is disrupted because of your actions, as determined by us exclusively. Where and when appropriate we will provide a refund and at our sole discretion.
3. If you have missed a booked appointment, as determined by us exclusively. In this instance you will be charged the cancellation fee as described above.
4. If a Clinician fails to attend your appointment, as determined by us exclusively, we will provide a refund.
5. If you do not receive a prescription, or referral letter, as a result of a consultation via the Wrexham ADHD Clinic website.
6. If you did not use all available minutes in any appointment that you have started.

Refunds where applicable can only be made to the card originally used to make the original booking. Xero  will aim to process your refund upon request and approval of terms immediately, however this may take up to 10 working days for the refund to appear on your

12. Circumstances beyond our control

Neither Wrexham ADHD Clinic Ltd, nor its employees or agents, shall be responsible if the supply of the Services is delayed or prevented by circumstances outside its control. If this happens, we will contact you as soon as possible to let you know and we will take steps to minimise the effect of the delay or failure. If there is a risk of substantial delay you may contact us to cancel your account and/or cancel any booked Services and receive a refund for any Services you have paid for but not received.

13. Other Limitations to our services

We cannot guarantee the availability of any of our Clinicians at any time.  If possible, we will arrange a consultation with a Clinician as soon as possible but we cannot guarantee a consultation at a particular time.

You accept that each Clinician, at its sole discretion, creates prescriptions, letters etc. based on their own professional judgement and legal obligations and that the content of such items is individual, based on information you provide us with. You must not tamper with the content of any such items. You acknowledge that there is no guarantee or warranty by Wrexham ADHD Clinic Ltd that such items will contain the content you desire(d), hope(d) for, expect(ed), were informed of, understood or believed they would contain.

Clinicians may provide different Clinical opinions on the same condition or set of symptoms. Provided that these opinions are reasonably held, the fact that two Clinicians give differing opinions on the same condition should not indicate a defective service.

We do not tolerate abuse or offensive behaviour towards Clinicians.

For any emergency care required, please contact 999 or 112. Wrexham ADHD Clinic does not provide any emergency care in relation to ADHD symptoms, ADHD medication or otherwise.

14. Our use of your personal information

We only use your personal information as detailed in our Privacy Notice. This can be found at www.adhdclinicwrexham.co.uk/privacy-notice.

Any personal information that you give to us will be processed strictly in accordance with the Data Protection Act 2018/UK GDPR (as may be amended or superseded) and all other relevant privacy legislation.

The Privacy Notice must be read in conjunction with these Terms and Conditions and adhered to.  We will endeavour to keep the Privacy Notice updated at all times and notify you of any relevant changes.

15. Complaints and Disputes

Please give us a chance to resolve any issues you may have before posting your comments on Social Media or Google.

You can give us feedback about our services by contacting us at admin@adhdclinicwrexham.co.ukor by leaving feedback about your experience of a consultation at the end of the appointment.

Please tell us about any complaints you might have as soon as possible, so we are able to resolve it promptly.

If you have a complaint, we may ask you for certain details about you and your complaint in order to address it. Please provide these as soon as possible so that we can handle your complaint quickly. 

We will investigate any complaint and keep you updated on the results of the investigation. We shall also discuss the investigation with you. 

If the subject of your complaint is to do with the professional standards or behaviour of one of our Clinicians and we are unable to satisfy you that we have dealt with it appropriately, you can report your concerns or make a complaint to the Nursing and Midwifery Council (NMC).

If any disagreement between you and us arises in connection with these terms, we will attempt to resolve it by discussing it with you.

These Terms are governed by English law. This means that any dispute or claim arising out of it will be governed by English law and the courts in England and Wales will have exclusive jurisdiction over it.

16. Notices and Disclaimers

Medical Disclaimers: Wrexham ADHD Clinic Ltd cannot be held responsible for any adverse reaction to medications or responses to diagnostic recommendations by the young person or their family. Unknown adverse medication reactions are all reported by a yellow card systerm via medicines and healthcare products regulatory agency. 

Always seek the advice of a doctor or other qualified healthcare provider regarding any medical concerns – and before starting, stopping or modifying any treatment or medication.

Content Disclaimers: No information whatsoever or howsoever found on the Wrexham ADHD Clinic website, (other than advice provided by a Clinician in a consultation) should be relied on as medical advice, professional or otherwise. 

General Disclaimers: We do not guarantee that the Wrexham ADHD Clinic website will be secure or free from bugs or viruses.

You are responsible for configuring your information technology and computer programmes in order to access the services. You should use your own virus protection software.

You are also responsible for ensuring that all persons who access the services through your internet connection are aware of and comply with these Terms and Conditions.

Wrexham ADHD Clinic Ltd makes no representations or warranties about: the satisfaction of government regulations requiring disclosure of information on prescription drug products; or any treatment, action or application or preparation of medication based on information offered or provided through the Wrexham ADHD Clinic website or services.

Wrexham ADHD Clinic Ltd does not endorse the promotions, products or services of any third parties, nor does it warrant or validate the accuracy of any third-party advertisements, promotions, communications or other materials. Wrexham ADHD Clinic Ltd does not assume any responsibility or liability for the accuracy of information contained on any third-party websites.

17. No third-party rights

Nobody else has any rights under these Terms and Conditions. No other person shall have any rights to enforce any of its terms.

18. Other terms

Other provisions explaining how we may exercise our rights under these terms.

We may transfer our rights and obligations under these terms to another organisation, but we will always notify you in writing if this happens, and this will not affect your rights under these terms.

Our services are personalised and so you may only transfer your rights or obligations to another person if we agree to it.

Only you can enforce the agreement between you and us, or a parent or a guardian may enforce the agreement on behalf of a person who is under 18.

19. Applicable law

These Terms and Conditions shall be governed by and construed in accordance with the laws of England and Wales. Any dispute arising under these Terms and Conditions shall be subject to the exclusive jurisdiction of the courts of England and Wales.

20. Severability

If a court finds part of these Terms and Conditions illegal for any reason, the rest will continue in force. Each of the clauses operates separately; if any court or relevant authority decides that any clause is unlawful, the remaining clauses will remain in full force and effect.

21. Waiver

Even if we delay in enforcing any of these Terms and Conditions, we can still enforce them later. If we do not insist immediately that you do anything you are required to do under these Terms and Conditions, or if we delay in taking steps against you in respect of your breaching these Terms and Conditions, that will not mean that you do not have to do those things and it will not prevent us taking steps against you at a later date. For example, if you miss a payment and we do not invoice you, but we continue to provide the Services, we can still require you to make the payment at a later date.

Contact Us

If you have further questions regarding these terms & conditions, please contact us via admin@ahdhclinicwrexham.co.uk.