Hunter ADHD Nurse Practitioner Pathway
The Hunter ADHD Nurse Practitioner Pathway (HANPP) has been developed to increase access to specialist ADHD care within the Hunter Region.
The model involves nurse practitioners providing clinical care to children with, or suspected of having, ADHD, overseen by consultant paediatricians, with support from other allied health practitioners and social workers.
The pathway is open to both children with a pre-existing diagnosis or those in whom a diagnosis has been suspected.
Our social worker is also be involved when required at for each family no extra cost.
All cases are discussed at our multi-disciplinary case conference with the paediatrician who is over seeing your child's clinical care.
If there are any concerns between appointments then these can be discussed with your nurse practitioner or paediatrician via a telehealth or telphone consult.
Referrals
A referral letter from the patient's GP addressed to Dr Robert Parry needs to received by our clinic before an appointment can be offerred.
In order to make sure that our clinic always provides excellent clinical care, we are selective as to which patients can be seen via this pathway.
All referrals are triaged before an appointment being offered.
Criteria:
- Age: 5 years to 16 years inclusive
- The primary reason for referral is for diagnosis or management of ADHD
- The patient does not need to have already been assessed for ADHD
Workflow
Initial Review
Review by Nurse practitioner in our clinic +/- review with our social worker as required.
Case Conference
Paediatrician, nurse practitioner, and social worker discuss your case.
Complete Assessment Questionnaires
If your child has not previously been assessed to have ADHD, we will request parents and school teachers to complete assesment questionnaires.
Case Conference
Case review prior to follow up consultation to further discuss and formulate plan.
Six Week Follow-Up
Discuss diagnosis and plan with your nurse practitioner with social worker assistance as required.
Case Conference
A case review with paediatrician, nurse practitioner and social worker. If medication is condidered as part of the treatment plan this is then prescribed via e-script by paediatrician.
Six Week Follow-Up
Review by nurse practitioner in clinic for follow up, medication dose titration as required, and social worker input as required. Telehealth consults may also be provided between these intervals as required.
Fees
The aim of this program is to provide a lower cost but more holistic method of caring for young people with ADHD.
Hunter Children’s Clinics is a privately run service so unfortunately there is an out of pocket charge to the patient.
Nurse practitioner visits will not be bulk billed, but there is a Medicare rebate available. Initial consults are billed at $450 with a medicare rebate available as per MBS item number 82216. Follow up consults are billed at $230 with a medicare rebate available as per MBS item number 82210.
There are no fees for case conferences, or telephone calls to the patient, either by the paediatrician or nurse practitioner, these are all bulk billed.
There are no patient charges for any services provided by the team social worker.
Telephone consults with either the nurse practitioner, paediatrician, or social worker are all bulk billed. Additional consults or assessments with other team members (paediatrician, psychologist, etc.) will have an additional cost.