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u/Negative_Ruin_130

🙌 ADHD UK have posted a new tool helping us track the RTC changes in each local area
▲ 15 r/ADHDUK

🙌 ADHD UK have posted a new tool helping us track the RTC changes in each local area

https://adhduk.co.uk/nhs-area/

If it was there on the website already, I must have missed it, but I think its new.

Coincidental timing for me, as this week I actually started having a deep dive into this to try and be seen faster, so THANK YOU to whoever has been working on this, because the information out there right now is so vague.

Early days and obviously based on sparse info but the effort that has gone into this will help a lot of people, because the national Right to Choose info they had about waiting times is becoming less relevant as more local health boards adopt funding changes.

If anyone is unfamiliar, many local NHS authorities (Integrated Care Boards - ICBs) have introduced IAPs (Indicative Activity Plans) for the Right To Choose providers- which are effectively quotas/limits on how many patients each provider can see each year. In some cases I'm seeing evidence of them being set so low it amounts to a de facto block on referrals.

Aside from the Right to Choose issues, one interesting stat it's showing me is that in my area, Manchester, our local NHS ADHD service has been seeing less than two people per day on average. That's for the last two years that we have data for. LESS THAN TWO PATIENTS PER DAY. In those two years the amount of people waiting has roughly doubled and was already in the thousands.

The picture I'm getting (my opinion, we don't have enough facts yet) is that ADHD care isn't just lagging, struggling, or even forgotten about. I believe it's being intentionally obstructed in some areas.

The new ADHD UK tool is including advice on how to complain about this and exert pressure, something I will be trying to do as much as I can.

u/Negative_Ruin_130 — 8 hours ago
▲ 0 r/BenefitsAdviceUK

UC one off self-employed job?

I understand the UC rules if you're gainfully self-employed / minimum income floor / 12 month start-up period.

But what if you're just a regular jobseeker who did a one off job while unemployed, paid upfront on a self-employed basis?

Let's say I did a day of gardening work for a family member who paid me £200, and the next month I did a one off shift at a bar for £100. Or maybe an old-employer paid for one day's work on an ad hoc basis. None of that has changed my employment situation and I'm still in search of a full-time job, but I'm also still required to declare it (especially if it's paid by bank transfer which is traceable). Would I be penalised for this and treated as if I've started a business?

Side question- if I declared those one off jobs and they don't change my status based off that, what would happen if a few months later, I then actually did go self-employed full-time (not my first choice , I'm applying for PAYE jobs, but its common in my field to end up self-employed). Would it be backdated and be treated as if I was self-employed for longer than I was?

I ask because I have the odd opportunity for a days work here or there but I don't want to take it if it impacts me negatively once I find something proper, or while I'm relying on UC.

Tysm xx

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u/Negative_Ruin_130 — 2 days ago
▲ 1 r/ADHDUK

Will it help me to ask Right to Choose providers if they have hit their IAP limit?

If anyone is unfamiliar, many local NHS authorities (Integrated Care Boards - ICBs) have introduced IAPs (Indicative Activity Plans) for the Right To Choose providers- which are effectively quotas/limits on how many patients each provider can see each year.

Annoyingly I have put off asking for my adult ADHD referral until this year, which is right when my area, Greater Manchester, has introduced these.

Thankfully, my GP practice seem very straightforward about their ADHD process and are happy to make any referral I ask for. Unfortunately they will not offer any advice on which RTC is best or will be the shortest waiting time.

My understanding is that the IAP quota is set individually for each provider? So each provider has their own limit for the year. Please correct me if I have misunderstood.

In that case, will it help me if I contact each RTC provider individually and ask if they are over the limit yet for my area? My hunch is that some bigger providers may have received bigger allocations, or that newly opened providers may not have reached their referral limit yet, especially as the new financial year began in April.

Or have I misunderstood and is it just that if the GP is currently allowing the referral, then that is already a sign that I should be fine? Basically, do we know if the IAPs kicking in shows up before or after referral?

I know this is a relatively new issue so information is sparse, so if anyone has personal or professional experience here then any small details could help! If anyone needs advice on this for themselves I can see some basic info on IAPs here at the bottom of the page, but its not detailed https://adhduk.co.uk/right-to-choose/right-to-choose-wait-times/ and I have really had to scour for what other information there is

Tysm x

u/Negative_Ruin_130 — 2 days ago