Here is some data that illustrates some of the work we did in April 2026.

We understand that many patients are currently seeking assessment or support for Attention Deficit Hyperactivity Disorder (ADHD).

Current NHS waiting time: ADHD assessments via the Community Mental Health Team are currently up to six years. We recognise how frustrating this can be for those waiting for a diagnosis and ongoing support.

Important information about private assessments and prescribing

• NHS GP practices are not able to prescribe ADHD medication (e.g. stimulants) following a private assessment.
• Prescribing must be managed by a Specialist NHS Mental Health ADHD service under shared-care arrangements. The waiting list is currently up to six years.
• ADHD medication requires regular specialist review and monitoring and is not covered within GP core services.
• If a prescription is issued by a private provider, patients would need to continue to pay for private prescriptions until seen by the NHS. Tylorstown Group Practice will not enter into shared-care arrangements with a private provider.

Support while you wait

We encourage anyone waiting for assessment to access self-help resources and support networks:

• Mind Cymru – ADHD Support
• ADHD UK
• NHS ADHD Resources

We will continue to update our patients if there are any changes to the referral process or prescribing arrangements. Thank you for your understanding and patience during this time.

If a test or investigation is recommended by a private provider, the private provider retains responsibility for this test. This would include x-rays, scans and blood tests as well as procedures such as an endoscopy. This is the same as the guidance applied to the rest of the NHS in Wales.

This includes responsibility for:

• Arranging the test and any medications you may need to take before or after, including pain relief. 
• Explaining what the test entails and what you need to do on the day of the test. 
• Providing you with the results and explaining what this means for your care or condition.  This may involve a letter or follow-up appointment with the specialist. 
• Arranging any follow-up required after the test including onward referral to other private or NHS services. 

It is important to consider the cost of these tests, if they are not covered by your health insurance. Please do not contact the practice to discuss the results of tests organised by practitioners outside the practice. Please contact your private provider for these results. 

 Medication

The medication GP practices can prescribe fall within strict guidance. This includes, but is not limited to, national medication licenses, NICE guidance, local protocols and the Health Board formulary. These guidelines are in addition to the prescriber's responsibility to their regulator, such as the General Medical Council, Nursing and Midwifery Council and the General Pharmaceutical Council, to ensure they are prescribing safely. This means your GP practice may not be able to take over prescribing a medication from a private provider. 

Usually when patients are seen by a private provider for a single, short-term episode of care any medication should be prescribed by them and paid for either by the patient or their medical insurance. This is because the private provider has clinical responsibility for the treatment of that particular condition. 

Where longer term treatments are recommended, medication may be added to a patients repeat prescription providing it would be available from a GP for that condition under the NHS and the GP practice team are comfortable to prescribe it. 

Examples where the practice would not be able to prescribe a medication includes: 

• Its use is restricted to hospital specialists.
• The medication is not licensed for the indication it has been given.
• Insufficient detail has been given regarding dose, duration, indication or monitoring requirements for the drug. 
• It interacts with other medications you are prescribed or is contraindicated due to your other medical conditions.
• A more cost-effective treatment is appropriate for the management of your condition. 
• The medication is available to purchase, for example from a supermarket or pharmacy. 

In every case, the private provider is responsible for providing you with enough medication until the practice can take over prescribing. This is usually considered at least 7 days. 

Some medications require particularly close monitoring to ensure patients remain safe while taking them and would only be provided by GP practices following a ‘shared care’ agreement with a hospital team. These include medications used for arthritis such as Methotrexate, and medications for ADHD. These are not available for GPs to prescribe on their formulary and require ongoing monitoring from a specialist team. If these treatments are started, they will need to continue being prescribed by the private provider until you are seen by an NHS specialist team who can continue the treatment if they feel it is appropriate for you. Unless this medication is covered by your health insurance you will need to pay for this treatment up until an NHS specialist takes over prescribing for you. 

Referrals to Other Services

If your private provider recommends you be referred to another private specialist or NHS team, they are responsible for making this onward referral and should not ask your GP practice to do this. This is the same as the guidance that applies to specialists working within the NHS. 

Request for a ‘Sicknote’

If your private provider recommends a period off work, the private provider is required to provide a sicknote that covers the entire duration of this period, as well as any extensions they recommend after this. This is the same as the guidance that applies to specialists working within the NHS.

Here is some data that illustrates some of the work we did in January 2026.

Here is some data that illustrates some of the work we did in December 2025.

Dear patients,

Please note our opening hours over the Christmas and New Year period:

🕒 Christmas Eve (Wednesday 24th December): 8am-6.30pm
🕒 Christmas Day (Thursday 25th December): Closed
🕒 Boxing Day (Friday 26th December): Closed
🕒 Monday 29th December: 8am - 6.30pm

🕒 Tuesday 30th December: 8am - 6.30pm
🕒 New Year’s Eve (Wednesday 31st December): 8am-6.30pm
🕒 New Year’s Day (Thursday 1st January): Closed
🕒 2 Jan onwards: Normal hours resume

If you need urgent medical care when we are closed, please contact NHS 111 by dialling 111. For life-threatening emergencies, call 999.

We wish all our patients a safe and happy festive season! 🎄💙

Here is some data that illustrates some of the work we did in November 2025.

Here is some data that illustrates some of the work we did in September 2025.

Here is some data that illustrates some of the work we did in August 2025.

Dear Patients,
As of May 2025, Welsh Government guidance (WHC/2025/018) confirms that Mounjaro may only be prescribed for obesity within specialist Tier 3 weight management services. Primary care practices in Wales cannot initiate new prescribing for weight loss.

GP prescribing of tirzepatide is currently limited to patients with type 2 diabetes, following treatment with metformin and additional therapies, and where HbA1c remains high. Initiations should follow NICE TA924 and relevant diabetes protocols.

Patients seeking Mounjaro for weight management may be referred to Tier 3 services under the All Wales Weight Management Pathway, subject to BMI thresholds, comorbidity criteria, and program availability. We appreciate demand is high and waitlists can be very long.

We encourage all patients to continue with dietary and physical activity support, self management programs, and formal weight management pathways. Should circumstances or national policy change, we’ll update accordingly.

Kind regards,
Tylorstown Group Practice.

Here is some data that illustrates some of the work we did in May 2025.

All adults turning 75 years old on or after 1 September 2024 until their 80th birthday will soon receive an invitation from the surgery to book for the new RSV vaccine for the respiratory virus called Respiratory Syncytial Virus (RSV).

If you have any further questions, you can visit this website https://www.gov.uk/government/collections/respiratory-syncytial-virus-rsv-vaccination-programme#guidance

Protected Learning Time – Surgery Closures

Protected learning time (PLT) is about improving patient care by providing a dedicated learning time for healthcare professions away from their busy day-to-day primary care work. PLT is also an opportunity for practice staff to address their own learning and professional development needs.

Tylorstown Group Practice will be closed from 13:00 – 18:30 on the dates below;

Thursday 18th July 2024
Thursday 12th September 2024
Thursday 14th November 2024
Thursday 23rd January 2025
Thursday 20th March 2025

The surgery will re-open at 8am on the Friday.

For Medical Emergencies that cannot wait until the surgery re-opens please call the surgery number to obtain the on call service number.