Introduction Attention Deficit Hyperactivity Disorder is a complex and diverse condition associated with high co-morbidities. Good outcomes require integrated multi-agency involvement with professional approach. However clinical care offered is widely varied between countries and even within the UK. NICE guidelines for ADHDconstitute an important framework to consolidate practice across the country and improve quality of care.

Aim 1) To explore the delivery of ADHD services across United Kingdom and compare with the NICE guidelines. 2) To improve ADHD service locally.

Method Professionals attending National ADHD annual conference at London in November 2013 were given out questionnaires on the day, asking about their local ADHD services. In addition, questionnaires were sent by email to Northwest BAACH members and Northwest ADHD nursing group.

Results A total of 65 responses, out of 120 were received. 52 professionals were from the National ADHD conference, 11 from the Northwest ADHD nursing group and 2 from BAACH members. The respondents were primarily community paediatricians (56%) followed by ADHD nurse specialists (15%) and child psychiatrists (12%). The highest numbers of respondents were from the South (20%), followed by the North West (18%). 81% of the respondents worked in a multidisciplinary team. ADHD nurse specialist was part of the team in 53% of the respondents. Basic parenting course was offered by 60% of respondents and specialist ADHD training course by 26%. A transitional service for young people with ADHD was established in only 17% of those who responded.

Conclusion The survey shows that ADHD services are diverse across the country with some areas showing good practice and others far from the guideline implementation. It is the responsibility of the clinicians, commissioners as well as providers to implement the NICE guidelines in their local areas in order to improve the social, educational and mental health outcome of this complex group of children and young people. Subsequent to the survey, we were able to commission an ADHD specialist nurse to improve the services locally.