ADHD in Kent and Medway: what people told us about waiting, support and care

A new Healthwatch report has found that people living with ADHD in Kent and Medway are facing long waits, limited support and inconsistent communication when trying to access assessment, diagnosis and ongoing care.

Drawing on the experiences of 133 residents, the report highlights how delays and gaps in support are impacting mental health, education, employment and everyday life – and where local services could make meaningful improvements

Read the full report

The full report, ADHD in Kent and Medway, explores these themes in depth and includes anonymised quotes, detailed analysis and clear recommendations for local action.
ADHD in Kent and Medway

About this report

Healthwatch Kent and Healthwatch Medway have published a new joint report exploring the lived experiences of people with ADHD across Kent and Medway, including adults, children and young people, and parents and carers.
The report brings together unsolicited feedback from 133 people with ADHD, those awaiting assessment, and families supporting loved ones. Their stories reveal how long waits, unclear processes and limited access to support are affecting wellbeing and quality of life across the area.

Why we looked at ADHD services

Demand for ADHD services has increased significantly in recent years, both locally and nationally. While national reports and taskforce recommendations outline system-wide challenges, people told us it was vital to understand how these issues are being experienced locally.
This report focuses specifically on ADHD services in Kent and Medway, highlighting where pathways

What people told us

People shared their experiences at every stage of the ADHD pathway – from first asking a GP for a referral, through long waits for assessment, to life after diagnosis and ongoing treatment.
Three clear themes emerged from the feedback:
 

1. Support and information

Many people told us they felt unsupported and poorly informed, particularly while waiting for an ADHD assessment. A lack of clear information about waiting times, what would happen next, and what support was available left some people feeling forgotten, anxious or distressed.
For some, receiving a diagnosis brought relief, validation and greater self‑understanding. However, others said diagnosis alone did not always lead to meaningful support – particularly for adults, who often reported limited help beyond medication.
Parents and carers of children and young people described mixed experiences. While some shared positive examples of compassionate and understanding care, others highlighted difficulties accessing mental health support and education‑related help without a formal diagnosis.
 

2. Long and hidden waiting times for assessment

Lengthy waits for ADHD assessments were one of the most common concerns raised. Some people reported waiting several years, describing how uncertainty, delays and lack of progress negatively affected their mental health, education, work and relationships.
People also spoke about a ‘hidden waiting list’ – delays before a referral is properly submitted, processed or accepted. Administrative issues, unclear GP processes and, in some cases, initial refusal of referrals added to already long waits.
The Right to Choose pathway had helped some people access assessments more quickly, but many said they were not told about this option and had to research and navigate the process themselves. Others felt unable to consider private assessments due to cost, raising concerns about a growing two‑tier system.
 

3. Medication and ongoing care

For those who choose to take ADHD medication, many described it as life‑changing – helping them to concentrate, manage daily tasks and improve their overall quality of life.
However, people also reported long waits to start medication after diagnosis, known as titration, as well as difficulties accessing regular medication reviews. Poor communication and issues with shared care arrangements sometimes left people without the medication they rely on, causing distress and instability.

Why this matters

ADHD can affect every part of a person’s life, including mental health, education, employment, relationships and independence. Long waits and limited support mean many people feel stuck, exhausted and unsure where to turn.
The report shows that clearer communication, better ‘waiting well’ information, stronger primary care pathways and more consistent support before and after diagnosis could make a real difference to people living with ADHD in Kent and Medway.
Healthwatch Kent and Healthwatch Medway will use these findings to engage with the NHS, commissioners and local partners, ensuring lived experience helps shape future ADHD services.

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