Northern NSW Local Health District introduced an integrated co-management model between paediatric services and general practice to improve access to ADHD diagnosis and care for children aged 6 to18 years.
The model was co-designed with paediatricians, Healthy North Coast Primary Health Network, Aboriginal Community Controlled Health Organisations and General Practitioners (GPs). It builds on recent policy reform that allows trained GPs to prescribe ADHD medications, helping bring care closer to home while improving access and cultural safety. Since February 2025, more than 650 children with stable ADHD have moved to GP-led care with ongoing specialist oversight. The model is supported by a dedicated nurse coordinator, GP education, clinical pathways and decision-support tools to ensure consistent care.
The transition of stable patients has freed up to 750 paediatric outpatient appointments each year for diagnostic assessment and complex care. It has also reduced reliance on paediatrician-led prescribing and improved access to specialist services. Education and support have increased GP confidence and capability, allowing for timely, local care. Northern NSW GPs are participating in ADHD care at a rate three times higher than NSW overall, with activity per participating GP also 20% above the state average.
The initiative demonstrates how specialist-primary care partnerships can improve equity of access and deliver sustainable care solutions for rural and regional children.
