Working in Partnership with the NHS

In Partnership with the NHS

Trusted by Commissioners and ICB

Focussing on excellence

Committed to Effective, Safe & Accountable Care

We are a CQC registered, Clinical Psychology led private mental health clinic, established in 2013.

We have been working alongside GPs, schools, local council and health insurance agencies for the last twelve years, trading as Malvern Hills Private Practice. In Autumn 2025 our ADHD pathway was rebranded into Midlands ADHD Clinic.

Midlands ADHD Clinic is owned by husband and wife team Dr Abigail Pamich and Mr Daniel Pamich, with a team of 14 professionals within the business.

Dr Abigail is a Consultant Clinical Psychologist with 20+ years experience working in mental health nationally and internationally.

Mr Daniel Pamich, is a qualified Systems Architect holding the position of I.T. and Finance Director overseeing the smooth running of the practice and infrastructure.

We offer privately funded and NHS Right to Choose ADHD assessments (adults and children) seeing patients remotely or in person at our beautiful 6-room clinic in Malvern.

Right to Choose ADHD Assessments

We are a CQC registered, Clinical Psychology led private mental health clinic, established in 2013.

We are a NHS trusted provider of ADHD Assessments & ADHD medication to the NHS. We have many years of experience in providing high quality patient-centred care to thousands of patients across the UK.

We work at both the ICB and local NHS trust level to provide solutions to a range of challenging circumstances in mental health; from individual to NHS Integrated Care Board Contracts.

Our professional team has lived experiences of neurodiversity. We draw on  these experiences to drive forward high qualify patient centred care, to the same level we would expect for our own loved ones.

Right to Choose are subject to a waitlist. To start your referral complete our Registration Form then print and take this to your GP and request they activate the referral through the NHS Electronic Referral System (e-RS).

What We Offer

We are commissioned to offer the following to patients with GPs in the Hereford and Worcestershire locality:

  • ADHD Assessments for patients aged 7 to 17.5 years (face to face)
  • ADHD Assessments for patients age 18 to 65 years (face to face or remote)
  • ADHD Medication (commencement & titration) to patients age 18 to 65 (remote)

At this point in time (Feb 26) we have capacity to offer RtC to patients with GPs in Hereford and Worcestershire. We plan to apply to all Midlands ICBs in the near future. 

Please note that there is a strict eligibility criteria for accessing Right to Choose Services. Before applying please read the following Eligibility Criteria in full.

At present our waiting list is a couple of months as our Right to choose is newly launched. Please note that patients are unable to transfer from one Right to Choose provider to another. 

Trusted by NHS Commissioners

Midlands ADHD Clinic is a trusted provider of ADHD Assessments & ADHD medication to the NHS. We have many years of experience in providing high quality patient-centred care to thousands of patients across the UK.

We work at both the ICB and local NHS trust level to provide solutions to a range of challenging circumstances in mental health; from individual to NHS Integrated Care Board Contracts.

Our professional team has lived experiences of neurodiversity. We draw on  these experiences to drive forward high qualify patient centred care, to the same level we would expect for our own loved ones.

What is Right to Choose?

The NHS Right to Choose (RTC) allows you to request to be referred to Midlands ADHD Clinic for your ADHD Assessment and treatment. The NHS will pay for the service.

You must be living in England, with a GP in England to access Right to Choose. There are two steps. Please see below.

Step 1. Register With Us

Please complete the below Registration Form. Print and take to your GP or email them the form.

Step 2. Visit Your GP

Please make an appointment with your GP to discuss your referral. Take your completed Registration Form.

If your GP is supportive, please ask them to complete a referral via the NHS Electronic Referral System (e-RS) to Midlands ADHD Clinic.

Process of Right to Choose for ADHD Assessments

To begin the Right to choose process, please firstly complete our Registration Form:

Register for NHS Right to Choose for ADHD Assessment

If the GP is in agreement that a referral is necessary, they are welcome to activate a Right to Choose Referral via the NHS Electronic Referral System (e-RS).

Each referral is reviewed and we may request further information via email. If the referral is accepted you will be sent an email confirming acceptance, with a link to start you pre-assessment questionnaires to complete.

During this period you may also be invited to attend an additional appointment for a QB check in clinic (child) or remote (adult).

When all your pre-assessment questionnaire are complete (including those from your childhood and current observers (adults) and school (children), you will then be added to our waitlist for the next available clinical interview. A member of the admin team will be in touch via when this becomes available. The interview will be booked for a three hour slot once you have confirmed the date and time is acceptable.

Commissioned by Hereford and Worcester NHS Integrated Care Board

What We Offer

We are commissioned to offer the following to patients with GPs in the Hereford and Worcestershire locality:

  • ADHD Assessments for patients aged 7 to 17.5 years (face to face)
  • ADHD Assessments for patients age 18 to 65 years (face to face or remote)
  • ADHD Medication (commencement & titration) to patients age 18 to 65 (remote)

At this point in time (Feb 26) we have capacity to offer RtC to patients with GPs in Hereford and Worcestershire. We plan to apply to all Midlands ICBs in the near future. 

Please note that there is a strict eligibility criteria for accessing Right to Choose Services. Before applying please read the following Eligibility Criteria in full.

At present our waiting list is a couple of months as our Right to choose is newly launched. Please note that patients are unable to transfer from one Right to Choose provider to another. 

What is Right to Choose?

The NHS Right to Choose (RTC) allows you to request to be referred to Midlands ADHD Clinic for your ADHD Assessment and treatment. If referred by your GP and accepted by our service, the NHS may pay for your ADHD Assessment.

You must be living in England, with a GP in England to access Right to Choose. There are two steps. Please see below.

Step 1. Register With Us

Please complete the below Registration Form. Print and take to your GP or email your GP the completed form.

Step 2. Visit Your GP

Please make an appointment with your GP to discuss your referral. Take your completed Registration Form.

If your GP is supportive, please ask them to complete a referral via the NHS Electronic Referral System (e-RS) to Midlands ADHD Clinic.

Process of Right to Choose for ADHD Assessments

To begin the Right to choose process, please firstly complete our Registration Form:

Registration Form for Adult ADHD Assessment

Registration Form for Child ADHD Assessment

If the GP is in agreement that a referral is necessary, they are welcome to activate a Right to Choose Referral via the NHS Electronic Referral System (e-RS).

Each referral is reviewed and we may request further information via email. If the referral is accepted you will be sent an email confirming acceptance, with a link to start you pre-assessment questionnaires to complete.

During this period you may also be invited to attend an additional appointment for a QB check in clinic (child) or remote (adult).

When all your pre-assessment questionnaire are complete (including those from your childhood and current observers (adults) and school (children), you will then be added to our waitlist for the next available clinical interview. A member of the admin team will be in touch via when this becomes available. The interview will be booked for a three hour slot once you have confirmed the date and time is acceptable.

 RIGHT TO CHOOSE