Background: ADHD is a condition with wide ranging implications for children diagnosed with it, health professionals and the agencies setting benchmarks for good practice.
Aim: We set out to measure the adherence of our service to guidelines and to identify service needs.
Method: An audit of cases referred and diagnosed with ADHD during 2004–2005.
Results: The service scored well in areas of assessment and management with stimulants. Potential areas to be addressed included age of referral, differences in referrals across ethnic groups, providing psychosocial interventions coupled with medication and shared care.
Conclusion: It is possible to provide a service that adheres as closely as possible to the guidelines.