It is sometimes possible to obtain NHS funding for in-patient care at The Priory North London but it is difficult to initiate this yourself. Even when you follow the recommended route, it does not guarantee funding and if you are successful, it will not usually happen immediately. The recommended route is:
- See your GP and seek a referral for an assessment to your local mental health services or under the reforms, with a consultant team of your choice.
- Your community mental health team will then assess you and will probably want to attempt treatment locally.
- If local treatment is unsuccessful then and you have OCD or a related disorder, they may consider referral to our NHS service at the Maudlsey Hospital (out-patient service) or at the Anxiety Disorders Residential Unit at the Bethlem Royal Hospital.
- If you need in-patient care at The Priory North London and cannot be treated as an out-patient or at the residential unit at the Bethlem then your local team may seek funding from your local Clinical Commissioning Group. This does necessarily mean that funding will be successful as there many competing priorities within the NHS and they have a limited budget.
If you meet certain criteria, it is possible for adolescents or adults with OCD or BDD to obtain funding from the Highly Specialised Service for severe treatment refractory OCD and BDD. This is funded centrally by NHS England (and not your local Clinical Commissioning Group). Again you must be referred by your Community Mental Health Team.
In general, the care pathway for severe OCD for someone that requires admission with nursing care is for Springfield Hospital unless there are unusual circumstances. If you have severe OCD and nursing care is not required then you may be referred to the Anxiety Disorders Residential Unit. In general the care pathway for severe BDD that requires admission with nursing care is for Priory Hospital.
If you have severe BDD and nursing care is not required then you may be referred to the Anxiety Disorders Residential Unit. Adolescents with severe OCD and BDD, the route is first to be assessed by Dr Bruce Clark’s team at the Maudsley Hospital and they will recommend admission if necessary to the Priory.
In reality, only those with severe distress and handicap (for example at risk of suicide or being very disabled) obtain NHS funding for in-patient care. The best advice is to work with your local services and if necessary seek advice from the advocacy service at OCD Action.