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Corrections log

Status: drafted · Content checked 2026-10-06

Claim-level corrections to this campaign's own October 2026 documents — the legal briefing, the observation journal and the continuity report. Originals are preserved; this overlay governs reuse.

1 · Quick understanding

An accountability campaign is only as strong as its accuracy. An independent review of three documents produced on 6 October 2026 found places where the wording went further than the evidence. They are corrected here rather than quietly edited, so anyone can see what changed and why.

Documents covered: Reinstatement & Accountability Legal Briefing v1 AUTHOR-ACCOUNT; Medication Observation Journal v2 AUTHOR-ACCOUNT; When Treatment Stops v2.

2 · The corrections

#Original claimProblemUse instead
C1Briefing N6 treats COM/46 as current policyProject records state it was replaced by an all-age policy from 14 May 2026 P3"While COM/46 was in force (to 14 May 2026)…"; obtain the replacement policy for later events
C2"CWPT discharged him on 31 December 2025 with no taper, bridge or receiving prescriber"The trust's 5 March letter records a patient-requested discharge on 11 December after a review was offered; the patient disputes the context AUTHOR-ACCOUNTShow both accounts; separate last supply, last dose, discharge request, closure and discharge letter
C3"279 days without treatment" as a factCorrect arithmetic only for an assumed start dateState the start date used and the as-of date; no live counter
C4"The only stated clinical barrier expired"The letter says medication "cannot be considered until" full cardiology checks — a prerequisite, not a promise AUTHOR-ACCOUNT"After the reported heart-check result, what remained outstanding and who owned it?"
C5"Interruption returns a person to a higher-risk state" (registry data)Those studies compare starting with not starting; they do not measure withdrawal W2W3"These findings support concern about unmet need; they do not establish the size of interruption-related harm"
C6Amfexa is "the licensed ADHD product"Its ADHD licence is for ages 6–17 after inadequate methylphenidate response; adult use is off-label W4"Off-label in adults, a specialist decision"; another ICB's agreement is not a local rule P1
C7"Restarting Elvanse adds no cardiac safety over Amfexa"A shared active drug does not prove equal safety; exposure profiles differ R10Remove; ask what current assessment shows
C8"A gap does not erase tolerance" (patient addendum)Unsupported as a clinical fact AUTHOR-ACCOUNTAccept cautious re-titration; dispute the product choice, not the pace
C9"80% gait restoration"A patient report recorded by a clinician, not a measurement AUTHOR-ACCOUNT"Patient-reported, recorded by…"
C10REQoL-20 score quoted as a validated resultInstrument and scoring not yet inspected AUTHOR-ACCOUNTHold until the completed form is attached
C11Amfexa "isomalt only"False: 10 mg also has magnesium stearate and iron oxide; 5 mg has crospovidone W4Use the full ingredient list per strength
C12"Four fills in four years is the opposite of drug-seeking"Non-collection does not rule out misuse; safe prescribing needs individual assessment AUTHOR-ACCOUNT"Dispensing records can clarify exposure"; present the 2025 episode and the plan that followed together
C13Items marked "verified" in the briefingVerified by an assistant reading the mailbox or project files, not by an independent reviewer with the primary exhibit AUTHOR-ACCOUNTLabel as "pointer — exhibit pending" until attached
C14Journal says the 5 March letter mentioned guanfacineThe supplied 5 March letter does not AUTHOR-ACCOUNTRemove or locate the source of the guanfacine statement
C15Safeguarding definition presented as establishing a dutyA definition anchors a question; statutory duties need further conditions P2"Raises the question whether…"
C16Duty-of-candour and legal deadlines stated generallyNeed individual legal application and verified datesLeave to the solicitor; mark "arguable"
C17"Their best defence / why it fails" framingPresents an incomplete record as a settled verdictReframe as "possible explanation / evidence needed / remaining question"
C18Elvanse top dose given as 280 mg in placesTrust records say 140 mg then 210 mg AUTHOR-ACCOUNTUse 210 mg, sourced to the trust record

5 · Deeper explanation

Most corrections narrow a claim rather than reverse it. Two change the story materially: C2, because the discharge is genuinely disputed; and C5, because the strongest population studies are about starting treatment, not stopping it. The strongest direct evidence on stopping in adults is a short randomised withdrawal trial showing rapid symptom relapse R1.

Uncertainty

Several corrections depend on records not yet obtained; once they arrive, some may change again.

Sources cited

  1. AUTHOR-ACCOUNT Author’s account, published with the author’s authorization (Personal account; not independently verified from public case documents)
  2. P3 NHS Coventry and Warwickshire ICB. Policy for referral and assessment for ADHD for people under 25 (COM/46), V3, approved 2 April 2025. (Supplied copy read)
  3. W2 Li L, Zhu N, Zhang L, et al. ADHD pharmacotherapy and mortality in individuals with ADHD. JAMA 2024;331(10):850–860. Sweden, n=148,578, ages 6–64. link (Abstract and key results read (PubMed); full text open access)
  4. W3 Zhang L, et al. ADHD drug treatment and risk of suicidal behaviours, substance misuse, accidental injuries, transport accidents, and criminality: emulation of target trials. BMJ 2025;390:e083658. Sweden, n=148,581. A correction to figure 2 labels was published (PMC12401081). link (Abstract read in full (PubMed))
  5. W4 Amfexa 5 mg, 10 mg and 20 mg Tablets, Summary of Product Characteristics (Medice UK). Section 4.1: ADHD in children and adolescents aged 6–17 when response to previous methylphenidate is clinically inadequate. Section 6.1 excipients: 10 mg — isomalt, magnesium stearate, yellow iron oxide; 20 mg — isomalt, magnesium stearate, red iron oxide; 5 mg — isomalt, crospovidone, magnesium stearate. link (Sections 4.1 and 6.1 checked (emc products 5004, 7403, 7404))
  6. P1 Bath and North East Somerset, Swindon and Wiltshire ICB. Shared Care Agreement: Methylphenidate, Atomoxetine, Lisdexamfetamine & Dexamfetamine (Amfexa) for ADHD – Adults. Version 3, approved April 2025. link (Full text read)
  7. R10 Pennick M. Absorption of lisdexamfetamine dimesylate and its enzymatic conversion to d-amphetamine. Neuropsychiatr Dis Treat 2010;6:317–27. (Abstract read (PubMed))
  8. P2 Coventry and Warwickshire Partnership NHS Trust. Safeguarding Adults Policy, V5.0 (ref 710). Sections 3.7 (significant harm) and 3.8 (human rights). (Supplied copy read)
  9. R1 Brams M, et al. Maintenance of efficacy of lisdexamfetamine dimesylate in adults with ADHD: randomized withdrawal design. J Clin Psychiatry 2012;73(7):977–83. Adults on lisdexamfetamine ≥6 months randomised to continue or switch to placebo for 6 weeks; n=116. (Abstract read (PubMed))