At Harley Street ADHD, we provide high-quality, independent medicolegal psychiatric assessments and expert witness reports for use in legal and tribunal settings.
Our consultant psychiatrists specialise in ADHD, Autism, and a wide range of adult mental health conditions such as depression, PTSD, schizophrenia and personality disorders.
We can be instructed by solicitors, barristers, courts, employers, local authorities, case managers, and private individuals. We support on a with a wide variety of matters, with particular expertise in: immigration, housing, employment, mental capacity, as well as matters relating to the Equality Act. Our reports are designed to support fair, informed, and person-centred decisions.
What is a medicolegal report?
A medicolegal report is a structured, expert-written document that presents a psychiatric opinion relevant to a legal question. It is based on a clinical assessment, review of background records, and, where appropriate, information from other professionals.
Our reports provide:
- Diagnostic clarity for conditions such as ADHD, autism, anxiety, depression, PTSD, and more
- Insight into how a condition affects day-to-day functioning, behaviour, or decision-making
- Recommendations for support, treatment, or reasonable adjustments
- Responses to specific legal questions (e.g. fitness to plead, capacity to consent, impact on occupational performance)
All reports are written in a clear, accessible format and comply with Part 35 of the Civil Procedure Rules, where applicable.
Types of cases we support
We provide medicolegal reports for a range of legal and occupational contexts involving adults, including:
- Employment law – the role of psychiatric or neurodevelopmental conditions in disciplinary matters or discrimination under the Equality Act 2010
- Personal injury – evaluation of psychological trauma, functional impairment, or delayed diagnosis
- Educational tribunals (adult learners and post-16 settings) – diagnostic and functional assessments to support access to education or training
- Immigration matters – expert reports supporting asylum claims or visa applications, including trauma and PTSD assessments
- Mental Capacity – e.g., Court of Protection matters and anything relating to Mental Capacity Act
The Mental Capacity Act 2005
The Mental Capacity Act (MCA) 2005 provides the legal framework for determining whether an adult can make specific decisions. Our psychiatrists carry out formal capacity assessments in line with MCA principles, commonly addressing:
- Capacity to make decisions about care, finances, or legal representation
- Capacity to consent to treatment or engage with legal processes
- Fluctuating capacity in the context of mental illness or neurodevelopmental conditions
All assessments include a structured clinical rationale and are clearly aligned with legal criteria.
The Equality Act 2010
The Equality Act 2010 protects individuals from discrimination based on disability, including long-term mental health conditions and neurodevelopmental differences such as ADHD and autism.
Our psychiatric reports can:
- Confirm whether a condition meets the legal definition of a disability
- Provide a functional analysis of how it impacts work, education, or everyday life
- Recommend reasonable adjustments to ensure fair access and compliance with the law
These reports are often used in employment tribunals, occupational health disputes, and education access cases.
Our approach
Each medicolegal assessment is conducted with professionalism, sensitivity, and clinical rigour. Our consultant psychiatrists are:
- GMC-registered with expertise in adult ADHD, autism, general psychiatry and older adult psychiatry
- Trained in medicolegal report writing
- Committed to delivering independent, objective assessments tailored to the legal context
Please note, urgent instructions are accepted on a case-by-case basis.
Fees and timescales
We provide transparent quotes based on the complexity and scope of the assessment. Each quote includes:
- Psychiatric assessment
- Review of relevant documentation
- Report preparation
- Optional case discussion or court attendance (if required)
Reports are typically delivered within 2–4 weeks, depending on the nature of the case. Expedited assessments may be available by prior arrangement.
