The Scottish Government is responsible for setting the overall policy direction of health services, and for working with and funding NHS Boards and local authorities to ensure they plan and deliver appropriate local services. However, it is the responsibility of local Health Boards and Health and Social Care Partnerships (HSCPs) to put in place services to meet local needs, including assessment and access to treatment and support for ADHD.

Health Boards and HSCPs are accountable for the delivery of their services locally. The Patient Rights (Scotland) Act 2011 and supporting legislation, provides a specific right for people to make complaints, raise concerns, make comments and give feedback. The Act also places a duty on NHS Boards to thoroughly investigate and respond to any concerns raised, to take improvement actions where appropriate and to share learning from feedback received. When a person has concerns about their treatment or care, this should be addressed at a local level through the NHS complaints handling procedure. When that is not possible, the Scottish Public Services Ombudsman (SPSO) is the second and final stage in the complaints process.

Scottish Government officials also engage regularly with Health Boards and HSCPs to discuss the delivery of services.