L'Aumone Surgery, Castel

Our Guernsey Clinic

We bring our multidisciplinary assessment team to Guernsey several times each year, offering the same NICE-compliant ADHD and Autism assessments we provide in Oxfordshire — without families needing to travel to the mainland.

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How our Guernsey clinic works

Our team visits the island four to five times a year to meet demand. Because clinic dates are scheduled around availability, we don't publish them in advance.

To register interest or ask about the next available clinic, email guernsey@drcassie.co.uk and our Guernsey coordinator will be in touch with current availability.

What we offer on-island

From our Guernsey base we provide multidisciplinary assessments, fully compliant with relevant NICE guidance, delivered by a paediatrician or child psychiatrist alongside a clinical psychologist or speech and language therapist.

ADHD Assessment

Multidisciplinary assessment including cognitive assessment and the QbTest. Allow approximately 3 hours face-to-face.

Autism Assessment

Comprehensive multidisciplinary assessment informed by developmental history, clinical interviews, observation and recognised tools such as ADOS-2. Allow approximately 3.5 hours.

Combined ADHD and Autism

A single coordinated neurodevelopmental assessment covering both conditions. Allow up to 5 hours face-to-face.

Medication Consultations

60-minute ADHD medication consultations and 90-minute psychiatry reviews. We can accept consultations for individuals diagnosed elsewhere, subject to review of a comprehensive diagnostic report.

Initial Call

Not sure which assessment is right? A 30-minute call with our SEN Consultant Hannah Henderson to talk through your concerns and explain the process.

Follow-up Appointments

30-minute reviews, ordinarily delivered online from our UK clinic. Face-to-face follow-ups at the Guernsey clinic may be available subject to diary capacity.

What an assessment involves

Before the assessment

  • We ask you and your child's school (and your teenager if they are over 12) to complete questionnaires
  • Our clinical team reviews any relevant reports from professionals who have seen your child, such as speech therapists or educational psychologists

During the assessment

Depending on the pathway, your child's assessment may include a combination of:

  • ADOS-2 — a play and conversation-based assessment helping us understand social communication, interaction and behaviour, used where clinically appropriate for autism assessments
  • WISC-V — exploring how your child thinks, learns and solves problems, identifying cognitive strengths and areas where support may help
  • QbTest — a computer-based assessment objectively measuring attention, impulsivity and activity levels
  • Questionnaires and developmental history from parents and teachers to build a full picture across home and school

Detailed verbal feedback is given on the day, usually to parents first, with results and a clear follow-up plan including advice about medication where appropriate.

After the assessment

  • A summary report within 1 to 2 weeks, followed by a comprehensive report within 4 to 6 weeks
  • Clear explanations, recommendations and resources to support you and your child
  • Reports can be shared with local authorities and NHS services (including CAMHS pathways) to inform support planning, and can support applications for Additional Learning Needs (ALN) provision
  • Shared Care arrangements with local GPs can be requested, subject to individual practice agreement

A typical assessment day

Approximate timings, so you know what to expect. Your clinician will confirm the plan on arrival.

Combined ADHD and Autism Assessment
9:30am – 9:45am
Settle in and go through the plan for the day
9:45am – 11:00am
ADOS-2 assessment
11:00am – 11:30am
Break, with the option to get some air or have lunch
11:30am – 1:00pm
Parents with a clinician for discussion, while your child completes a cognitive session in an adjacent room, including the QbTest. This may vary depending on your child's age
1:30pm
Feedback to parents, and to the young person too where appropriate
ADHD Assessment
9:30am – 10:15am
Discussion together about school and ADHD history taking
10:15am – 11:15am
Parents with a clinician for discussion, while your child completes a cognitive session in an adjacent room
11:15am – 11:30am
Movement break, if needed
11:30am
QbTest
11:45am – 12:00pm
Feedback to parents, and to the young person too where appropriate
Autism Assessment
9:30am – 9:45am
Settle in and go through the plan for the day
9:45am – 11:00am
ADOS-2 assessment
11:00am – 11:30am
Break, with the option to get some air or have lunch
11:30am – 1:00pm
Parents with a clinician for discussion, while your child completes a cognitive session in an adjacent room. This may vary depending on your child's age
1:30pm
Feedback to parents, and to the young person too where appropriate

Fees & Charges

The majority of our assessments are multidisciplinary, meaning two different professionals (a paediatrician and a psychologist) are involved in an in-depth formulation of your child's difficulties. All MDT assessments include a full cognitive assessment.

Guernsey fees differ from our Oxfordshire pricing. Last updated June 2026 · Fees are subject to change

Multidisciplinary Assessments
ADHD Assessment
Approximately 3 hours, includes full cognitive assessment
£2,400
ADHD Assessment (no cognitive assessment)
Approximately 2 hours
£1,850
Autism Assessment
Approximately 3.5 hours, includes full cognitive assessment
£2,925
Combined ADHD and Autism Neurodevelopmental Assessment
Approximately 5 hours, includes full cognitive assessment
£3,950
Consultations & Reviews
ADHD Medication Consultation (60 min)
A focused appointment concentrating on current concerns and treatment discussion rather than a full initial evaluation
£495
Medication Consultation / Psychiatry Review (90 min)
A comprehensive initial assessment allowing detailed review of medical and mental health history, current concerns, and treatment planning
£695
Follow-up Appointment (30 min)
£295
Initial Call — SEN Consultant (30 min)
£190
Payment & Insurance

So that we can operate consistently with our UK services, we require full payment in advance to secure all Guernsey appointments. Families are then able to reclaim costs directly from their insurer where applicable. We recognise this may differ from how you are used to accessing healthcare services, and we appreciate your understanding.

As with our UK practice, invoices are addressed directly to the patient, as the contract for services is with the family and payment responsibility therefore sits with you. While many families are able to recover costs in full or in part from their insurer, this depends on individual policies.

We kindly ask that you confirm in advance that your insurer will cover the full assessment and appointment, rather than only specific elements of the service, as we are unable to separate or invoice for individual components.

ADHD medication and follow-up

If a trial of medication is agreed following assessment, a structured follow-up schedule ensures safety, effectiveness and dose optimisation.

01

Initial follow-up (4 to 6 weeks)

An online follow-up appointment four to six weeks after starting medication.

02

Three-month review

A further review at three months to check progress and adjust where needed.

03

Ongoing six-monthly reviews

Thereafter, a six-monthly medication review in line with relevant NICE guidance and any applicable Shared Care agreement.

During the titration phase

Island Health will provide prescriptions during titration. Throughout this period the effects of the medication and any potential side effects are closely monitored by Dr Cassie & Associates rather than by your GP, and the dosage adjusted as needed. You will be responsible for the cost of the medication during this time. Prices vary between pharmacies, so it may be worth comparing costs.

Medication reviews are conducted as 30-minute online appointments. Face-to-face follow-up appointments at our Guernsey clinic may be available subject to diary capacity but cannot be guaranteed.

Planning your visit

Bring refreshments

We would recommend bringing refreshments with you, including hot drinks in flasks, snacks and lunch, as we are unfortunately unable to provide these facilities ourselves.

Siblings

We kindly request that siblings do not accompany your child to their assessment unless supervised by a grandparent or another responsible adult. Waiting space is limited and this helps us keep the clinic comfortable for everyone.

On the day

If you experience any delays or need to contact the clinic, please telephone Lucie, our Guernsey Coordinator, in the first instance on 07850 207638. If you cannot get through, please contact Imogen, Director of Operations, on 07955 281815.

Where to find us

L'Aumone Surgery
L'Aumone, Castel
Guernsey, GY5 7RU

Our Guernsey team

Dr Cassie has assembled a team of associates across a range of subspecialties. The majority of our assessments are carried out with two clinicians, as recommended by NICE.

Dr Cassie Coleman · Consultant Community Paediatrician Dr Maria Medin-Doce · Consultant Community Paediatrician Dr Dolly Agrawal · Consultant Community Paediatrician Dr Marcelina Watkinson · Clinical Psychologist Dr Jennie Chapman · Clinical Psychologist Dr Kate Stein · Consultant Child Psychiatrist Aimee Laming · Speech and Language Therapist Katie Fielding · Occupational Therapist Hannah Henderson · SEN Consultant Imogen Uttley · Director of Operations
Meet the Team

Guernsey enquiries

All Guernsey referrals and new enquiries go directly to our island coordinator.

Referrals & New Enquiries
Reception & New Enquiries
Clinic Address
L'Aumone Surgery, L'Aumone
Castel, Guernsey, GY5 7RU

Register your interest

Email our Guernsey coordinator to hear about the next available clinic.

Make an Enquiry