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What accommodations can help employees with ADHD? 

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Supporting employees with ADHD is not only good practice; it is a legal and clinical expectation. According to the NICE NG87 guideline (2025) and NHS England policy, adults with ADHD are protected under the Equality Act 2010, meaning employers must provide reasonable adjustments that enable fair access to work and equal opportunity. 

How accommodations help 

ADHD affects executive functions, including focus, organisation, working memory, and emotional regulation, which can make traditional work environments challenging. But with the right adjustments, most employees with ADHD can perform exceptionally well. Research published in Frontiers in Psychology (2022) confirms that ADHD-specific accommodations significantly improve productivity, reduce burnout, and enhance job satisfaction. 

NICE recommends a mix of environmental, structural, and interpersonal accommodations, such as: 

  • Flexible or hybrid working schedules 
  • Quiet or low-sensory workspaces 
  • Written and visual task instructions 
  • Regular check-ins with managers 
  • Use of digital planning tools or noise-reducing headphones 
  • Permission for movement breaks or fidget tools 
  • Access to ADHD coaching or occupational therapy 

Accessing support in the UK 

The Access to Work scheme provides government-funded support such as coaching, assistive technology, and environmental adaptations for ADHD employees. Employers can also use guidance from ACAS, which outlines how to implement adjustments and train managers in neurodiversity awareness. 

Organisations such as ADHD UK offer evidence-based toolkits, peer mentoring, and workplace advocacy to help both employees and HR teams create sustainable accommodations. Meanwhile, Mind guides balancing mental health with occupational goals, including stress management and self-advocacy at work. 

Building neuroinclusive workplaces 

Experts emphasise that effective accommodations are not one-size-fits-all; they require collaboration between the employee, occupational health, and management. Regular reviews, flexible planning, and a psychologically safe environment are key. As the NHS England ADHD Taskforce (2025) notes, awareness and education are just as important as physical adjustments: empathy and understanding reduce stigma, improve performance, and boost wellbeing. 

For many professionals, tailored support from programmes like Theara Change, which offers behavioural coaching and workplace skills support aligned with NICE guidance, can complement formal occupational adjustments, turning challenges into measurable growth. 

Takeaway 

Workplace accommodation helps bridge the gap between ADHD’s executive-function challenges and modern work demands. As NICE and NHS guidance confirm, flexible schedules, structured feedback, and coaching access can transform not just performance, but also confidence and wellbeing. Inclusive workplaces don’t just comply with the law; they help everyone thrive. 

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk
Victoria Rowe, MSc
Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk
Dr. Rebecca Fernandez, MBBS
Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.