The NHS waiting list for ADHD assessment is 3 to 7 years.
Most patients are only told about one of their options.
Under NHS law, you could be seen in weeks instead. This pack gives you the exact tools to make it happen: the right letter, the right evidence, and the right words for when your GP pushes back.
Note on paused ICBs
As of 2026, over 8 NHS areas have paused Right to Choose bookings due to budget caps. This does not mean you cannot get a referral. Document 1 in this pack explains exactly what to do if your area is paused, including how to get your place in the queue before funding restarts.
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Already have the Switch Pack?
The Switch Pack covers elective care (hip replacements, cardiology, orthopaedics, etc.). This pack covers ADHD and autism assessments. Different pathways, different rights, different providers. If you need both, you get them here separately.
What's inside: 9 documents
ICB Status Guide
Before you speak to your GP, find out whether your area is open or paused. Includes a step-by-step guide to checking each major provider's status for your specific ICB, and what to do if your area is paused.
GP Referral Letter: ADHD
A complete referral request letter citing the NHS Constitution Right 6a, your ASRS-v1.1 score, and your childhood and current symptoms. Fill in your details and hand it to your GP.
GP Referral Letter: Autism
A parallel letter for autism assessment referrals, citing NICE CG142 and the AQ-10 screening score. Covers combined ADHD and autism requests too.
Evidence Checklist
Exactly what to complete, print, and bring to your GP appointment. Covers ASRS-v1.1, AQ-10, childhood evidence, and your impact statement. Patients who come prepared get referred.
Conversation Script
Word-for-word responses to every common GP objection: 'We don't do Right to Choose here', 'You seem fine to me', 'Try the local list first', and more. Know what to say before you walk in.
Provider Guide
A rundown of the 22 major Right to Choose providers: who they see (adults, children, combined), which ICBs they work with, and the five questions to ask before your GP sends the referral.
GP Refusal Escalation Letter
If your GP refuses without a clinical reason, this formal written complaint goes to the surgery and, if needed, to your ICB PALS team. GPs are far less likely to refuse once they know it will be in writing.
What Happens Next Guide
What the assessment involves, what your report will contain, and a plain-English explanation of what shared care means, what it requires, and how to find a provider with shared care already in place in your area.
Your Rights Summary
A one-page factual summary of what you can and cannot demand under NHS law. What GPs must do, what ICBs can and cannot restrict, and who to contact if things go wrong.
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Common questions
Written by Dr Oluwatosin Taiwo, NHS GP Partner, MBBS, MRCGP. Member of the Royal College of General Practitioners.
This pack provides factual legal and procedural information. It does not constitute medical advice or a doctor-patient relationship. Clinical decisions should always involve your own doctor.
Right to Choose applies in England only. Content is accurate as of June 2026 and reflects the NHS Standard Contract (2025 update). Policy changes rapidly; always verify current provider status before requesting a referral.