• Bath and North East Somerset, Swindon and Wiltshire ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area has no caps on Right to Choose ADHD assessments for adults or children.

• Birmingham and Solihull ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps on Right to Choose ADHD and autism providers for adults and children, but would not share the details, saying they were commercially sensitive. Adults wait on average about 2 and a half years for a first assessment with the local NHS service.

• Black Country ›

  Capping Right to Choose
  Capping Right to Choose

  This area confirmed caps on Right to Choose ADHD providers for adults and children covering April to September 2026. When it replied in June 2026 it had not set any caps beyond September, so we are checking whether they have been renewed.

• Bristol, North Somerset and South Gloucestershire ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps on Right to Choose ADHD assessments for adults and children for 2026/27, covering 12 adult and 7 children's providers. It would not share the details, saying they were commercially sensitive.

• Central East ›

  No clear local pathway
  No clear local pathway

  The local NHS says its adult ADHD service is currently under review, and it could not give a waiting time or describe how the service works. It has no caps on assessments.

• Cheshire and Merseyside ›

  Not capping Right to ChooseLocal service closed to new referrals
  Not capping Right to Choose

  This area is still agreeing caps for adult ADHD assessment providers, and there are none for children. This is different from December 2025, when it told us adult caps had been put in place.

  Local service closed to new referrals

  The adult ADHD assessment service run by Cheshire and Wirral Partnership NHS Foundation Trust is closed to new referrals, except for military veterans and a few others. It only accepts people already under ADHD care who move here, young people leaving children's services, and medication reviews.

• Cornwall and the Isles of Scilly ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area has no caps on Right to Choose ADHD assessments, for adults or children.

• Coventry and Warwickshire ›

  Capping Right to ChooseVery long local waits
  Capping Right to Choose

  This area set caps on Right to Choose ADHD assessments for adults and children for 2025/26, as a budget for each of 7 providers, totalling about £2.8 million.

  Very long local waits

  An adult referred to the local NHS service now would wait 3 to 5 years for an ADHD assessment, and a child 5 to 10 years. About 2,400 adults and 9,100 children are waiting.

• Derby and Derbyshire ›

  Not capping Right to ChooseVery long local waits
  Not capping Right to Choose

  This area has not introduced caps and does not plan to at the moment.

  Very long local waits

  The average wait for an adult ADHD assessment is over 7 years, with 3,768 adults waiting, and adult assessments are provided through Right to Choose. For children the average wait is about 20 months, with 761 waiting.

• Devon ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area has not set caps for Right to Choose providers, for adults or children, although it earlier said caps applied from October 2025. Right to Choose waits are kept to between about 3 months and a year.

• Dorset ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area has no caps on Right to Choose ADHD assessments for adults or children. This is different from November 2025, when it told us it had caps with 11 independent providers.

• Essex ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area has no caps on Right to Choose ADHD assessments for adults or children.

• Gloucestershire ›

  Not capping Right to Choose
  Not capping Right to Choose

  In November 2025 this area told us it had no caps on Right to Choose ADHD or autism providers. In its latest answer it said the questions about caps were 'not applicable', and we have asked them to explain this.

• Greater Manchester ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps with all known Right to Choose ADHD providers, for adults and children. It would not share each provider's figures, saying they were commercially sensitive, but the total for 2025/26 was about £19 million across 24 providers.

• Hampshire and Isle of Wight ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps on Right to Choose ADHD assessments for adults and children, but would not share the details. The number of Right to Choose providers it pays has grown from 18 when the caps began in July 2025 to 26.

• Herefordshire and Worcestershire ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area has no caps on Right to Choose ADHD assessments for adults or children. Adult ADHD assessments here are provided only through Right to Choose.

• Humber and North Yorkshire ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area has no caps on Right to Choose ADHD assessments for adults or children at present, but says it is finalising caps with its largest Right to Choose providers.

• Kent and Medway ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps on Right to Choose ADHD assessments for adults and children. It would not share the details, saying they were commercially sensitive, and said it wants to set a minimum waiting time across all providers within its budget.

• Lancashire and South Cumbria ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps on Right to Choose ADHD assessments for adults, allowing about 140 new assessments a month across 16 providers. About 22,000 adults are waiting, and there are no caps for children.

• Leicester, Leicestershire and Rutland ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps on Right to Choose ADHD assessments for adults and children. New Right to Choose providers starting in 2026 are limited to £50,000 a year, and it would not share each provider's details, saying they were commercially sensitive.

• Lincolnshire ›

  Not capping Right to Choose
  Not capping Right to Choose

  When asked, this area had not agreed any caps on Right to Choose ADHD assessments for adults or children for 2026/27, but said negotiations with providers were ongoing.

• Norfolk and Suffolk ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps on Right to Choose ADHD assessments for adults and children. It would not share the details, saying they were commercially sensitive while the service is under review, but said it may share them later.

• North East and North Cumbria ›

  No clear local pathway
  No clear local pathway

  In North Cumbria there is no NHS adult ADHD service and a Right to Choose provider is used instead. Elsewhere only health professionals can refer adults, and the local NHS is finalising caps on Right to Choose assessments for 2026/27.

• North East London ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area has not finalised any caps but is exploring them. Adults can use Right to Choose for an assessment, but the local NHS says Right to Choose treatment is not funded until it has contracts with providers in place.

• Northamptonshire ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area told us it has no caps on Right to Choose ADHD assessments for adults or children.

• Nottingham and Nottinghamshire ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area said it does not directly commission Right to Choose services, so it does not hold any caps on Right to Choose ADHD providers for adults or children.

• Shropshire, Telford and Wrekin ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area told us it has no caps on Right to Choose ADHD assessments for adults or children.

• Somerset ›

  Capping Right to Choose
  Capping Right to Choose

  This area introduced caps on 13 named providers between August and October 2025. It says people can still choose their provider under Right to Choose but should consider waiting times.

• South East London ›

  Not capping Right to ChooseExtra referral checks (triage)
  Not capping Right to Choose

  This area has no caps on Right to Choose ADHD assessments for adults or children, but says it is developing them with providers.

  Extra referral checks (triage)

  All adult ADHD referrals in this area, including Right to Choose referrals, must go through a central service for extra checks against local criteria before being sent to the patient's chosen provider.

• South West London ›

  Waiting for a clear answer
  Waiting for a clear answer

  This area told us it does not hold any information on caps for Right to Choose ADHD assessments, but said it is currently contacting providers about them.

• South Yorkshire ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area told us it does not currently have any caps on Right to Choose ADHD assessments for adults or children.

• Staffordshire and Stoke-on-Trent ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area told us it has not introduced, and is not planning to introduce, caps on Right to Choose providers.

• Surrey and Sussex ›

  Not capping Right to Choose
  Not capping Right to Choose

  This area told us it has not issued caps to any ADHD providers in Sussex, for adults or children. The Right to Choose providers it works with are listed on its website.

• Thames Valley ›

  Capping Right to ChooseExtra referral checks (triage)
  Capping Right to Choose

  This area has caps with 26 adult and 11 child Right to Choose ADHD providers, allowing 5,035 adult and 540 child assessments in 2026/27. It would not share how many each provider is given, saying this was commercially sensitive.

  Extra referral checks (triage)

  Since April 2026, adults must have clear written evidence of significant daily difficulties, and be likely to benefit from treatment such as medication, to be referred for ADHD or autism assessment, including through Right to Choose. People seeking a diagnosis mainly for understanding or reassurance are excluded.

• West and North London ›

  Capping Right to Choose
  Capping Right to Choose

  This area has caps on Right to Choose ADHD assessments for adults and children. It would not share the details, saying they were commercially sensitive.

• West Yorkshire ›

  Capping Right to Choose
  Capping Right to Choose

  This area has had caps on autism and ADHD assessments with several Right to Choose providers since August 2025. It told us it is negotiating caps with all Right to Choose providers for 2026/27.

• Ayrshire and Arran ›

  Extra referral checks (triage)
  Extra referral checks (triage)

  Adults are currently only accepted for an ADHD assessment if they also have another condition or their daily life is significantly affected.

• Borders ›

  No clear local pathway
  No clear local pathway

  There is no specific NHS ADHD service for adults: adults are only assessed within general mental health services, and only if they also have another mental health condition. The local NHS could not give ADHD waiting figures.

• Dumfries and Galloway ›

  No clear local pathway
  No clear local pathway

  There is no adult ADHD service here. A local NHS report from September 2025 said new adult ADHD assessments had been stopped since the second half of 2023 because of medicine shortages and high demand, and no waiting list has been kept.

• Fife ›

  No clear local pathway
  No clear local pathway

  There is no specific adult ADHD service here. Adults are only seen within general mental health services if there is evidence of significant risk or significant disability, and the local NHS says it cannot provide figures on how many are waiting for an ADHD assessment.

• Forth Valley ›

  No clear local pathway
  No clear local pathway

  There is no dedicated adult ADHD service here. Adults can only be assessed for ADHD as part of a general mental health assessment if they meet the usual criteria for a service, and the local NHS could not say how many adults are waiting.

• Grampian ›

  Local service closed to new referrals
  Local service closed to new referrals

  Aberdeenshire is not accepting new adult ADHD referrals, Moray has no current service, and Aberdeen City is seeing adults referred in July 2022. 3,993 adults are waiting and 85 were assessed in 2025/26.

• Greater Glasgow and Clyde ›

  Extra referral checks (triage)
  Extra referral checks (triage)

  All adult ADHD referrals first go through extra checks by the local community mental health team. Adults who do not meet the criteria for specialist mental health care are put on a separate internal waiting list.

• Highland ›

  No clear local pathway
  No clear local pathway

  Outside Argyll and Bute, the local NHS cannot identify people waiting for an ADHD assessment. Adults in North Highland are on a general psychological therapies list and children on a general neurodevelopmental list, and it does not hold figures on assessments or expected waits.

• Lanarkshire ›

  Extra referral checks (triage)
  Extra referral checks (triage)

  Adults referred for an ADHD assessment go through extra checks first, and those below the thresholds for clinical need or risk are put on a waiting list. There are 3,452 adults waiting, with an average wait of 84 weeks (over 1 and a half years).

• Lothian ›

  No clear local pathway
  No clear local pathway

  The local NHS cannot give ADHD waiting numbers or wait times for adults or children. People are placed on general assessment lists that are not specific to ADHD.

• Orkney ›

  No clear local pathway
  No clear local pathway

  The adult service is still being set up, cannot give waiting times and is now assessing adults referred in November 2024. Children are assessed by children's doctors unless already seen by the child mental health service for complex mental health problems.

• Shetland ›

  Extra referral checks (triage)
  Extra referral checks (triage)

  Children are only accepted for an ADHD assessment by the local child and adolescent mental health service if they also have a mental health condition, otherwise they are sent to child health services instead. Five children were on its ADHD waiting list.

• Tayside ›

  No clear local pathway
  No clear local pathway

  Angus now favours peer support from voluntary groups over diagnosis and medication. Perth and Kinross assessed 12 adults in 2025/26 with 650 waiting, Dundee's longest wait is about 5 years, and the child mental health service only takes children who also have a mental health concern.

• Western Isles ›

  No clear local pathway
  No clear local pathway

  The local NHS is still developing its adult ADHD assessment service. Referrals come through the main mental health team and wait until staff are available, with no formal expected wait but likely over 6 months.

Right to Choose only applies in England.

• Aneurin Bevan University Health Board ›

  Very long local waits
  Very long local waits

  The local NHS is currently seeing adults referred in December 2022, a wait of about 3 and a half years, and could not estimate future waits. There are 9,180 adults waiting, and 192 assessments were completed in 2025/26.

• Betsi Cadwaladr University Health Board ›

  Waiting for a clear answer
  Waiting for a clear answer

  We are waiting for a reply from this area, so we do not have any information yet.

• Cardiff and Vale University Health Board ›

  Other information
  Other information

  Right to Choose does not apply in Wales. 2,948 adults are waiting, with a stated average wait of 3 years but about 10 and a half years at the current rate of assessments, and 2,581 children are waiting about 3 years.

• Cwm Taf Morgannwg University Health Board ›

  Very long local waits
  Very long local waits

  4,234 adults are waiting and about 490 are assessed each year, so at this rate the wait is about 8 and a half years, with the longest wait so far over 4 years. Children wait about 2 years for an assessment.

• Hywel Dda University Health Board ›

  Very long local waits
  Very long local waits

  5,529 adults are waiting for an ADHD assessment, but only 15 adults were assessed in the whole of 2025/26. The local NHS said it has focused on getting people's medication doses right, given limited clinical capacity.

• Powys Teaching Health Board ›

  Very long local waits
  Very long local waits

  1,338 adults are waiting, the longest for 3 years and 3 months, and 248 were assessed in nine months. The local NHS said it cannot say how long a new referral would wait, and only health professionals can refer.

• Swansea Bay University Health Board ›

  No clear local pathway
  No clear local pathway

  There is no dedicated adult ADHD service here, and adults referred for ADHD are seen within general adult mental health outpatient services. There is a dedicated service for children.

Right to Choose only applies in England.

• Belfast Health and Social Care Trust ›

  No clear local pathway
  No clear local pathway

  ADHD services here are not formally funded, and 4,970 adults are waiting with no estimate of when they would be seen. The children's ADHD service only assesses children over 6 who are still in primary school, and a child referred now would wait over 5 years.

• Northern Health and Social Care Trust ›

  Waiting for a clear answer
  Waiting for a clear answer

  We are waiting for a response from this area, so we do not yet have information about waits or restrictions.

• South Eastern Health and Social Care Trust ›

  No clear local pathway
  No clear local pathway

  There is no funded adult ADHD service here, so adults cannot get an ADHD assessment and no timeline can be given. Adults with other mental health problems are seen by general adult mental health services, and 85 people who turned 18 while waiting remain on the children's list.

• Southern Health and Social Care Trust ›

  No clear local pathway
  No clear local pathway

  There is no adult ADHD assessment service here because it is not funded, and no adult waiting list is kept. This area says it is working with others to design an ADHD diagnostic service.

• Western Health and Social Care Trust ›

  No clear local pathway
  No clear local pathway

  There is no funded ADHD service for adults here, so there is no adult waiting list. The only route is for people already diagnosed by local children's services and taking ADHD medication, who can move to adult services for medication checks.

Right to Choose only applies in England.