Right to Choose · England

Right to Choose changes and restrictions

Which NHS areas in England are limiting Right to Choose for ADHD and autism assessments, and what that means for you. From our own Freedom of Information requests to every area.

Where things stand

Capping

14 of 36

areas in England are capping Right to Choose. They set a yearly limit on how many assessments each provider is paid to do.

See the capping areas

Not capping

18 of 36

areas told us they have no caps in place. Some of these still have other problems, such as very long local waits.

See areas not capping

Other restrictions

areas have other limits we know of: extra referral checks, closed local services or no clear local pathway.

4 areas have not given us a clear answer on caps.

See areas with other restrictions

Area by area

Every NHS area in England, for adults and for children: whether it caps Right to Choose, how long its own NHS waiting list is, and what Right to Choose providers have told us about taking people from there. From our Freedom of Information requests and from the providers. Where we have no figures, we say so.

231,786

adults waiting for a local NHS ADHD assessment. Figures from 24 of 36 areas.

108,202

children waiting for a local NHS ADHD assessment. Figures from 25 of 36 areas.

times a provider told us adults in a capping area now wait a year or more.

times a provider told us children in a capping area now wait a year or more.

Local NHS ADHD waiting lists: estimated time to clear

In 13 of the 24 areas with adult figures, the adult list would take more than 10 years to clear at last year's pace. For children it would take a year or more in 22 of 25.

Each name is one NHS area: select it to see its row. Red names are also capping Right to Choose for that age group. Time to clear = people waiting ÷ people assessed last year; it is not your personal wait.

AdultsNo figures supplied: 12 areas

Northamptonshire: ~39 weeks
Shropshire, Telford and Wrekin: ~39 weeks
Thames Valley: ~32 weeks, capping Right to Choose
West and North London: ~3 weeks, capping Right to Choose

Under 1 year4 areas

None

1 to 5 years0 areas

Leicester, Leicestershire and Rutland: ~9 years, capping Right to Choose
Cheshire and Merseyside: ~9 years
South Yorkshire: ~8 years
Birmingham and Solihull: ~7 years, capping Right to Choose
Central East: ~7 years
Lancashire and South Cumbria: ~6 years, capping Right to Choose
North East London: ~6 years

5 to 10 years7 areas

West Yorkshire: ~20 years, capping Right to Choose
South West London: ~19 years
Gloucestershire: ~15 years
Nottingham and Nottinghamshire: ~11 years

10 to 20 years4 areas

Norfolk and Suffolk: ~68 years, capping Right to Choose
Essex: ~55 years
Cornwall and the Isles of Scilly: ~45 years
North East and North Cumbria: ~35 years
Surrey and Sussex: ~32 years
Staffordshire and Stoke-on-Trent: ~32 years
South East London: ~24 years
Greater Manchester: ~24 years, capping Right to Choose
Black Country: ~21 years, capping Right to Choose

20 years or more9 areas

ChildrenNo figures supplied: 11 areas

Birmingham and Solihull: ~25 weeks, capping Right to Choose
Hampshire and Isle of Wight: ~16 weeks, capping Right to Choose
West and North London: ~4 weeks, capping Right to Choose

Under 1 year3 areas

Essex: ~7 years

5 to 10 years1 area

Cornwall and the Isles of Scilly: ~12 years

10 to 20 years1 area

None

20 years or more0 areas

Every area

Find an area

Caps apply to

Sort by

Provider key:Under 3 months3 to 12 monthsA year or moreNot taking referralsNo area reply

Adults: 32 providers offer adult ADHD assessment. Children: 14 offer child ADHD assessment.

Showing 36 areas

Right to Choose caps, local NHS waiting lists and provider replies for each NHS area in England, for adults and children
NHS area	Age group	Caps on Right to Choose	Local NHS waiting list	Right to Choose providers here

Norfolk and Suffolk	Adults	Capping Told us Jun 2026	~68 years to clear 3,936 adults waiting	10 of 32 providers gave area information 4 under 3 months · 2 3 to 12 months · 3 a year or more · 1 not taking referrals 10 of 32 providers gave area information: 4 under 3 months, 2 3 to 12 months, 3 a year or more, 1 not taking referrals.
Norfolk and Suffolk	Children · Norfolk and Suffolk	Capping Told us Jun 2026	No figures supplied	3 of 14 providers gave area information 2 under 3 months · 1 a year or more 3 of 14 providers gave area information: 2 under 3 months, 0 3 to 12 months, 1 a year or more, 0 not taking referrals.
What Norfolk and Suffolk told us Capping Right to Choose · adults and children 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. Told us 2 June 2026 · Read their reply (PDF) Go to the Norfolk and Suffolk page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 3,936 waiting · ~68 years to clear Right to Choose providers 10 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (4) MentalwellUnder 2 weeks ProblemShared6 weeks Clinical Partners9 weeks Montrose Health Group12 weeks 3 to 12 months (2) Harley Street Mental Health20 weeks ADHD 36050 weeks A year or more (3) Berkeley Psychiatrists52 weeks Psicon52 weeks Psychiatry-UK52 weeks Not taking referrals from this area (1) Xyla ServicesNot accepting Children Local NHS waiting list No figures supplied Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (2) Harley Street Mental Health2 weeks Montrose Health Group12 weeks A year or more (1) Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Greater Manchester	Adults	Capping Told us Jul 2026	~24 years to clear 14,139 adults waiting	13 of 32 providers gave area information 3 under 3 months · 1 3 to 12 months · 5 a year or more · 4 not taking referrals 13 of 32 providers gave area information: 3 under 3 months, 1 3 to 12 months, 5 a year or more, 4 not taking referrals.
Greater Manchester	Children · Greater Manchester	Capping Told us Jul 2026	~1.0 years to clear 1,048 children waiting	3 of 14 providers gave area information 1 under 3 months · 2 a year or more 3 of 14 providers gave area information: 1 under 3 months, 0 3 to 12 months, 2 a year or more, 0 not taking referrals.
What Greater Manchester told us Capping Right to Choose · adults and children 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. Told us 23 July 2026 · Read their reply (PDF) Go to the Greater Manchester page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 14,139 waiting · ~24 years to clear Right to Choose providers 13 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (3) Noodle (formerly Care ADHD)Under 2 weeks ProblemShared6 weeks Montrose Health Group8 weeks 3 to 12 months (1) Berkeley Psychiatrists44 weeks A year or more (5) Harley Street Mental Health52 weeks Psicon52 weeks Psychiatry-UK52 weeks ADHD 36082 weeks Insight Diagnostics108 weeks Not taking referrals from this area (4) Clinical PartnersPaused Medinet Minds (previously HealthHarmonie Minds)Not accepting MentalwellNot accepting Xyla ServicesNot accepting Children Local NHS waiting list 1,048 waiting · ~1.0 years to clear Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (1) Montrose Health Group8 weeks A year or more (2) Harley Street Mental Health52 weeks Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Black Country	Adults	Capping Told us Jun 2026	~21 years to clear 8,597 adults waiting	12 of 32 providers gave area information 5 under 3 months · 4 3 to 12 months · 2 a year or more · 1 not taking referrals 12 of 32 providers gave area information: 5 under 3 months, 4 3 to 12 months, 2 a year or more, 1 not taking referrals.
Black Country	Children · Black Country	Capping Told us Jun 2026	~4 years to clear 961 children waiting	3 of 14 providers gave area information 1 under 3 months · 1 3 to 12 months · 1 a year or more 3 of 14 providers gave area information: 1 under 3 months, 1 3 to 12 months, 1 a year or more, 0 not taking referrals.
What Black Country told us Capping Right to Choose · adults and children 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. Told us 19 June 2026 · Read their reply (PDF) Go to the Black Country page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 8,597 waiting · ~21 years to clear Right to Choose providers 12 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (5) MentalwellUnder 2 weeks ProblemShared6 weeks Clinical Partners9 weeks Elixir Medics10 weeks Insight Diagnostics12 weeks 3 to 12 months (4) Montrose Health Group14 weeks Harley Street Mental Health20 weeks ADHD 36033 weeks Berkeley Psychiatrists44 weeks A year or more (2) Psicon52 weeks Psychiatry-UK52 weeks Not taking referrals from this area (1) Medinet Minds (previously HealthHarmonie Minds)Not accepting Children Local NHS waiting list 961 waiting · ~4 years to clear Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (1) Harley Street Mental Health2 weeks 3 to 12 months (1) Montrose Health Group14 weeks A year or more (1) Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

West Yorkshire	Adults	Capping Told us May 2026	~20 years to clear 13,572 adults waiting	12 of 32 providers gave area information 2 under 3 months · 8 a year or more · 2 not taking referrals 12 of 32 providers gave area information: 2 under 3 months, 0 3 to 12 months, 8 a year or more, 2 not taking referrals.
West Yorkshire	Children · West Yorkshire	Capping Told us May 2026	~3 years to clear 5,429 children waiting	4 of 14 providers gave area information 4 a year or more 4 of 14 providers gave area information: 0 under 3 months, 0 3 to 12 months, 4 a year or more, 0 not taking referrals.
What West Yorkshire told us Capping Right to Choose · adults and children 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. Told us 29 May 2026 · Read their reply (PDF) Go to the West Yorkshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 13,572 waiting · ~20 years to clear Right to Choose providers 12 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (2) Noodle (formerly Care ADHD)Under 2 weeks ProblemShared6 weeks A year or more (8) Psicon52 weeks Psychiatry-UK52 weeks ADHD 360104 weeks Berkeley Psychiatrists104 weeks Clinical Partners104 weeks Harley Street Mental Health104 weeks Mentalwell104 weeks Montrose Health Group104 weeks Not taking referrals from this area (2) Elixir MedicsNot accepting Xyla ServicesNot accepting Children Local NHS waiting list 5,429 waiting · ~3 years to clear Right to Choose providers 4 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. A year or more (4) Psicon52 weeks Harley Street Mental Health104 weeks Montrose Health Group104 weeks Paloma Health104 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Leicester, Leicestershire and Rutland	Adults	Capping Told us May 2026	~9 years to clear 9,808 adults waiting	10 of 32 providers gave area information 3 under 3 months · 1 3 to 12 months · 4 a year or more · 2 not taking referrals 10 of 32 providers gave area information: 3 under 3 months, 1 3 to 12 months, 4 a year or more, 2 not taking referrals.
Leicester, Leicestershire and Rutland	Children · Leicester, Leicestershire and Rutland	Capping Told us May 2026	No figures supplied	3 of 14 providers gave area information 2 under 3 months · 1 a year or more 3 of 14 providers gave area information: 2 under 3 months, 0 3 to 12 months, 1 a year or more, 0 not taking referrals.
What Leicester, Leicestershire and Rutland told us Capping Right to Choose · adults and children 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. Told us 19 May 2026 · Read their reply (PDF) Go to the Leicester, Leicestershire and Rutland page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 9,808 waiting · ~9 years to clear Right to Choose providers 10 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (3) Harley Street Mental HealthUnder 2 weeks ProblemShared6 weeks Montrose Health Group8 weeks 3 to 12 months (1) Psychiatry-UK20 weeks A year or more (4) Psicon52 weeks ADHD 36078 weeks Mentalwell80 weeks Berkeley Psychiatrists88 weeks Not taking referrals from this area (2) Clinical PartnersPaused Xyla ServicesNot accepting Children Local NHS waiting list No figures supplied Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (2) Harley Street Mental Health2 weeks Montrose Health Group8 weeks A year or more (1) Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Birmingham and Solihull	Adults	Capping Told us Jun 2026	~7 years to clear 8,840 adults waiting	9 of 32 providers gave area information 5 under 3 months · 3 a year or more · 1 not taking referrals 9 of 32 providers gave area information: 5 under 3 months, 0 3 to 12 months, 3 a year or more, 1 not taking referrals.
Birmingham and Solihull	Children · Birmingham and Solihull	Capping Told us Jun 2026	~25 weeks to clear 1,369 children waiting	4 of 14 providers gave area information 2 under 3 months · 1 3 to 12 months · 1 a year or more 4 of 14 providers gave area information: 2 under 3 months, 1 3 to 12 months, 1 a year or more, 0 not taking referrals.
What Birmingham and Solihull told us Capping Right to Choose · adults and children 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. Told us 5 June 2026 · Read their reply (PDF) Go to the Birmingham and Solihull page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 8,840 waiting · ~7 years to clear Right to Choose providers 9 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (5) Harley Street Mental HealthUnder 2 weeks MentalwellUnder 2 weeks ProblemShared6 weeks Montrose Health Group8 weeks Clinical Partners9 weeks A year or more (3) Psicon52 weeks Psychiatry-UK52 weeks ADHD 36070 weeks Not taking referrals from this area (1) Insight DiagnosticsNot accepting Children Local NHS waiting list 1,369 waiting · ~25 weeks to clear Right to Choose providers 4 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (2) Harley Street Mental Health2 weeks Montrose Health Group8 weeks 3 to 12 months (1) Paloma Health24 weeks A year or more (1) Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Lancashire and South Cumbria	Adults	Capping Told us May 2026	~6 years to clear 22,066 adults waiting	10 of 32 providers gave area information 3 under 3 months · 1 3 to 12 months · 6 a year or more 10 of 32 providers gave area information: 3 under 3 months, 1 3 to 12 months, 6 a year or more, 0 not taking referrals.
Lancashire and South Cumbria	Children · Lancashire and South Cumbria	No caps reported Caps here cover adults only Told us May 2026	~2.1 years to clear 5,307 children waiting	Usual national waits No caps reported for children
What Lancashire and South Cumbria told us Capping Right to Choose · adults 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. Told us 26 May 2026 · Read their reply (PDF) Go to the Lancashire and South Cumbria page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 22,066 waiting · ~6 years to clear Right to Choose providers 10 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (3) Harley Street Mental Health2 weeks ProblemShared6 weeks Montrose Health Group8 weeks 3 to 12 months (1) Mentalwell46 weeks A year or more (6) Clinical Partners52 weeks Noodle (formerly Care ADHD)52 weeks Psicon52 weeks Psychiatry-UK52 weeks ADHD 360104 weeks Berkeley Psychiatrists104 weeks Children Local NHS waiting list 5,307 waiting · ~2.1 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Thames Valley	Adults	CappingExtra referral checks (triage) Told us Aug 2026	~32 weeks to clear 7,845 adults waiting	12 of 32 providers gave area information 3 under 3 months · 1 3 to 12 months · 5 a year or more · 3 not taking referrals 12 of 32 providers gave area information: 3 under 3 months, 1 3 to 12 months, 5 a year or more, 3 not taking referrals.
Thames Valley	Children · Thames Valley	Capping Told us Aug 2026	~4 years to clear 14,865 children waiting	3 of 14 providers gave area information 1 under 3 months · 1 3 to 12 months · 1 a year or more 3 of 14 providers gave area information: 1 under 3 months, 1 3 to 12 months, 1 a year or more, 0 not taking referrals.
What Thames Valley told us Capping Right to Choose · adults and children 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. Told us 7 August 2026 · Read their reply (PDF) Extra referral checks (triage) · adults 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. Told us 11 June 2026 · Read their reply (PDF) Go to the Thames Valley page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 7,845 waiting · ~32 weeks to clear Right to Choose providers 12 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (3) ProblemShared6 weeks Montrose Health Group8 weeks Clinical Partners9 weeks 3 to 12 months (1) Harley Street Mental Health24 weeks A year or more (5) Psicon52 weeks Psychiatry-UK52 weeks Mentalwell91 weeks ADHD 360104 weeks Berkeley Psychiatrists208 weeks Not taking referrals from this area (3) Elixir MedicsNot accepting Insight DiagnosticsNot accepting Xyla ServicesNot accepting Children Local NHS waiting list 14,865 waiting · ~4 years to clear Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (1) Montrose Health Group8 weeks 3 to 12 months (1) Harley Street Mental Health24 weeks A year or more (1) Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

West and North London	Adults	Capping Told us Jul 2026	~3 weeks to clear 45 adults waiting	9 of 32 providers gave area information 3 under 3 months · 1 3 to 12 months · 5 a year or more 9 of 32 providers gave area information: 3 under 3 months, 1 3 to 12 months, 5 a year or more, 0 not taking referrals.
West and North London	Children · West and North London	Capping Told us Jul 2026	~4 weeks to clear 457 children waiting	3 of 14 providers gave area information 1 under 3 months · 2 a year or more 3 of 14 providers gave area information: 1 under 3 months, 0 3 to 12 months, 2 a year or more, 0 not taking referrals.
What West and North London told us Capping Right to Choose · adults and children 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. Told us 22 July 2026 · Read their reply (PDF) Go to the West and North London page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 45 waiting · ~3 weeks to clear Right to Choose providers 9 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (3) ProblemShared6 weeks Montrose Health Group8 weeks Clinical Partners9 weeks 3 to 12 months (1) ADHD 36030 weeks A year or more (5) Harley Street Mental Health52 weeks Psicon52 weeks Psychiatry-UK52 weeks Mentalwell104 weeks Berkeley Psychiatrists150 weeks Children Local NHS waiting list 457 waiting · ~4 weeks to clear Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (1) Montrose Health Group8 weeks A year or more (2) Harley Street Mental Health52 weeks Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Bristol, North Somerset and South Gloucestershire	Adults	Capping Told us Jun 2026	No figures supplied	10 of 32 providers gave area information 6 under 3 months · 2 3 to 12 months · 2 a year or more 10 of 32 providers gave area information: 6 under 3 months, 2 3 to 12 months, 2 a year or more, 0 not taking referrals.
Bristol, North Somerset and South Gloucestershire	Children · Bristol, North Somerset and South Gloucestershire	Capping Told us Jun 2026	No figures supplied	4 of 14 providers gave area information 2 under 3 months · 1 3 to 12 months · 1 a year or more 4 of 14 providers gave area information: 2 under 3 months, 1 3 to 12 months, 1 a year or more, 0 not taking referrals.
What Bristol, North Somerset and South Gloucestershire told us Capping Right to Choose · adults and children 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. Told us 26 June 2026 · Read their reply (PDF) Go to the Bristol, North Somerset and South Gloucestershire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers 10 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (6) Harley Street Mental HealthUnder 2 weeks MentalwellUnder 2 weeks ADHD Certify4 weeks ProblemShared6 weeks Montrose Health Group8 weeks Clinical Partners9 weeks 3 to 12 months (2) Psychiatry-UK20 weeks Berkeley Psychiatrists34 weeks A year or more (2) Psicon52 weeks ADHD 360104 weeks Children Local NHS waiting list No figures supplied Right to Choose providers 4 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (2) Harley Street Mental Health2 weeks Montrose Health Group8 weeks 3 to 12 months (1) Paloma Health14 weeks A year or more (1) Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Coventry and Warwickshire	Adults	CappingVery long local waits Told us Jun 2026	No figures supplied	8 of 32 providers gave area information 5 under 3 months · 2 3 to 12 months · 1 a year or more 8 of 32 providers gave area information: 5 under 3 months, 2 3 to 12 months, 1 a year or more, 0 not taking referrals.
Coventry and Warwickshire	Children · Coventry and Warwickshire	CappingVery long local waits Told us Jun 2026	No figures supplied	3 of 14 providers gave area information 2 under 3 months · 1 a year or more 3 of 14 providers gave area information: 2 under 3 months, 0 3 to 12 months, 1 a year or more, 0 not taking referrals.
What Coventry and Warwickshire told us Capping Right to Choose · adults and children 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. Told us 3 June 2026 · Read their reply (PDF) Very long local waits · adults and children 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. Told us 3 June 2026 · Read their reply (PDF) Go to the Coventry and Warwickshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers 8 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (5) Harley Street Mental HealthUnder 2 weeks MentalwellUnder 2 weeks ProblemShared6 weeks Montrose Health Group8 weeks Clinical Partners9 weeks 3 to 12 months (2) Psychiatry-UK20 weeks ADHD 36035 weeks A year or more (1) Psicon52 weeks Children Local NHS waiting list No figures supplied Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (2) Harley Street Mental Health2 weeks Montrose Health Group8 weeks A year or more (1) Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Hampshire and Isle of Wight	Adults	Capping Told us May 2026	No figures supplied	12 of 32 providers gave area information 3 under 3 months · 6 a year or more · 3 not taking referrals 12 of 32 providers gave area information: 3 under 3 months, 0 3 to 12 months, 6 a year or more, 3 not taking referrals.
Hampshire and Isle of Wight	Children · Hampshire and Isle of Wight	Capping Told us May 2026	~16 weeks to clear 343 children waiting	3 of 14 providers gave area information 1 under 3 months · 2 a year or more 3 of 14 providers gave area information: 1 under 3 months, 0 3 to 12 months, 2 a year or more, 0 not taking referrals.
What Hampshire and Isle of Wight told us Capping Right to Choose · adults and children 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. Told us 26 May 2026 · Read their reply (PDF) Go to the Hampshire and Isle of Wight page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers 12 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (3) Noodle (formerly Care ADHD)Under 2 weeks ProblemShared6 weeks Montrose Health Group8 weeks A year or more (6) Harley Street Mental Health52 weeks Psicon52 weeks Psychiatry-UK52 weeks ADHD 360104 weeks Berkeley Psychiatrists104 weeks Insight Diagnostics108 weeks Not taking referrals from this area (3) Clinical PartnersPaused MentalwellNot accepting Xyla ServicesNot accepting Children Local NHS waiting list 343 waiting · ~16 weeks to clear Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (1) Montrose Health Group8 weeks A year or more (2) Harley Street Mental Health52 weeks Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Kent and Medway	Adults	Capping Told us May 2026	No figures supplied	11 of 32 providers gave area information 3 under 3 months · 1 3 to 12 months · 6 a year or more · 1 not taking referrals 11 of 32 providers gave area information: 3 under 3 months, 1 3 to 12 months, 6 a year or more, 1 not taking referrals.
Kent and Medway	Children · Kent and Medway	Capping Told us May 2026	~2.0 years to clear 7,077 children waiting	3 of 14 providers gave area information 1 under 3 months · 2 a year or more 3 of 14 providers gave area information: 1 under 3 months, 0 3 to 12 months, 2 a year or more, 0 not taking referrals.
What Kent and Medway told us Capping Right to Choose · adults and children 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. Told us 26 May 2026 · Read their reply (PDF) Go to the Kent and Medway page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers 11 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (3) ProblemShared6 weeks Montrose Health Group7 weeks Clinical Partners9 weeks 3 to 12 months (1) Insight Diagnostics42 weeks A year or more (6) Harley Street Mental Health52 weeks Psicon52 weeks Psychiatry-UK52 weeks ADHD 36056 weeks Sinclair Strong104 weeks Berkeley Psychiatrists120 weeks Not taking referrals from this area (1) Xyla ServicesNot accepting Children Local NHS waiting list 7,077 waiting · ~2.0 years to clear Right to Choose providers 3 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (1) Montrose Health Group8 weeks A year or more (2) Harley Street Mental Health52 weeks Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Somerset	Adults	Capping Told us Dec 2025	No figures supplied	9 of 32 providers gave area information 4 under 3 months · 3 a year or more · 2 not taking referrals 9 of 32 providers gave area information: 4 under 3 months, 0 3 to 12 months, 3 a year or more, 2 not taking referrals.
Somerset	Children · Somerset	Capping Told us Dec 2025	No figures supplied	2 of 14 providers gave area information 1 under 3 months · 1 a year or more 2 of 14 providers gave area information: 1 under 3 months, 0 3 to 12 months, 1 a year or more, 0 not taking referrals.
What Somerset told us Capping Right to Choose · adults and children 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. Told us 4 December 2025 · Read their reply (PDF) Go to the Somerset page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers 9 of 32 providers of adult ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (4) MentalwellUnder 2 weeks Noodle (formerly Care ADHD)Under 2 weeks ProblemShared6 weeks Montrose Health Group8 weeks A year or more (3) Psicon52 weeks Psychiatry-UK52 weeks ADHD 36068 weeks Not taking referrals from this area (2) Clinical PartnersPaused Xyla ServicesNot accepting Children Local NHS waiting list No figures supplied Right to Choose providers 2 of 14 providers of child ADHD assessments gave area information. Outlined marks mean no area-specific reply, not that a provider is unavailable. Under 3 months (1) Montrose Health Group8 weeks A year or more (1) Psicon52 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

North East and North Cumbria	Adults	No clear answerNo clear local pathway Told us Jun 2026	~35 years to clear 24,267 adults waiting	Not known yet Ask the provider before you are referred
North East and North Cumbria	Children · North East and North Cumbria	No clear answer Told us Jun 2026	~2.9 years to clear 6,778 children waiting	Not known yet Ask the provider before you are referred
What North East and North Cumbria told us No clear local pathway · adults 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. Told us 2 June 2026 · Read their reply (PDF) Go to the North East and North Cumbria page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 24,267 waiting · ~35 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks A year or more (3) ADHD 36078 weeks Berkeley Psychiatrists78 weeks Psychiatry-UK78 weeks Children Local NHS waiting list 6,778 waiting · ~2.9 years to clear Right to Choose providers Not known yet. Ask the provider before you are referred. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

South West London	Adults	No clear answer Told us Jun 2026	~19 years to clear 9,700 adults waiting	Not known yet Ask the provider before you are referred
South West London	Children · South West London	No clear answer Told us Jun 2026	~4 years to clear 3,392 children waiting	Not known yet Ask the provider before you are referred
What South West London told us Waiting for a clear answer · adults and children 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. Told us 2 June 2026 · Read their reply (PDF) Go to the South West London page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 9,700 waiting · ~19 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (1) ProblemShared6 weeks 3 to 12 months (1) Psychiatry-UK20 weeks A year or more (2) Berkeley Psychiatrists52 weeks ADHD 36062 weeks Not taking referrals from this area (1) Clinical PartnersPaused Children Local NHS waiting list 3,392 waiting · ~4 years to clear Right to Choose providers Not known yet. Ask the provider before you are referred. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Cheshire and Merseyside	Adults	No clear answerLocal service closed to new referralsOther information Told us Jun 2026	~9 years to clear 6,714 adults waiting	Not known yet Ask the provider before you are referred
Cheshire and Merseyside	Children · Cheshire and Merseyside	No clear answerOther information Told us Jun 2026	~1.3 years to clear 11,136 children waiting	Not known yet Ask the provider before you are referred
What Cheshire and Merseyside told us Local service closed to new referrals · adults 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. Told us 23 June 2026 · Read their reply (PDF) Other information · adults and children This area told us in June 2026 that it is still agreeing limits on how many adults Right to Choose providers can assess. There are no such limits for children. Told us 3 June 2026 · Read their reply (PDF) Go to the Cheshire and Merseyside page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 6,714 waiting · ~9 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (1) ADHD 36030 weeks A year or more (1) Psychiatry-UK52 weeks Children Local NHS waiting list 11,136 waiting · ~1.3 years to clear Right to Choose providers Not known yet. Ask the provider before you are referred. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Central East	Adults	No clear answerNo clear local pathway Told us Jun 2026	~7 years to clear 15,239 adults waiting	Not known yet Ask the provider before you are referred
Central East	Children · Central East	No clear answer Told us Jun 2026	~1.2 years to clear 11,158 children waiting	Not known yet Ask the provider before you are referred
What Central East told us No clear local pathway · adults 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. Told us 1 June 2026 · Read their reply (PDF) Go to the Central East page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 15,239 waiting · ~7 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (1) Psychiatry-UK20 weeks A year or more (1) ADHD 36052 weeks Children Local NHS waiting list 11,158 waiting · ~1.2 years to clear Right to Choose providers Not known yet. Ask the provider before you are referred. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Essex	Adults	Not capping Told us Jun 2026	~55 years to clear 18,252 adults waiting	Usual national waits No caps reported
Essex	Children · Essex	Not capping Told us Jun 2026	~7 years to clear 5,898 children waiting	Usual national waits No caps reported
What Essex told us Not capping Right to Choose · adults and children This area has no caps on Right to Choose ADHD assessments for adults or children. Told us 3 June 2026 · Read their reply (PDF) Go to the Essex page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 18,252 waiting · ~55 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (3) Psychiatry-UK20 weeks Berkeley Psychiatrists28 weeks ADHD 36033 weeks Children Local NHS waiting list 5,898 waiting · ~7 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Cornwall and the Isles of Scilly	Adults	Not capping Told us May 2026	~45 years to clear 3,131 adults waiting	Usual national waits No caps reported
Cornwall and the Isles of Scilly	Children · Cornwall and the Isles of Scilly	Not capping Told us May 2026	~12 years to clear 3,516 children waiting	Usual national waits No caps reported
What Cornwall and the Isles of Scilly told us Not capping Right to Choose · adults and children This area has no caps on Right to Choose ADHD assessments, for adults or children. Told us 18 May 2026 · Read their reply (PDF) Go to the Cornwall and the Isles of Scilly page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 3,131 waiting · ~45 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (3) ProblemShared6 weeks Clinical Partners9 weeks ADHD 36011 weeks 3 to 12 months (1) Psychiatry-UK20 weeks Children Local NHS waiting list 3,516 waiting · ~12 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Surrey and Sussex	Adults	Not capping Told us May 2026	~32 years to clear 13,212 adults waiting	Usual national waits No caps reported
Surrey and Sussex	Children · Surrey and Sussex	Not capping Told us May 2026	No figures supplied	Usual national waits No caps reported
What Surrey and Sussex told us Not capping Right to Choose · adults and children 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. Told us 26 May 2026 · Read their reply (PDF) Go to the Surrey and Sussex page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 13,212 waiting · ~32 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks A year or more (2) Psychiatry-UK52 weeks ADHD 360104 weeks Children Local NHS waiting list No figures supplied Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Staffordshire and Stoke-on-Trent	Adults	Not capping Told us Nov 2025	~32 years to clear 9,135 adults waiting	Usual national waits No caps reported
Staffordshire and Stoke-on-Trent	Children · Staffordshire and Stoke-on-Trent	Not capping Told us Nov 2025	~3 years to clear 842 children waiting	Usual national waits No caps reported
What Staffordshire and Stoke-on-Trent told us Not capping Right to Choose · adults and children This area told us it has not introduced, and is not planning to introduce, caps on Right to Choose providers. Told us 14 November 2025 · Read their reply (PDF) Go to the Staffordshire and Stoke-on-Trent page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 9,135 waiting · ~32 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) Psychiatry-UK20 weeks ADHD 36025 weeks Children Local NHS waiting list 842 waiting · ~3 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

South East London	Adults	Not cappingExtra referral checks (triage) Told us May 2026	~24 years to clear 5,476 adults waiting	Usual national waits No caps reported
South East London	Children · South East London	Not capping Told us May 2026	~2.9 years to clear 2,365 children waiting	Usual national waits No caps reported
What South East London told us Extra referral checks (triage) · adults 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. Told us 26 May 2026 · Read their reply (PDF) Not capping Right to Choose · adults and children This area has no caps on Right to Choose ADHD assessments for adults or children, but says it is developing them with providers. Told us 26 May 2026 · Read their reply (PDF) Go to the South East London page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 5,476 waiting · ~24 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) Psychiatry-UK20 weeks ADHD 36029 weeks Children Local NHS waiting list 2,365 waiting · ~2.9 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Gloucestershire	Adults	Not capping Told us May 2026	~15 years to clear 2,411 adults waiting	Usual national waits No caps reported
Gloucestershire	Children · Gloucestershire	Not capping Told us May 2026	~1.4 years to clear 623 children waiting	Usual national waits No caps reported
What Gloucestershire told us Not capping Right to Choose · adults and children 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. Told us 28 May 2026 · Read their reply (PDF) Go to the Gloucestershire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 2,411 waiting · ~15 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) Psychiatry-UK20 weeks ADHD 36021 weeks Children Local NHS waiting list 623 waiting · ~1.4 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Nottingham and Nottinghamshire	Adults	Not capping Told us May 2026	~11 years to clear 5,499 adults waiting	Usual national waits No caps reported
Nottingham and Nottinghamshire	Children · Nottingham and Nottinghamshire	Not capping Told us May 2026	~2.7 years to clear 2,521 children waiting	Usual national waits No caps reported
What Nottingham and Nottinghamshire told us Not capping Right to Choose · adults and children 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. Told us 29 May 2026 · Read their reply (PDF) Go to the Nottingham and Nottinghamshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 5,499 waiting · ~11 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) ADHD 36014 weeks Psychiatry-UK20 weeks Children Local NHS waiting list 2,521 waiting · ~2.7 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

South Yorkshire	Adults	Not capping Told us May 2026	~8 years to clear 19,348 adults waiting	Usual national waits No caps reported
South Yorkshire	Children · South Yorkshire	Not capping Told us May 2026	~4 years to clear 14,199 children waiting	Usual national waits No caps reported
What South Yorkshire told us Not capping Right to Choose · adults and children This area told us it does not currently have any caps on Right to Choose ADHD assessments for adults or children. Told us 29 May 2026 · Read their reply (PDF) Go to the South Yorkshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 19,348 waiting · ~8 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (3) Psychiatry-UK20 weeks ADHD 36030 weeks Berkeley Psychiatrists32 weeks Children Local NHS waiting list 14,199 waiting · ~4 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

North East London	Adults	Not capping Told us Jun 2026	~6 years to clear 6,863 adults waiting	Usual national waits No caps reported
North East London	Children · North East London	Not capping Told us Jun 2026	No figures supplied	Usual national waits No caps reported
What North East London told us Not capping Right to Choose · adults and children 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. Told us 4 June 2026 · Read their reply (PDF) Go to the North East London page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 6,863 waiting · ~6 years to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) ADHD 36013 weeks Psychiatry-UK20 weeks Children Local NHS waiting list No figures supplied Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Northamptonshire	Adults	Not capping Told us May 2026	~39 weeks to clear 1,104 adults waiting	Usual national waits No caps reported
Northamptonshire	Children · Northamptonshire	Not capping Told us May 2026	~4 years to clear 1,256 children waiting	Usual national waits No caps reported
What Northamptonshire told us Not capping Right to Choose · adults and children This area told us it has no caps on Right to Choose ADHD assessments for adults or children. Told us 22 May 2026 · Read their reply (PDF) Go to the Northamptonshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 1,104 waiting · ~39 weeks to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) ADHD 36019 weeks Psychiatry-UK20 weeks Children Local NHS waiting list 1,256 waiting · ~4 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Shropshire, Telford and Wrekin	Adults	Not capping Told us Jul 2026	~39 weeks to clear 2,587 adults waiting	Usual national waits No caps reported
Shropshire, Telford and Wrekin	Children · Shropshire, Telford and Wrekin	Not capping Told us Jul 2026	No figures supplied	Usual national waits No caps reported
What Shropshire, Telford and Wrekin told us Not capping Right to Choose · adults and children This area told us it has no caps on Right to Choose ADHD assessments for adults or children. Told us 6 July 2026 · Read their reply (PDF) Go to the Shropshire, Telford and Wrekin page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list 2,587 waiting · ~39 weeks to clear Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) ADHD 36017 weeks Psychiatry-UK20 weeks Children Local NHS waiting list No figures supplied Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Bath and North East Somerset, Swindon and Wiltshire	Adults	Not capping Told us Jun 2026	No figures supplied	Usual national waits No caps reported
Bath and North East Somerset, Swindon and Wiltshire	Children · Bath and North East Somerset, Swindon and Wiltshire	Not capping Told us Jun 2026	No figures supplied	Usual national waits No caps reported
What Bath and North East Somerset, Swindon and Wiltshire told us Not capping Right to Choose · adults and children This area has no caps on Right to Choose ADHD assessments for adults or children. Told us 12 June 2026 · Read their reply (PDF) Go to the Bath and North East Somerset, Swindon and Wiltshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) ADHD 36015 weeks Psychiatry-UK20 weeks Children Local NHS waiting list No figures supplied Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Derby and Derbyshire	Adults	Not cappingVery long local waits Told us May 2026	No figures supplied	Usual national waits No caps reported
Derby and Derbyshire	Children · Derby and Derbyshire	Not cappingVery long local waits Told us May 2026	~1.9 years to clear 1,859 children waiting	Usual national waits No caps reported
What Derby and Derbyshire told us Very long local waits · adults and children 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. Told us 7 May 2026 · Read their reply (PDF) Not capping Right to Choose · adults and children This area has not introduced caps and does not plan to at the moment. Told us 17 December 2025 · Read their reply (PDF) Go to the Derby and Derbyshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) ADHD 36018 weeks Psychiatry-UK20 weeks Children Local NHS waiting list 1,859 waiting · ~1.9 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Devon	Adults	Not capping Told us Jun 2026	No figures supplied	Usual national waits No caps reported
Devon	Children · Devon	Not capping Told us Jun 2026	~1.4 years to clear 875 children waiting	Usual national waits No caps reported
What Devon told us Not capping Right to Choose · adults and children 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. Told us 1 June 2026 · Read their reply (PDF) Go to the Devon page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (1) Psychiatry-UK20 weeks A year or more (1) ADHD 36052 weeks Children Local NHS waiting list 875 waiting · ~1.4 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Dorset	Adults	Not capping Told us May 2026	No figures supplied	Usual national waits No caps reported
Dorset	Children · Dorset	Not capping Told us May 2026	No figures supplied	Usual national waits No caps reported
What Dorset told us Not capping Right to Choose · adults and children 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. Told us 27 May 2026 · Read their reply (PDF) Go to the Dorset page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) Psychiatry-UK20 weeks ADHD 36043 weeks Children Local NHS waiting list No figures supplied Right to Choose providers These providers told us something different for this area. The others' usual waits apply. 3 to 12 months (1) Paloma Health14 weeks "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Herefordshire and Worcestershire	Adults	Not capping Told us Jun 2026	No figures supplied	Usual national waits No caps reported
Herefordshire and Worcestershire	Children · Herefordshire and Worcestershire	Not capping Told us Jun 2026	~1.6 years to clear 1,900 children waiting	Usual national waits No caps reported
What Herefordshire and Worcestershire told us Not capping Right to Choose · adults and children 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. Told us 3 June 2026 · Read their reply (PDF) Go to the Herefordshire and Worcestershire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) Psychiatry-UK20 weeks ADHD 36030 weeks Children Local NHS waiting list 1,900 waiting · ~1.6 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Humber and North Yorkshire	Adults	Not capping Told us Jun 2026	No figures supplied	Usual national waits No caps reported
Humber and North Yorkshire	Children · Humber and North Yorkshire	Not capping Told us Jun 2026	~3 years to clear 3,028 children waiting	Usual national waits No caps reported
What Humber and North Yorkshire told us Not capping Right to Choose · adults and children 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. Told us 15 June 2026 · Read their reply (PDF) Go to the Humber and North Yorkshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (2) ProblemShared6 weeks Clinical Partners9 weeks 3 to 12 months (2) Psychiatry-UK20 weeks ADHD 36025 weeks Children Local NHS waiting list 3,028 waiting · ~3 years to clear Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Lincolnshire	Adults	Not capping Told us Jul 2026	No figures supplied	Usual national waits No caps reported
Lincolnshire	Children · Lincolnshire	Not capping Told us Jul 2026	No figures supplied	Usual national waits No caps reported
What Lincolnshire told us Not capping Right to Choose · adults and children 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. Told us 31 July 2026 · Read their reply (PDF) Go to the Lincolnshire page › Local services, every provider's wait for this area, and letters to your ICB and MP. Adults Local NHS waiting list No figures supplied Right to Choose providers These providers told us something different for this area. The others' usual waits apply. Under 3 months (3) ProblemShared6 weeks Berkeley Psychiatrists8 weeks Clinical Partners9 weeks 3 to 12 months (2) ADHD 36014 weeks Psychiatry-UK20 weeks Children Local NHS waiting list No figures supplied Right to Choose providers No caps reported for children, so providers' usual waits apply. See every provider's wait. "To clear" = people waiting ÷ people assessed in the last year. A rough guide to the list, not anyone's personal wait.

Right to Choose applies in England only. Scotland, Wales and Northern Ireland: see all NHS areas.

What a cap means for you

The caps are called Indicative Activity Plans. They are agreements between your local NHS area and each provider about how many assessments the NHS will pay for in a financial year (April to March).

You still have the right to choose

A cap does not remove your legal right. Your GP can still refer you to a Right to Choose provider. What changes is how quickly that provider can see you.

Waits can jump when a cap is reached

Once a provider has done its allowed number of assessments for your area, new assessments may wait until the next financial year. A wait quoted as weeks can become months.

Each provider has its own cap

Caps differ between providers, so another provider may still have space this year. Our provider waiting times show who reports short waits.

Ask before you are referred

Ask the provider whether they can see someone from your area this year, and how long you would actually wait. If you are already under a provider's care, ask how the plan affects your follow-up appointments.

What has changed nationally

2026/27

New national payment guidance

NHS England's ADHD and autism payment guidance for 2026/27 sets guide prices for assessments (for example £850 for a face-to-face adult ADHD assessment and £700 online). It says ADHD and autism diagnoses from independent providers, including Right to Choose providers, should be accepted by NHS services that start medication, and that GPs should explain which providers are available.

NHS England guidance (PDF)

Since summer 2025

Local areas started capping

From mid-2025 many local NHS areas began setting Indicative Activity Plans for Right to Choose providers, citing the NHS Standard Contract. Our Freedom of Information requests track which areas have done this and what they told us.

Early 2025

Our campaign against the national change

NHS England consulted on changing the NHS Payment Scheme so local areas could control Right to Choose activity. More than 12,000 people emailed their MP through our campaign, and NHS England changed its plans after the consultation. The fight for proper NHS ADHD care continues.

What you can do

Check your area

See local waits, Right to Choose providers and any restrictions where you live.

Find your NHS area

Write to your ICB and MP

Each area page has letter templates where they are ready. A short personal letter carries weight.

Go to your area page

Get updates

We email when caps, waits or national rules change.

Join our mailing list

Tell us about a cap

Been told a provider has hit its limit for your area? Use the "Share information" form on your area page so we can check it.

Go to your area page

How we work: we send Freedom of Information requests to every NHS area and to the NHS services they use, and record what they tell us. Dates show when each answer was given. Back to Right to Choose

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