Right to Choose (NHS England)

For latest Right To Choose Providers waiting list information click here.


If you are based in England under the NHS you now have a legal right to choose your mental healthcare provider and your choice of mental healthcare team. This important right means that, for instance, should you decide the waiting time for your ADHD assessment is too long, then you can choose alternative providers.  The provider must supply the service to the NHS somewhere in England. The providers we are aware of are listed below and we update the list regularly.

Right to Choose within mental health is a relatively new option (since 2018) and as such, not all patients, GPs or other clinicians are aware of it and how it works. We’ve got an explanation targeted for people going through the ADHD Assessment process below.

For how Right to Choose fits into the diagnosis pathway please click here. We’ve also got a downloadable support letter for anyone who finds their GP has initially declined them.

You will also find significant amounts of information via the NHS link on NHS choices below:

Read the adult diagnosis pathway first

This is a detailed page on Right to Choose which aims to provide additional information for those that need it. To understand the context and use of Right to Choose it is important to read the Adult Diagnosis Pathway page first.

The Right to Choose System

Patients have the Right to Choose when the following conditions are met:

  • the NHS practice is in England (different rules apply for Scotland, Wales and Northern Ireland)
  • the General Practitioner has agreed to make clinically appropriate outpatient referral (Of note: The decision to make a referral is the GPs responsibility and separate from Right to Choose. Right to Choose is a patient’s right to decide where that referral is to

The above is designed to be wide ranging in its application to patient choice. However. there are certain restrictions on a patient’s Right to Choose that you should be aware of. Patients cannot use Right to Choose is they are:

  • already receiving mental health care following an elective referral for the same condition
  • referred to a service that is commissioned by a local authority, for example a drug and alcohol service (unless commissioned under a Section 75 agreement)
  • accessing urgent or emergency (crisis) care
  • accessing services delivered through a primary care contract
  • in high secure psychiatric services
  • detained under the Mental Health Act 1983
  • detained in a secure setting. This includes people in or on temporary release from prisons, courts, secure children’s homes, certain secure training centres, immigration removal centres or young offender institutions
  • serving as a member of the armed forces (family members in England have the same rights as other residents of England.

There are restrictions on who the patient can direct their care to. Patients cannot refer to just any provider. The provider must:

  • have a commissioning contract with any Clinical Commissioning Group (CCG) or NHS England for the required service
  • have the service and team led by a consultant or a mental healthcare professional

Common GP queries include:

  • does an IFR (Individual Funding Request) need to be in place? It does not
  • does the CCG need to be asked permission? It does not

For the avoidance of any doubt: It is our clear understanding, and we know of hundreds who have done so, that an ADHD Assessment falls under Right to Choose.

As a charity we are passionate about helping those with ADHD. We are aware of many long waiting lists within the NHS and therefore will direct people to Right to Choose. If you think it would help, we are also happy to mediate and advocate for those patients where their Right to Choose is being discussed. If you would like to get in touch please contact us.

Right to Choose Providers – ADHD Assessments

We are aware of the following Right to Choose providers. If you are aware of any more then please let us know. To be notified of new providers as we learn about them please join our mailing list.

Accepting new referrals:

ADHD 360 provide both Right to Choose and Private ADHD Assessments. They started providing their Right to Choose service in mid-2021.

April 2024 Update: They are open for Right to Choose bookings. We are being told the wait is the following:

  • Private adult assessments: 7 days
  • Private child assessments: 3 weeks
  • NHS: 2 weeks (contracted activity)
  • Right to Choose (RTC): 11-14 weeks


Dr J and Colleagues provide both Right to Choose and Private ADHD and Autism Assessments. They are a small provider and tell us that means they can work through the funding provision from the NHS particularly quickly.

April 2024 Update: We are currently accepting Right to Choose bookings for both ADHD and ASD assessments and treatments, with an estimated waiting time of 8 to 12 weeks for either service.


Dr J logo

ProblemShared is a practitioner-led, CQC-regulated online mind health provider, working with a community of expert practitioners to broaden access to the highest quality care for people across the UK.  Their assessments are strength-based and person-centred, and they are the only right to choose provider to offer a neurodevelopmental service that includes psychoeducation workshops as part of their post-diagnostic care.

Under Right to Choose, ProblemShared offers:


  • ADHD and autism assessments for adults aged 18+. Our current wait list times for both pathways are 10 weeks.  

Post-diagnostic care including: 

  • Group psychoeducation workshops, which are a space for newly diagnosed clients to learn more about their diagnosis. 

  • ADHD medication where appropriate. 

ProblemShared’s digital referral process is quick and efficient for both you and your GPs to use. They also provide a downloadable GP letter.  For referral information please visit: Right To Choose England ( 

April 2024 Update: Their wait time is estimated to be 10 weeks.


(As of February 2024)

Clinical Partners provide both Right to Choose and Private ADHD and Autism Assessments.

It is important to note that Clinical Partners provide an ADHD Assessment Service but they do not offer a medication titration service.

This is, therefore a great fit for individuals who want an ADHD Assessment but know that medication isn’t something they want to pursue.

To those thinking about the option for an Assessment with Clinical Partners and tirtration/medication elsewhere you need to be aware that we are not aware of any NHS Right to Choose providers, or private providers, who offer a titration only service. We only know of providers who require undertaking their own Assessment prior to offering titration as an option.

April 2024 Update: For patients who submitted new referrals after January 1st, 2024, the current waiting period remains approximately 30 weeks, roughly equivalent to seven months. Patients whose referrals were received before this date can expect to hear from us shortly with further information.

 For children and young people’s ADHD assessments, we are not currently accepting new referrals.  We ask that anyone with an existing referral contacts us directly on [email protected] or 0203 761 7029 for more information.  


For up-to-date waiting time information, please contact 020 3761 7029, or email

We do not currently offer medication titration. However, this is something we’re looking at introducing in the future

Clinical Partners

Sept 2023


Psicon offers Right to Choose Autism and ADHD assessments as well as ADHD treatment for children and young people aged 6-18yrs.  Psicon do not currently provide right to choose assessments for adults. Right to Choose UK | NHS Referral Process | Psicon

March 2024 Update:

Children and Young People (Under 18 years):

Wait times are always subject to change due to demand, but the current wait for an assessment is approximately 6-9 months.

  • Autism assessment: Assessments available for children aged 3 to 18 years within 6-9 months. They offer in-person assessments in Canterbury, Kent. They can accept referrals from anywhere in England if families are willing to travel.  They do not provide online only autism assessments.
  • ADHD assessment & treatment (titration): Available for children aged 6-18 years within 6-9 months.  Assessments are available in person in Canterbury, Kent or online if the child/young person is deemed to be clinically suitable following triage.

Visit for more information.

Psicon logo May be the largest provider of right to choose ADHD assessments in the UK. Their assessments are predominately done by video call, which has become common place since the start of the pandemic.  Psychiatry UK provide details on Right To Choose, including a downloadable letter to give your GP, here.

April 2024 Update: The current wait list for diagnosis for new adult patients is estimated to be over 18 months. If you opt for medication, then there is a secondary queue that is estimated to be over 6 months although this is subject to change due to the ongoing medication shortages.

Evolve Psychology have two clinics based in Harrogate, North Yorkshire and Huddersfield, West Yorkshire. They offer Right To Choose assessments for ADHD and Autism (or both as a combined neurodevelopmental assessment) for children/ young people up to the age of 19 who are in education. They do not have a Right to choose service for adults (although they do have a private adult service for ADHD and Autism Services). They can accept referrals England-wide.  They prefer face to face assessments, but might be able to offer online assessments depending on individual circumstances if the team feel it would be appropriate.

April 2024 Update: They are at 24-month waiting times. Due to high demand, they are only able to take referrals for 0-19 year old but do take private and Insurance referrals for adults.


Paused or stopped taking new referrals:

Axia ASD are based in Chester and offer local physical and England-wide virtual assessment options under Right to Choose for adults only, and Private for adults and children. For Right To Choose, they provide diagnosis but do not take on medication or titration process, so it’s important to check with your GP or local mental health clinic that they can support the medication process if required.

July 2023 Update: As per their website, ADHD assessments are no longer offered since end of December 2021, only ASD for the time being. 

Healios is an online platform that focusses on children and young people assessments.

As of December 2021: while Healios did offer Right to Choose ADHD assessments for a few months this year, the service is no longer available, but they do still offer Private assessments.

In the event of a GP initially declining your Right to Choose

The vast majority of GPs understand Right to Choose and appreciate the need for many patients to use it to bypass long NHS waiting lists (we are campaigning against those). Within ADHD UK we’ve heard countless stories of GPs helping their patients with it and are grateful to them for doing so. In a very small number of cases we know of GPs initially refusing to allow a patient their Right to Choose. In the majority of these cases it has been due to a slight misunderstanding and not appreciating it was a patient right. To help people in that situation we have a downloadable letter for you to give your GP.

gp support letter