NHS Right to Choose for ADHD
You have a legal right to choose your ADHD assessment provider. Here's everything you need to know to exercise that right — and what to do if your GP refuses.
Under the NHS Constitution, patients in England have the right to choose their provider for a first outpatient referral. Your GP cannot legally refuse a Right to Choose referral without a documented clinical reason.
Frequently Asked Questions
What is NHS Right to Choose for ADHD?
NHS Right to Choose (RTC) is a legal right in England that allows patients to choose their provider for their first outpatient appointment. For ADHD, this means your GP can refer you to an approved private provider at NHS cost, with no out-of-pocket expense for the assessment.
Am I eligible for NHS Right to Choose?
You are eligible if you are a registered NHS patient in England, your GP agrees you need an ADHD assessment, and the provider you choose is approved under the NHS Standard Contract. Most adults are eligible; eligibility for children varies by ICB.
How do I ask my GP for a Right to Choose referral?
At your appointment, tell your GP you would like to exercise your NHS Right to Choose and name the provider you want. Your GP is legally required to offer you a choice. If they refuse, ask them to explain in writing and escalate to your ICB if needed.
Which providers accept Right to Choose referrals?
Use our provider finder and filter by "NHS Right to Choose" to see all approved providers in your area. Approval varies by region — always confirm with the provider before booking.
Does Right to Choose cover medication titration?
The RTC referral typically covers the initial assessment. Titration and ongoing prescribing may be handled under a shared care agreement with your GP, or continued privately. This varies by provider and GP surgery.
What if my GP refuses to refer me via Right to Choose?
Your GP cannot legally refuse without good clinical reason. If refused, ask for the reason in writing, contact your ICB Patient Advice and Liaison Service (PALS), and consider making a formal complaint. ADHD UK and ADHD Action publish template letters you can use.
How to exercise your Right to Choose — step by step
- Find an approved RTC provider using our finder (filter by "NHS Right to Choose").
- Book a GP appointment and say: "I'd like to exercise my NHS Right to Choose for an ADHD assessment."
- Name the provider you've chosen. Your GP should send the referral within two weeks.
- The provider will contact you to book your assessment — at no cost to you.
- After diagnosis, discuss shared care with your GP if ongoing medication is needed.