Right to Choose: ASD & ADHD Assessment Pathways

Posted on:

In England, under the NHS, you now have a legal right to choose your mental healthcare provider, including for Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) assessments. This service, offered through the NHS, is free of charge.
Did you know that NHS patients have the legal right to select their mental healthcare provider? This important right allows you to explore alternative providers if the waiting time for an ADHD or ASD assessment is too long. Right to Choose, introduced in 2018, is still a relatively new system, and many patients may not be aware of these options.
Several clinics across the UK offer Right to Choose ADHD and/or ASD assessments. To be eligible to provide this service, clinics must also offer the same service to the NHS in England. Private-only clinics are not eligible. Checking a provider’s website is a good way to determine if they offer the services you need.
The list of clinics offering Right to Choose assessments is constantly evolving. Currently, several clinics are available, but there may be other providers worth researching as well.
ADHD & Right to Choose referralsVisit the ADHD website for more information.

ASD & Right to Choose referralsVisit the National Autistic Society website for helpful details.
It’s important to note that many clinics offering these assessments can diagnose ADHD or ASD but may not provide medication titration. This means you might need a local NHS referral if medication is required to manage symptoms.
There are certain restrictions on eligibility for Right to Choose referrals.

You are not eligible if:

– You require urgent or emergency treatment.

– You are already receiving care for the condition you are seeking an assessment for.

– The provider you choose cannot provide appropriate care for your condition.

– You are a prisoner or in specific secure settings such as a secure hospital or under the Mental Health Act.

– You are a serving member of the armed forces.
Have an open conversation with your GP about your concerns regarding ADHD or ASD. Your GP may suggest a referral for an official assessment. With waiting times for ADHD and ASD assessments in Bromley over a year, Right to Choose can offer faster alternatives, reducing the long wait for diagnosis and support.
Once you select a clinic, either you or your family (if the patient is a child) will need to research and decide which provider to choose. Your GP cannot advise on which clinic to select. After making your choice send an admin accuRx request with your selection and any relevant forms to ensure an efficient referral process. The NHS standard contract (section 7.9) dictates the use of the e-RS referral system but does not require the use of a form to accompany such a referral. Your GP will make the referral by letter but will not complete forms created by the providers.
The speed of the assessment depends on your chosen clinic and whether they offer medication titration. Generally, Right to Choose assessments can take anywhere from 12 weeks to 12 months—much quicker than the local NHS alternatives, which have waiting times of up to 7 years. If a clinic offers a diagnosis but not medication titration, you may need an additional referral for post-diagnostic support, which can take up to 24 months locally. Your GP will not initiate specialist medication and will only prescribe once the patient is stable on a dose and if the provider can meet the same standard for shared care as local NHS services.
Many patients find that a diagnosis is sufficient for obtaining additional support from schools or employers, or they may not need medication at all for managing their conditions.
Information on ADHD

AHD UKD: A charity offering free advice and information on ADHD and Right to Choose referrals

ADHD Foundation: The UK’s leading neurodiversity charity, offering services for those who live with ADHD, Autism, Dyslexia, DCD, Dyscalculia, OCD, Tourette’s Syndrome and more

NHS Website

Mind: ADHD and mental health
National Autistic Society: offer support and advise for autistic people in the UK and their families

Autism Speaks: Autism Speaks is dedicated to creating an inclusive world for all individuals with autism throughout their lifespan

NHS Website

Mind: Autism and mental health