The Adult ADHD Assessment Guide
Chapter 6
Your options: NHS, Right to Choose, private
When people weigh up an NHS versus private ADHD assessment, they often do not realise there is a third route in between. There are really three ways to be assessed in England: the standard NHS pathway, NHS-funded Right to Choose, and going private. This chapter compares them honestly, so you can pick the one that fits your situation.
Three routes, side by side
Each route reaches the same destination, a thorough assessment against the same national standard. They differ in who pays, how long it tends to take, and how much choice you have over where you go.
| NHS | Right to Choose | Private | |
|---|---|---|---|
| How it works | GP refers you to your local NHS service. | GP refers you to an NHS-funded provider you choose. | You book directly with a private clinic. |
| Cost to you | Free at the point of use. | Free at the point of use, funded by the NHS. | Paid privately, at a fixed published fee. |
| Typical wait | Varies widely by area, often long. | Varies, and can be shorter than the local NHS wait. | Typically 6 to 8 weeks. |
| Choice of provider | Usually your local service only. | You choose from approved NHS-funded providers. | Any clinic you wish to approach. |
A word on waiting times
We will not quote you an NHS waiting time, because there is no honest single figure to give. Waits vary enormously from one area to the next, and they change quickly. A number we printed today could mislead you next month.
Instead, the most reliable place to check your own area is ADHD UK's Right to Choose resource, which has a postcode lookup and up-to-date, area-specific information.
Right to Choose, explained
Right to Choose is part of the NHS, not separate from it. In England, when your GP refers you, you have a legal right to choose your provider, including some independent clinics that hold an NHS contract. The assessment is still funded by the NHS, so there is no cost to you.
It is worth a conversation with your GP, who can refer you and talk through which providers are available to you.
Where a private assessment fits
Going private suits people who would rather not wait, or who want to choose exactly who assesses them. Because there is no NHS-style waiting list, the timescale is far shorter, and the appointment itself is unhurried, set aside for 2 to 3 hours rather than squeezed into a brief slot.
A private route does not replace NHS care; it sits alongside it. If you would like to see how the appointment runs, what actually happens in an assessment takes you through it.
Common questions
What is the difference between NHS and Right to Choose?
Right to Choose is still NHS-funded and free to you, but it lets you choose an approved provider rather than only your local service. Your GP makes the referral in both cases.
How long is the NHS wait for an ADHD assessment?
There is no single national figure, because waits vary widely by area and change quickly. The most reliable check is ADHD UK's Right to Choose resource, which has a postcode lookup for your area.
Does going private mean I cannot use the NHS?
No. A private assessment sits alongside NHS care, not instead of it. You keep all your usual NHS rights.
Can my GP prescribe ADHD medication after a private diagnosis?
Sometimes, through a shared care arrangement, but this is always at your GP's sole discretion and not every practice offers it. If it matters to you, speak to your GP before booking.
Download the complete guide
The Adult ADHD Assessment Guide as one ebook. Name and email only.
Get the complete guide →