Right to Choose restrictions

Hi, 

I'm new here and in need of advice. I've been pretty sure for a while that I'm autistic (since my now-teenage daughter started the assessment process about six years ago) and suspect also ADHD. During an appointment with an NHS mental health person a few weeks ago, I told him this and he asked questions and did bits of the questionnaires with me and agreed it's likely. He gave me the full questionnaires to complete and send back to my GP, and told me I'd be able to get an assessment through Right to Choose. 

I've now had a response from my GP, and apparently I'm only eligible for Right to Choose if I fit certain criteria - referred by a safeguarding team, referred through legal proceedings, struggling to manage long-term physical health condition, struggling with education, or repeated loss of employment due to symptoms. And I have to provide "written evidence from a suitable authority".

Has anyone come across this before? I thought Right to Choose only depended on where you live. The only one I might fit is physical health, but I'm afraid "sometimes don't manage to take my medication" won't be enough. Are mental health difficulties likely to count if they lead to physical consequences (depression with self-harm)? I don't know what to do, and if I don't get this then it's a multiple-year waiting list.

Parents
  • Hi and welcome to the community.

    I've now had a response from my GP, and apparently I'm only eligible for Right to Choose if I fit certain criteria - referred by a safeguarding team, referred through legal proceedings, struggling to manage long-term physical health condition, struggling with education, or repeated loss of employment due to symptoms. And I have to provide "written evidence from a suitable authority".

    Very unfortunately, it seems that your GP surgery falls under an Integrated Care Board (ICB) that has imposed stricter criteria on Right to Choose referrals for autism and ADHD.

    An example of this can be seen here, at Lightwater GP Surgery, which has imposed the same restrictions that you described:

    NHS - Lightwater Surgery - Right to Choose criteria for over 25s

    This has been done at the direction of the surgery's ICB, which advised last year:

    "Right to Choose Access Criteria for Adult ADHD/Autism Diagnostic Assessments (Aged 25+)

    Due to increased demand, NHS Frimley has implemented new thresholds for Right to Choose services for adults aged 25 and over. This ensures prioritisation of urgent cases, with specific referral criteria outlined for GPs."

    Frimley ICB Primary Care Bulletin - Oct 2025

    As the NAS article in  's reply below explains, a private diagnosis is still an option, subject to affordability:

    NAS - How to request an autism assessment > can I have a private assessment?

    The same applies in respect of ADHD (but beware of the importance of checking whether your GP will be willing to enter into a shared care agreement with any given private assessment provider in respect of medication, if needed - this can otherwise leave you also paying privately for any required, ongoing medication):

    ADHD UK - Adult diagnosis pathways  

Reply
  • Hi and welcome to the community.

    I've now had a response from my GP, and apparently I'm only eligible for Right to Choose if I fit certain criteria - referred by a safeguarding team, referred through legal proceedings, struggling to manage long-term physical health condition, struggling with education, or repeated loss of employment due to symptoms. And I have to provide "written evidence from a suitable authority".

    Very unfortunately, it seems that your GP surgery falls under an Integrated Care Board (ICB) that has imposed stricter criteria on Right to Choose referrals for autism and ADHD.

    An example of this can be seen here, at Lightwater GP Surgery, which has imposed the same restrictions that you described:

    NHS - Lightwater Surgery - Right to Choose criteria for over 25s

    This has been done at the direction of the surgery's ICB, which advised last year:

    "Right to Choose Access Criteria for Adult ADHD/Autism Diagnostic Assessments (Aged 25+)

    Due to increased demand, NHS Frimley has implemented new thresholds for Right to Choose services for adults aged 25 and over. This ensures prioritisation of urgent cases, with specific referral criteria outlined for GPs."

    Frimley ICB Primary Care Bulletin - Oct 2025

    As the NAS article in  's reply below explains, a private diagnosis is still an option, subject to affordability:

    NAS - How to request an autism assessment > can I have a private assessment?

    The same applies in respect of ADHD (but beware of the importance of checking whether your GP will be willing to enter into a shared care agreement with any given private assessment provider in respect of medication, if needed - this can otherwise leave you also paying privately for any required, ongoing medication):

    ADHD UK - Adult diagnosis pathways  

Children
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