ADHD/ASD right to choose

Adult pathway

You will need to book an appointment to further discuss a referral.

Please note we recommend using the NHS pathway, as this is the only service that we have a shared care agreement with. 

Learn more about the Adult ADHD, Autism and Tourette’s Service

If you would still like to discuss the 'right to choose' option, please look on the ADHD UK website for an up to date list of right to choose providers, and select one you would like to be referred to prior to your appointment with us. You may want to consider the accepted age range, waiting list time, location and whether they offer online assessments. It is also important you choose one that offers ongoing annual follow up if you want to consider medication.

One you have chosen your provider please look at their website and complete any forms or questionnaires they require for a referral and bring to the appointment.

If you are uncertain about any of this please do not worry, it can be discussed further in the appointment.

Child pathway

Please note we recommend using the NHS pathway, as this is the only service that we have a shared care agreement with. This referral should be made by your child's school, and does not need GP involvement, unless you have other concerns.

Learn more about Children and Young People ADHD & Asperger’s Service

If you would still like to discuss the 'right to choose' option, you will need to book an appointment to further discuss. Please look on the ADHD UK website for an up to date list of right to choose providers, and select one you would like your child to be referred to prior to your appointment with us. You may want to consider the accepted age range, waiting list time, location and whether they offer online assessments. It is also important you choose one that offers ongoing annual follow up if you want to consider medication. Please also note they will require reports from your child's school.

One you have chosen your provider please look at their website and complete any forms or questionnaires they require for a referral and bring to the appointment.
If you are uncertain about any of this please do not worry, it can be discussed further in the appointment.

Autism & ADHD Services in Northamptonshire 

This summary guide helps you to understand support options, assessment routes, and prescribing rules for autism and ADHD.

Do I Need a Diagnosis?

  • Support is based on needs, not diagnosis.
  • You don’t need a diagnosis for help at school, social care, or benefits.
  • You do need a diagnosis to be prescribed ADHD medication

Why Are Waiting Times So Long?

  • Demand for assessments has surged.
  • NHS services are expanding, but waits can be between 1–13 years nationally.
  • 500 Extra assessments are being added in Northamptonshire for 2025/26.

Support Without Diagnosis

  • Local services include: Enfold, CHAT Health, Shout, TRACK, SENDIASS, Recovery College, and many peer support groups.

Assessment Routes

  1. NHS Referral: Via GP; includes holistic assessment and prescribing.
  2. Right to Choose (RtC): Choose an NHS-approved provider; discuss with your GP the referral pathway.
    • Not all RtC providers offer prescribing, GPs may not prescribe unless a formal Shared Care Agreement is in place.
    • Right to choose is for one provider only per patient unless prescribing is referred to local services.
  3. Private Assessment: Self-funded (£500–£3,500+).
    • May not be accepted by NHS.
    • Prescribing is usually private unless reassessed by NHS

Private

  • Self Referral
  • Some Private Clinics Prescribe
  • All costs covered by the patient

Local NHS (NHFT/NGH)

  • Referral by GP or school
  • Will prescribe or some GP's may offer shared care
  • No Fee

Right to Choose

  • Discuss with GP in the first instance, must be similar to local services and commissioned by the NHS in England
  • Some prescribe, please ensure you research before making referral
  • Right to choose can only be used once, if further assistance required, it must be with the same provider or locally commissioned services

ADHD Medication

  • NHS local services starts treatment, then GPs may continue under Shared Care.
  • GPs won’t prescribe based on private diagnosis unless safety protocols are met.
  • RtC providers may prescribe if they hold NHS contracts.

Switching Between Services

  • You can move from private to NHS care, but may need reassessment.
  • NHS won’t reimburse private costs.
  • You can’t be on both NHS and RtC waiting lists at once.
Consider what you want from a diagnosis—it’s not always necessary unless medication is needed

National Support

National Autistic Society

Founded in 1962, they are the UK’s leading charity for autistic people and their families. Their goal is to help transform lives, change attitudes and create a society that works for autistic people.

Visit the National Autistic Society website

Autism Independent UK

Autism Independent UK helps to increase awareness of autism to the notice of all, together with well established and newly developed approaches in the diagnosis, assessment, education and treatment.

Visit the Autism Independent UK website

Dimensions

They support people with learning disabilities and autism to have a louder voice, choice and control in their lives.

Visit the Dimensions website

ASD Helping Hands

ASD Helping Hands will support all service users affected by an Autistic Spectrum Disorder (ASD) regardless of age or what stage of life they are at. We aim to offer guidance, practical advice and support whether you are personally affected or you are an associated family member, carer, friend or professional. We will actively champion the rights of all people affected by an ASD and aim to make a positive difference to their lives while delivering a service that is accessible, reliable and trust

Visit the ASD Helping Hands website