The Right to Choose for Autism and ADHD Assessments
Under the NHS Right to Choose, families in England have the legal right to choose which service carries out an assessment when a GP makes a referral for certain conditions, including autism and ADHD. This means you can ask your GP to refer your child to an approved independent provider that has an NHS contract, rather than waiting for your local NHS service.
Many families are now choosing this option because local NHS waiting lists for developmental assessments have become very long. However, as more families use the Right to Choose route, some of these independent providers also now have waiting lists — though they are often shorter than local NHS ones.
Choosing your provider can help your child be seen more quickly and by a team experienced in neurodevelopmental assessments, which can lead to earlier understanding, support and intervention.
How to Start the Right to Choose Process
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Speak to your GP – Tell your GP that you would like to use your Right to Choose for an autism or ADHD assessment. Your GP will need to make the referral, so it’s helpful to say which provider you’d like to use.
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Choose a provider – You can search online for NHS-approved Right to Choose providers for autism and ADHD assessments (for example, Clinical Partners or Psychiatry UK). Check that they offer services for children and that they hold an NHS contract.
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Provide information – Your GP may ask for background details such as school reports or observations. This helps the provider understand your child’s needs.
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Referral and waiting time – Once the referral is sent, the provider will contact you directly to confirm receipt and give you an estimated waiting time.
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Assessment and follow-up – After the assessment, the provider will share a report with you, your GP and sometimes your child’s school, to support next steps.
Important Information for Families
Schools play an essential role in the assessment process, as teachers see your child every day and can provide valuable insight into their learning, behaviour and social interactions. Most Right to Choose providers will contact the school to request information or ask for questionnaires to be completed via parents.
At Elm Grove Primary School, any information requests, including questionnaires about your child, must be emailed to
📧 admin@elmgrove.brighton-hove.sch.uk, FAO: SENDCo.
The SENDCo will then forward these requests to your child’s class teachers, who will complete them. Teachers are best placed to provide accurate and detailed observations about your child’s day-to-day experiences in school.
Please note that it is very important to allow a minimum of four weeks for teachers to complete this information. Our policy allows up to 6 weeks for referrals and information to be completed. This timeframe ensures that staff can provide thoughtful, detailed input alongside their teaching commitments.
If you book an appointment with a Right to Choose provider at short notice (for example, within a week or two), it is highly unlikely that the school will have completed the referral information in time for that appointment. Families are strongly encouraged to take this into consideration when booking future appointments through the Right to Choose route.
What Happens After a Diagnosis
If your child receives an autism diagnosis through a Right to Choose provider, the diagnostic report will still need to be sent to the local Child Development Centre (Seaside View) for ratification. Once this has been confirmed, a referral can be made to the Brighton and Hove Inclusion Support Service (BHISS), which coordinates access to local authority–commissioned external professionals who can support your child in school.
If your child receives an ADHD diagnosis and you would like to explore further support such as medication, this will also require a referral to CAMHS (Child and Adolescent Mental Health Services).
This means that even after receiving a diagnosis through the Right to Choose pathway, your child may still need to be referred back into local NHS services for follow-up care and ongoing support.
For further information regarding the Right to Choose route for referrals, please visit: this link.