Right to Choose for a child's ADHD or autism assessment

Children registered with a GP in England can be referred under Right to Choose. You'll need a provider that holds an NHS contract for children's assessments and covers your child's age.

Before you ask the GP

• Check ages. Many providers assess adults only. Children's services often start at age 5 or 6, and some stop at 16 or 17. Check the exact range.
• Check local routes. Your child may already be on a local list through CAMHS, community paediatrics or a school referral. Being on a waiting list without being seen often doesn't stop a Right to Choose referral, but it may not apply if your child is already being assessed or treated for the same condition. Ask your GP to check.
• Ask the provider if they can accept a referral from your area now, and get their GP form.

Evidence for children

• A short letter from school or nursery describing what staff see.
• School reports, behaviour logs or SEN support plans, with dates.
• Your own notes: when you first had concerns, at home and elsewhere.
• For ADHD, difficulties should show in more than one setting, such as home and school.

Support doesn't have to wait

Schools in England should provide SEN support based on your child's needs, with or without a diagnosis. Ask the school's SENCo for a meeting now. The school's view can also help the GP and the assessment service.

16 and 17 year olds

This age group can fall between services. Some children's providers stop at 16 and some adult providers start at 17½ or 18. Look for a provider that covers the exact age at the time of referral.

Source: NHS England patient choice guidance.

Related guides

• Right to Choose caps in 2026/27: what they mean for you
• Right to Choose ADHD letter template for your GP
• ADHD assessment waiting times for adults in England
• My GP refused ADHD shared care: what now?