NHS Right to Choose · Autism

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NHS Right to Choose: Autism assessment.

Adult NHS waits for diagnostic autism assessment routinely run into multiple years across most Integrated Care Boards. Under NHS Patient Choice Guidance (19 December 2023) you have a legal right to ask your GP for a referral to any NHS-contracted provider. We draft the letter that names the guidance, names your provider, and goes on your medical record.

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What the letter asks for
  • A referral via the NHS e-Referral Service to the NHS-contracted autism assessment provider you name, in line with NHS Patient Choice Guidance (2023).
  • The diagnostic pathway described in NHS guideline CG142, quoted in the letter alongside the difficulties you described.
  • Written confirmation of any post-diagnostic support the surgery is willing to offer or co-ordinate.
  • A written request that any decision, including a refusal, is recorded in your notes. The letter itself is filed on your medical record.
RTC pack

Two letters. £39.

A formal Right to Choose letter to your NHS GP for adult autism diagnostic assessment naming the provider you pick, plus a pre-written complaint to the commissioner that you keep in reserve and only send if your GP refuses or does not reply.

The offer

RTC Letter

Two letters: a Right to Choose letter to your GP, plus a complaint to the commissioner held in reserve.

£39one-off

180 days. For any reason or for no reason at all. Email us and we refund you.

  • A personalised Right to Choose letter to your NHS GP, so your request is on the record
  • Cites NHS Patient Choice Guidance (2023) verbatim
  • Names the NHS-contracted provider you chose
  • A second letter: a pre-written Stage 1 complaint to your commissioner, to send only if your GP refuses or does not reply
  • Letter-quality PDF and plain-text version
  • Free redraft if anything reads wrong, no limit
  • A free redraft, and a refund on request: 180 days. For any reason or for no reason at all. Email us and we refund you.

One-off payment. No subscription. Instant delivery, never a paid speed upgrade. 100% money-back guarantee applies.

Common questions

My GP says there's no NHS autism pathway in our area, what now?

NHS Patient Choice Guidance (2023) is clear that referrals under the legal right to choice can be made to any qualifying NHS-contracted provider, even when the ICB has no existing relationship with that provider. The letter names your chosen provider and cites the guidance verbatim.

Can my GP refuse my Right to Choose referral for autism assessment?

Not on cost or local-contract grounds. NHS Patient Choice Guidance (2023) is explicit that prior commissioner approval is not required where a patient exercises a legal right to choice. The letter asks for any refusal to be put in writing.

Which providers are NHS-contracted for adult autism assessment?

A small number of independent providers hold NHS contracts and accept Right to Choose referrals for adult autism diagnostic assessment. You name the provider in the form; the letter cites them verbatim. Our Right to Choose: autism guide covers what to look for.

Browse by Integrated Care Board

Right to Choose autism, by ICB.

England moved from 42 Integrated Care Boards to 36 on 1 April 2026. The guides below are organised by the 42 historic footprints the evidence was gathered against, and each card names the successor commissioner where the old body was abolished. Each guide covers local providers, the smaller pool of NHS-contracted autism RtC providers, NHS waits and what to do if your GP refuses.

Browse all ICB areas →

London

South East

South West

East of England

Midlands

North East and Yorkshire

North West

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If it isn't right, we redraft it.
180 days. For any reason or for no reason at all. Email us and we refund you.

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