Right to Choose
ICB Right to Choose status tracker
All 42 English Integrated Care Boards and their published Right to Choose status for adult ADHD and autism assessments. Sourced, dated, and open to corrections.
Last reviewed: 8 July 2026Report a change
How to read this tracker
Eight ICBs are marked Restricted (reported Nov 2025) on the basis of Special Needs Jungle and Pulse Today coverage that at least nine NHS areas told Right to Choose providers to stop or limit booking adult ADHD and autism assessments. Reported restrictions were stated to run at least until April 2026, and some ICBs have set reduced activity levels for 2026/27 (source: provider ICB-allowance pages, e.g. ADHD 360). The remaining 34 ICBs show No restriction reported (not individually verified). Right to Choose is a national legal right in England (2012 Regulations); the legal effect of an ICB communication that purports to remove that right is contested. Verify current status with the provider and your ICB before referral.
If you know of a documented change (with a link to BBC, HSJ, Pulse, SNJ or an ICB publication), please email us.
| ICB (England) | Adult ADHD RTC | Adult autism RTC |
|---|---|---|
NHS Bath and North East Somerset, Swindon and Wiltshire (BSW) ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Bedfordshire, Luton and Milton Keynes ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Birmingham and Solihull ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Black Country ICB Activity restrictions reported (providers told to limit bookings). Restrictions reported to run at least until April 2026. Verify current status with the provider and your ICB before referral. Source | Restricted (reported Nov 2025) | Restricted (reported Nov 2025) |
NHS Bristol, North Somerset and South Gloucestershire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Buckinghamshire, Oxfordshire and Berkshire West ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Cambridgeshire and Peterborough ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Cheshire and Merseyside ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Cornwall and the Isles of Scilly ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Coventry and Warwickshire ICB Selective pause reported: referrals paused for patients over 25. Verify current status with the provider and your ICB before referral. Source | Restricted (reported Nov 2025) | Restricted (reported Nov 2025) |
NHS Derby and Derbyshire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Devon ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Dorset ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Frimley ICB Activity restrictions reported (providers told to limit bookings). Restrictions reported to run at least until April 2026. Verify current status with the provider and your ICB before referral. Source | Restricted (reported Nov 2025) | Restricted (reported Nov 2025) |
NHS Gloucestershire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Greater Manchester ICB Referral pause reported: all non-urgent RtC referrals paused, new triage system. Verify current status with the provider and your ICB before referral. Source | Restricted (reported Nov 2025) | Restricted (reported Nov 2025) |
NHS Hampshire and Isle of Wight ICB Activity restrictions reported (providers told to limit bookings). Restrictions reported to run at least until April 2026. Verify current status with the provider and your ICB before referral. Source | Restricted (reported Nov 2025) | Restricted (reported Nov 2025) |
NHS Herefordshire and Worcestershire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Hertfordshire and West Essex ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Humber and North Yorkshire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Kent and Medway ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Lancashire and South Cumbria ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Leicester, Leicestershire and Rutland ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Lincolnshire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Mid and South Essex ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Norfolk and Waveney ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS North Central London ICB Activity restrictions reported (providers told to limit bookings). Restrictions reported to run at least until April 2026. Verify current status with the provider and your ICB before referral. Source | Restricted (reported Nov 2025) | Restricted (reported Nov 2025) |
NHS North East and North Cumbria ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS North East London ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS North West London ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Northamptonshire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Nottingham and Nottinghamshire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Shropshire, Telford and Wrekin ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Somerset ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS South East London ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS South West London ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS South Yorkshire ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Staffordshire and Stoke-on-Trent ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Suffolk and North East Essex ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS Surrey Heartlands ICB Activity restrictions reported (providers told to limit bookings). Restrictions reported to run at least until April 2026. Verify current status with the provider and your ICB before referral. Source | Restricted (reported Nov 2025) | Restricted (reported Nov 2025) |
NHS Sussex ICB No restriction reported (not individually verified). Verify current status with the provider and your ICB before referral. | No restriction reported | No restriction reported |
NHS West Yorkshire ICB Activity restrictions reported (providers told to limit bookings). Restrictions reported to run at least until April 2026. Verify current status with the provider and your ICB before referral. Source | Restricted (reported Nov 2025) | Restricted (reported Nov 2025) |
What "restriction" means in practice
Some ICBs have publicly stated they will pause acceptance of new NHS-funded Right to Choose referrals for adult ADHD assessment, usually citing capacity or waiting-list pressures. The legal effect of such statements is contested: Right to Choose is set out in the NHS Commissioning Board and CCGs (Responsibilities and Standing Rules) Regulations 2012 and the NHS Patient Choice Guidance, and a national statutory right is not straightforwardly extinguished by an ICB communication.
If your ICB says Right to Choose is unavailable: ask for the statement in writing, escalate to the ICB Patient Choice lead, and consider a formal complaint. See ICB complaints, how they work.
Related
- Right to Choose (NHS-funded) explained
- Right to Choose for adult ADHD assessment
- NHS-funded Right to Choose ADHD providers, compared
- Right to Choose for autism assessment
Sources
- Special Needs Jungle, 28 November 2025, “ADHD and Autism Right To Choose referrals paused as at least nine NHS areas tell providers to stop booking assessments”. specialneedsjungle.com
- Pulse Today coverage of ICBs restricting adult ADHD Right to Choose referrals (Nov 2025). pulsetoday.co.uk
- Provider service-update pages (Psychiatry-UK, ADHD 360, Clinical Partners) confirming affected ICB areas and 2026/27 ICB activity allowances.
- NHS Patient Choice Guidance and the NHS Commissioning Board and CCGs (Responsibilities and Standing Rules) Regulations 2012 (SI 2012/2996).
General information, not legal or clinical advice. Finally Seen is not affiliated with any ICB, the NHS, or DWP. The status shown here reflects publicly available information at the last reviewed date and may be out of date; always verify with the ICB or provider before referral.