Finally Seen

Right to Choose

ICB Right to Choose snapshot, 1 August 2026

A dated snapshot of all 42 commissioner footprints, including 12 bodies abolished or merged on 1 April 2026, and their recorded Right to Choose status for adult ADHD and autism assessments, checked against primary sources on 1 August 2026. Every row carries the evidence strength behind it, a dated change history, the date a human last checked it, and a stable anchor you can link to. This is a snapshot, not a continuously-maintained feed: we cannot yet promise a refresh cadence, so read every row against the date on it.

No ICB in England refuses referrals outright

The nationwide mechanism is capped-and-queued, not closed. Everywhere in England you can be referred and added to a waiting list. Where this page says restricted, it means the commissioner has capped or paused how quickly Right to Choose bookings are taken, so the wait is longer. It does not mean you cannot be referred at all.

Snapshot date: 1 August 2026Adult ADHD capped or paused in 17 of 42Adult autism in 15 of 422 where sources conflictCheck your postcodeReport a change

Journalists and researchers: email hello@finallyseen.org.uk. We answer methodology questions on the record, and we will share the underlying documents. We aim to reply within one working day.

The areas recorded as capped or paused for adult ADHD are home to about 24.2 million adults, which is 52% of adults in England.

As of mid-2024. Figures are ONS mid-2024 population estimates of the resident population aged 18 and over, summed across the affected commissioner footprints. It counts adults living in those areas, not adults seeking an assessment. The 42 footprints tile England exactly and reconcile to the ONS England total. The margin over half is thin: reclassifying any one of the four largest affected areas would take it below 50%, so treat “more than half” as a close call rather than a comfortable one.

Cite this register

Free to cite and quote with attribution. Copy the line below.

Finally Seen, ICB Right to Choose Register, retrieved 22 August 2026, https://finallyseen.org.uk/right-to-choose/icb-status

Or cite the archived edition, which cannot change

Finally Seen (2026). ICB Right to Choose Register, August 2026 edition. Zenodo. https://doi.org/10.5281/zenodo.21757271

The archived copy is held by Zenodo, is licensed CC BY 4.0, and includes the underlying evidence corpus. If you would rather not link to a commercial site, cite the DOI.

Download as CSV or Download as JSON. Both are generated from the same data as the table above.

Licence: Creative Commons Attribution 4.0 International (CC BY 4.0), so you may reuse this with attribution to Finally Seen.

How to credit this if you reuse it

CC BY 4.0 asks for attribution and a link to the source. Copy either version.

Plain text

Source: Finally Seen, ICB Right to Choose Register, August 2026 edition. https://finallyseen.org.uk/right-to-choose/icb-status/2026-08

HTML

Source: <a href="https://finallyseen.org.uk/right-to-choose/icb-status/2026-08">Finally Seen, ICB Right to Choose Register, August 2026 edition</a>

DOI

Source: Finally Seen, ICB Right to Choose Register, August 2026 edition. https://doi.org/10.5281/zenodo.21757271

Citing this in something that will be published? Cite a fixed edition instead, so your figures cannot move under you: August 2026 edition. Each edition is frozen at its sweep date and keeps its own CSV and JSON.

  • Each row states the source of its status. Restriction rows cite named reporting; rows showing no reported restriction say so explicitly and are not a confirmation that referrals are open.
  • Method, and how each status is decided: methodology.
  • Link straight to one ICB with the anchor #icb-<slug>, for example #icb-greater-manchester. Anchors are stable and will not be renamed.

How this page is paid for

This page is free and stays free. We fund it by selling letter tools to people who want help writing to their GP practice or their commissioner. You do not need to buy anything to use anything on this page.

What we publish free, what we sell, and the money we do not take.

Methodology, and how to read a row

All 42 commissioners were re-checked on 1 August 2026 against ICB board papers, ICB policy publications and provider Right to Choose service updates. Adult ADHD is capped or paused in 17 areas and adult autism in 15; 2 rows are marked sources conflict; 1 holds no status because the commissioner was abolished; the remaining 22 rows record the absence of a reported restriction, which is not the same as a confirmation from the commissioner.

The November 2025 restrictions did not expire in April 2026. In most affected areas they reset into a capped 2026/27 financial year, several with no published end date, and in Greater Manchester and Hampshire and Isle of Wight they tightened. Coventry and Warwickshire is the one area to have formally ended its restriction: the ICB Board approved a new all-age policy on 18 March 2026, implemented 13 May 2026, removing the age bar on patients over 25.

Confidence is shown on every row, per condition. High means a commissioner-published position. Medium, which most rows are, means provider publications only with no commissioner-published position. Low means the sources are incomplete or conflicting. The autism evidence base is systematically weaker than the ADHD one, so where our evidence differs between the two conditions we show it per condition rather than behind a single row-level badge.

Twelve commissioners on this page were abolished or merged on 1 April 2026. Those rows show both the historic name and the successor commissioner, because the restriction record attaches to the footprint even after the body ceased to exist.

Every source link was re-tested on 1 August 2026 with both a scripted request and a normal browser. A source labelled “did not resolve when we last checked” returned a genuine 404 or connection failure in a browser too, so the document itself has moved or gone. A source labelled “blocks automated link checks” is a statement about our check and not about the document: the publisher refuses scripted requests, so we could not confirm it that way, and it is not known to be dead.

What each restriction tag on a row means

Capped: a fixed number funded each year.
The commissioner has agreed a set volume of Right to Choose assessments with providers for the financial year. Referrals continue, but bookings stop once that volume is used.
Referrals paused.
New Right to Choose bookings are temporarily not being taken, with the waiting list retained.
Approved provider list reduced.
Fewer providers can be chosen than before, so the right still applies but to a shorter list.
Limited to part of the population.
Access is restricted by age or another cohort rule rather than by volume.
Referrals refused.
A commissioner declining referrals outright. We record no area in this state.
No restriction found.
We found no published restriction. That is the absence of evidence, not a confirmation from the commissioner.
Not established.
The commissioner that set the previous position no longer exists and no successor has published one.

Right to Choose is a national legal right in England (2012 Regulations); the legal effect of an ICB communication that purports to remove it is contested. Always verify the current position with the provider and your ICB before referral.

A row not re-checked within 90 days is flagged needs re-verification. We would rather show you that a row is stale than let you assume it is fresh.

What changed between editions

What changed between editions, derived from the recorded history. Where a row was verified for the first time we say so rather than presenting it as a change. Rows with no change are not listed.

1 August 2026

Changes

First verified at this sweep

These rows are not changes. We checked them for the first time on this date, so we hold nothing earlier to compare them against.

NHS North East London ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found
  • Autism services (adults) · NHS North East London ICB · no publication date on the source archived copy
    “In most cases you will need to have a referral from your GP or another healthcare professional to access autism services. Some services do accept self referrals directly from patients”

NHS North Central London ICB (now part of West and North London ICB)

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

Commissioner reorganised on 1 April 2026. Now part of West and North London ICB.

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Primary document, undated. Evidence basis: a document published by the commissioner or released under FOI, which carries no publication date of its own. We record the date we read it, not a date the commissioner published. Published by NHS North Central London ICB. Open the document Archived copyThis link did not resolve when we last checked on 7 August 2026. Use the archived copy above.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 28 November 2025: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. 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. Special Needs Jungle, 28 November 2025

Sources

Capped: a fixed number funded each year

NHS North West London ICB (now part of West and North London ICB)

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

Commissioner reorganised on 1 April 2026. Now part of West and North London ICB.

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Primary document, undated. Evidence basis: a document published by the commissioner or released under FOI, which carries no publication date of its own. We record the date we read it, not a date the commissioner published. Published by NHS North West London ICS. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year
  • North Central and North West London Integrated Care Boards will formally merge · NHS North West London ICS · no publication date on the source
    “From 1 April 2026, please visit the new NHS West and North London website for the latest information, news and updates.”
  • Patient choice · NHS West and North London ICB · no publication date on the source
    “If you are referred for consultant-led treatment or to a mental health service, you have the right to choose which organisation or provider you would like to receive your outpatient care from”

NHS South East London ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismNo restriction reportedLow confidence: sources incomplete or conflicting

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 26 May 2026. Published by ADHD UK. Open the document Archived copy

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism no restriction reported. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Approved provider list reduced
  • ADHD (adults) · NHS South East London ICS · no publication date on the source archived copy
    “All referrals for a first adult ADHD assessment must be sent to the SEL Adult ADHD Referrals Triage Service.”
  • NHS South East London ICB · ADHD UK · 26 May 2026 archived copy
    “RESTRICTION: all adult referrals (including Right to Choose) must pass through the SEL Adult Referral Triage Service, where they are administratively and clinically triaged before being referred to...”

NHS South West London ICB

Adult ADHDNo restriction reportedHigh confidence: commissioner-published position
Adult autismNo restriction reportedHigh confidence: commissioner-published position

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS Hampshire and Isle of Wight ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position
Adult autismRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Restriction tightened rather than lifted. Activity caps carried into 2026/27 at a reduced level with no published end date. Referrals can still be made and added to a waiting list.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated undefined March 2026. Published by NHS Hampshire and Isle of Wight ICB. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Restriction tightened rather than lifted. Activity caps carried into 2026/27 at a reduced level with no published end date. Referrals can still be made and added to a waiting list.
  2. 28 November 2025: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. 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. Special Needs Jungle, 28 November 2025

Sources

Capped: a fixed number funded each year
  • Key updates: Autism and ADHD Assessment Services · NHS Hampshire and Isle of Wight ICB · March 2026
    “People currently waiting for an assessment through the Right to Choose pathway will only be offered an assessment in 2027 if they meet prioritisation criteria”
  • Right to Choose ADHD and autism frequently asked questions · NHS Hampshire and Isle of Wight ICB · no publication date on the source archived copy
    “We recognise that providers have been unable to meet the access times they previously advertised due to the introduction of these plans, and we apologise for the frustration and uncertainty this has...”

A provider says: “We have now reached the end of the appointments agreed and funded by Hampshire and Isle of Wight for this financial year.”

NHS Kent and Medway ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 26 May 2026. Published by NHS Kent and Medway ICB, published by ADHD UK. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year
  • Right to Choose · NHS Kent and Medway ICB (kmhealthandcare.uk) · no publication date on the source archived copy
    “All referrals for autism assessment must be sent to Kent Community Health NHS Foundation Trust (KCHFT) to clinically screen/triage.”
  • FOI response FOI.26.KAM068 · NHS Kent and Medway ICB, published by ADHD UK · 26 May 2026
    “Do you have any indicative activity plans in place for Right to Choose ADHD Adult Assessment providers?”

NHS Sussex ICB (now part of Surrey and Sussex ICB)

Adult ADHDNo restriction reportedHigh confidence: commissioner-published position
Adult autismNo restriction reportedHigh confidence: commissioner-published position

Commissioner reorganised on 1 April 2026. Now part of Surrey and Sussex ICB.

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS Surrey Heartlands ICB (now part of Surrey and Sussex ICB)

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

Commissioner reorganised on 1 April 2026. Now part of Surrey and Sussex ICB.

No restriction reported since 1 August 2026, previously restricted: capped or paused, referrals still accepted (recorded 28 November 2025).

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 28 November 2025: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. 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. Special Needs Jungle, 28 November 2025

Sources

No restriction found

A provider says: “many providers have already reached their planned limits for the financial year ending March 2026”

NHS Buckinghamshire, Oxfordshire and Berkshire West ICB (now part of Thames Valley ICB)

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

Commissioner reorganised on 1 April 2026. Now part of Thames Valley ICB.

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 29 June 2026. Published by NHS Thames Valley ICB, published by ADHD UK. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year
  • ADHD services · NHS Thames Valley ICB · no publication date on the source

    This link did not resolve when we last checked on 7 August 2026. We hold no archived copy of it.

    “Patients can request right to choose assessments (RtC) via their GP, however GPs are not obliged to make a referral unless they believe it is clinically appropriate to do so including the choice of...”
  • NHS Thames Valley ICB FOI response, FOI-TV-2605-055 · NHS Thames Valley ICB, published by ADHD UK · 29 June 2026
    “A full list of providers that currently hold an Indicative Activity Plan for Adult ADHD with Thames Valley ICB is provided below.”

A provider says: “completed their allocation”

NHS Frimley ICB (Abolished 1 April 2026, split between Thames Valley, Hampshire and Isle of Wight, and Surrey and Sussex)

Adult ADHDNo status heldHigh confidence: commissioner-published position
Adult autismNo status heldHigh confidence: commissioner-published position

Commissioner reorganised on 1 April 2026. Abolished 1 April 2026, split between Thames Valley, Hampshire and Isle of Wight, and Surrey and Sussex.

No status held since 1 August 2026, previously restricted: capped or paused, referrals still accepted (recorded 28 November 2025).

Commissioner abolished on 1 April 2026 and its area split between three successor commissioners. No successor position for this former footprint has been published, so we record no status rather than carry the old one forward. Check the successor commissioner covering your GP practice.

Secondary reporting only. Evidence basis: secondary only. We hold no commissioner publication and no FOI response for this position, so this row records what a third party reported on undefined February 2026 rather than a restriction we can confirm from the commissioner. Published by ADHD 360. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no status held, adult autism no status held. Commissioner abolished on 1 April 2026 and its area split between three successor commissioners. No successor position for this former footprint has been published, so we record no status rather than carry the old one forward. Check the successor commissioner covering your GP practice.
  2. 28 November 2025: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. 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. Special Needs Jungle, 28 November 2025

Sources

Not established

A provider says: “When NHS Frimley ICB confirms further funding is available, services will resume, and we will begin booking assessments again.”

NHS Bath and North East Somerset, Swindon and Wiltshire ICB

Adult ADHDNo restriction reportedHigh confidence: commissioner-published position
Adult autismNo restriction reportedHigh confidence: commissioner-published position

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS Bristol, North Somerset and South Gloucestershire ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year

NHS Cornwall and the Isles of Scilly ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS Devon ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 23 February 2026. Published by NHS Devon ICB (PDF hosted by provider ADHD 360). Open the document Archived copy

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year
  • ADHD and Autism FAQ, referral guidance key messages · NHS Devon Formulary and Referral Website (NHS Devon ICB) · no publication date on the source archived copy
    “Please be aware that RTC providers have been asked to support a minimum 14 week wating time [sic] from GP referral to first appointment/assessment.”
  • A Message From NHS Devon ICB · NHS Devon ICB (PDF hosted by provider ADHD 360) · 23 February 2026 archived copy
    “NHS Devon ICB, and many ICBs across England, are facing significant demand for ADHD services. This demand is higher than NHS resources available and therefore we are currently having to manage demand...”

NHS Dorset ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 9 April 2026. Published by NHS Dorset ICB. Open the document Archived copy

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year

NHS Gloucestershire ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS Somerset ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 4 December 2025. Published by NHS Somerset ICB, published by ADHD UK. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year
  • NHS Somerset ICB FOI response · NHS Somerset ICB, published by ADHD UK · 4 December 2025
    “The IAPs that have been set are based on commissioning activity across Somerset. Consideration has been given to system affordability, performance, and the balance between demand and capacity.”
  • NHS Right to Choose wait times and updates · Clinical Partners · 14 May 2026
    “We have now reached the end of the appointments agreed and funded by Somerset ICB for this financial year.”

A provider says: “We have now reached the end of the appointments agreed and funded by Somerset ICB for this financial year.”

NHS Bedfordshire, Luton and Milton Keynes ICB (now part of Central East ICB)

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

Commissioner reorganised on 1 April 2026. Now part of Central East ICB.

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year

NHS Cambridgeshire and Peterborough ICB (now part of Central East ICB)

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

Commissioner reorganised on 1 April 2026. Now part of Central East ICB.

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found
  • Board in Public papers, 26 June 2026 · NHS Central East ICB · 26 June 2026
    “The ICB also continues to carry significant financial risk in acute sector activity, neurodevelopmental service demand, and complex cases”

NHS Hertfordshire and West Essex ICB (now part of Central East ICB (Hertfordshire) and Essex ICB (West Essex))

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

Commissioner reorganised on 1 April 2026. Now part of Central East ICB (Hertfordshire) and Essex ICB (West Essex).

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS Mid and South Essex ICB (now part of Essex ICB)

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

Commissioner reorganised on 1 April 2026. Now part of Essex ICB.

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS Norfolk and Waveney ICB (now part of Norfolk and Suffolk ICB)

Adult ADHDSources conflict, treat with cautionLow confidence: sources incomplete or conflicting
Adult autismSources conflict, treat with cautionLow confidence: sources incomplete or conflicting

Commissioner reorganised on 1 April 2026. Now part of Norfolk and Suffolk ICB.

First recorded 1 August 2026: Sources conflict, treat with caution. No earlier verified observation held.

Sources conflict, treat with caution. Following the 1 April 2026 reorganisation the evidence for this footprint points in opposite directions under the same successor commissioner, so we record no settled position rather than invent one. Check directly with the provider and the successor commissioner.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 16 February 2026. Published by NHS Norfolk and Suffolk ICB. Open the document Archived copy

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD sources conflict, treat with caution, adult autism sources conflict, treat with caution. Sources conflict, treat with caution. Following the 1 April 2026 reorganisation the evidence for this footprint points in opposite directions under the same successor commissioner, so we record no settled position rather than invent one. Check directly with the provider and the successor commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year

NHS Suffolk and North East Essex ICB (now part of Norfolk and Suffolk ICB (Suffolk) and Essex ICB (North East Essex))

Adult ADHDSources conflict, treat with cautionLow confidence: sources incomplete or conflicting
Adult autismSources conflict, treat with cautionLow confidence: sources incomplete or conflicting

Commissioner reorganised on 1 April 2026. Now part of Norfolk and Suffolk ICB (Suffolk) and Essex ICB (North East Essex).

First recorded 1 August 2026: Sources conflict, treat with caution. No earlier verified observation held.

Sources conflict, treat with caution. Following the 1 April 2026 reorganisation the evidence for this footprint points in opposite directions under the same successor commissioner, so we record no settled position rather than invent one. Check directly with the provider and the successor commissioner.

Primary document, undated. Evidence basis: a document published by the commissioner or released under FOI, which carries no publication date of its own. We record the date we read it, not a date the commissioner published. Published by NHS Norfolk and Suffolk ICB. Open the document Archived copy

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD sources conflict, treat with caution, adult autism sources conflict, treat with caution. Sources conflict, treat with caution. Following the 1 April 2026 reorganisation the evidence for this footprint points in opposite directions under the same successor commissioner, so we record no settled position rather than invent one. Check directly with the provider and the successor commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found
  • Neurodevelopmental services and support · NHS Norfolk and Suffolk ICB · no publication date on the source archived copy
    “Skylight Psychiatry are commissioned by NHS Norfolk and Suffolk Integrated Care Board to provide adult autism diagnostic assessments.”

NHS Birmingham and Solihull ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position
Adult autismRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Primary document, undated. Evidence basis: a document published by the commissioner or released under FOI, which carries no publication date of its own. We record the date we read it, not a date the commissioner published. Published by NHS Birmingham and Solihull ICB. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Referrals paused
  • Birmingham Support Whilst Waiting · NHS Birmingham and Solihull ICB · no publication date on the source
    “The following Right to Choose providers have paused new assessments for the remainder of the 2025/26 financial year: Clinical Partners / Psychiatry UK / ADHD 360”
  • Update on NHS autism and ADHD assessments in NHS Birmingham and Solihull ICB · Clinical Partners · 16 July 2026
    “NHS Birmingham and Solihull Integrated Care Board has asked Clinical Partners to temporarily pause new Right to Choose autism and ADHD assessment bookings.”

NHS Black Country ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 19 June 2026. Published by ADHD UK. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 28 November 2025: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. 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. Special Needs Jungle, 28 November 2025

Sources

Capped: a fixed number funded each year

NHS Coventry and Warwickshire ICB

Adult ADHDNo restriction reportedHigh confidence: commissioner-published position
Adult autismNo restriction reportedHigh confidence: commissioner-published position

No restriction reported since 1 August 2026, previously restricted: capped or paused, referrals still accepted (recorded 28 November 2025).

Restriction formally ended. The ICB Board approved a new all-age Right to Choose policy on 18 March 2026, implemented 13 May 2026, removing the previous age bar on patients over 25. Referrals are accepted and queued.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. Restriction formally ended. The ICB Board approved a new all-age Right to Choose policy on 18 March 2026, implemented 13 May 2026, removing the previous age bar on patients over 25. Referrals are accepted and queued.
  2. 28 November 2025: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Selective pause reported: referrals paused for patients over 25. Verify current status with the provider and your ICB before referral. Special Needs Jungle, 28 November 2025

Sources

Approved provider list reduced
  • New ADHD and autism policy implemented in Coventry and Warwickshire · NHS Coventry and Warwickshire ICB (Happy Healthy Lives) · 14 May 2026
    “NHS Coventry and Warwickshire ICB has today announced that they have implemented a new ADHD and autism policy that reopens referral routes for patients of all ages, which is effective immediately.”
  • ADHD and Autism · NHS Coventry and Warwickshire ICB (Happy Healthy Lives) · no publication date on the source
    “Following the introduction of a new ADHD and autism policy, from May 2026 people of all ages in Coventry and Warwickshire can be referred for an assessment for ADHD and/or autism.”

NHS Derby and Derbyshire ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found
  • Sheffield ADHD and Autism waiting list · NHS Derby and Derbyshire ICB (Joined Up Care Derbyshire) · no publication date on the source archived copy
    “request an assessment, via referral from your GP, from a provider on the national NHS framework, using your 'right to choose'”

NHS Herefordshire and Worcestershire ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Approved provider list reduced

NHS Leicester, Leicestershire and Rutland ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position
Adult autismRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 14 January 2026. Published by NHS Leicester, Leicestershire and Rutland ICB. Open the document Archived copy

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year

A provider says: “We have now reached the end of the appointments agreed and funded by Leicester, Leicestershire and Rutland ICB for this financial year.”

NHS Lincolnshire ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS Northamptonshire ICB

Adult ADHDNo restriction reportedHigh confidence: commissioner-published position
Adult autismNo restriction reportedHigh confidence: commissioner-published position

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found
  • Autism and ADHD (Right to Choose section) · Integrated Care Northamptonshire · no publication date on the source archived copy
    “if a GP agrees that an ADHD or autism assessment is clinically appropriate, the individual has the right to choose a provider that offers this service under NHS funding.”

NHS Nottingham and Nottinghamshire ICB

Adult ADHDNo restriction reportedHigh confidence: commissioner-published position
Adult autismNo restriction reportedHigh confidence: commissioner-published position

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found
  • Right to Choose, Frequently Asked Questions (FAQs) · NHS Nottingham and Nottinghamshire ICB · January 2026
    “Assessment services, such as adult autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) assessment services are within the scope of the legal right to choose.”

NHS Shropshire, Telford and Wrekin ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found
  • All-Age ADHD and Autism Services · NHS Shropshire, Telford and Wrekin ICB · no publication date on the source archived copy
    “We have heard that waiting times for Autism and ADHD assessments are far too long, pathways are confusing, and support is inconsistent before and after diagnosis.”

NHS Staffordshire and Stoke-on-Trent ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Approved provider list reduced

NHS Humber and North Yorkshire ICB

Adult ADHDNo restriction reportedMedium confidence: provider publications only
Adult autismNo restriction reportedMedium confidence: provider publications only

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found
  • Patient's right to choose · Humber and North Yorkshire Health and Care Partnership (HNY Policy... · 17 December 2025 archived copy
    “NHS Humber and North Yorkshire ICB support every person's Right To Choose.”

NHS North East and North Cumbria ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 26 February 2026. Published by NHS North East and North Cumbria ICB. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year
  • Attention Deficit Hyperactivity Disorder (ADHD) and Autism · NHS North East and North Cumbria ICB · no publication date on the source archived copy
    “GPs can refer people for autism and or ADHD assessments. Providers are accepting referrals, but demand remains high and waiting times are long.”
  • FOI ICB 25-464 response letter · NHS North East and North Cumbria ICB · 26 February 2026
    “The ICB is currently still in the process of agreeing activity plans with providers. Referral criteria under the Right to Choose is based on the NHS Choice Framework.”

NHS South Yorkshire ICB

Adult ADHDNo restriction reportedHigh confidence: commissioner-published position
Adult autismNo restriction reportedHigh confidence: commissioner-published position

First recorded 1 August 2026: No restriction reported. No earlier verified observation held.

No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction found at this sweep. Referrals are accepted and queued. This records the absence of a reported restriction, not a positive confirmation from the commissioner.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

No restriction found

NHS West Yorkshire ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position
Adult autismRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 29 May 2026. Published by NHS West Yorkshire ICB via ADHD UK. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 28 November 2025: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. 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. Special Needs Jungle, 28 November 2025

Sources

Capped: a fixed number funded each year

NHS Cheshire and Merseyside ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 23 December 2025. Published by NHS Cheshire and Merseyside ICB. Open the document Archived copy

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Approved provider list reduced

NHS Greater Manchester ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position
Adult autismRestricted: capped or paused, referrals still acceptedHigh confidence: commissioner-published position

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Restriction tightened rather than lifted. The reported November 2025 pause did not expire in April 2026; it reset into a capped 2026/27 activity year with no published end date. Referrals can still be made and added to a waiting list.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 21 May 2026. Published by NHS Greater Manchester ICB. Open the document

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Restriction tightened rather than lifted. The reported November 2025 pause did not expire in April 2026; it reset into a capped 2026/27 activity year with no published end date. Referrals can still be made and added to a waiting list.
  2. 28 November 2025: adult ADHD restricted: capped or paused, referrals still accepted, adult autism restricted: capped or paused, referrals still accepted. Referral pause reported: all non-urgent Right to Choose referrals paused, new triage system. Verify current status with the provider and your ICB before referral. Special Needs Jungle, 28 November 2025

Sources

Capped: a fixed number funded each year
  • ADHD and Autism Assessments · NHS Greater Manchester ICB · no publication date on the source
    “NHS Greater Manchester gave all Right to Choose providers their planned workload and funding allocations (known as Indicative Activity Plans) in April 2026”
  • FOI 2026/1750 · NHS Greater Manchester ICB · 21 May 2026
    “NHS GM has Indicative Activity Plans in place with all known providers”

A provider says: “We have now reached the end of the appointments agreed and funded by Greater Manchester ICB for this financial year.”

NHS Lancashire and South Cumbria ICB

Adult ADHDRestricted: capped or paused, referrals still acceptedMedium confidence: provider publications only
Adult autismNo restriction reportedLow confidence: sources incomplete or conflicting

First recorded 1 August 2026: Restricted: capped or paused, referrals still accepted. No earlier verified observation held.

Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.

Dated primary document. Evidence basis: a document published by the commissioner or released under FOI, dated 11 March 2026. Published by NHS Lancashire and South Cumbria ICB. Open the document Archived copy

Last verified 1 August 2026 (21 days ago)
Full recorded history (2 observations)
  1. 1 August 2026: adult ADHD restricted: capped or paused, referrals still accepted, adult autism no restriction reported. Right to Choose is capped or paused here, not closed. The November 2025 restrictions did not expire in April 2026; in most affected areas they reset into a capped 2026/27 financial year, several with no published end date. You can still be referred and added to a waiting list. Verify the current position with the provider and your ICB before referral.
  2. 8 July 2026: adult ADHD no restriction reported, adult autism no restriction reported. No restriction reported. This row has not been individually verified against an ICB publication; it records the absence of a reported restriction, not a confirmation that referrals are open.

Sources

Capped: a fixed number funded each year

What "restricted" means in practice

Restricted means capped or paused, not closed. Some ICBs have publicly stated they will pause or ration acceptance of new NHS-funded Right to Choose referrals for adult ADHD assessment, usually citing capacity or waiting-list pressures. You can still be referred and added to a waiting list anywhere in England. 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

Sources

  • ICB board papers, published Right to Choose policies and 2026/27 activity plans for each of the 42 commissioners, checked 1 August 2026, including the Coventry and Warwickshire ICB Board decision of 18 March 2026 (all-age policy, implemented 13 May 2026).
  • 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, “GPs raise alarm over ICB limits on Right to Choose ADHD and autism assessments”. pulsetoday.co.uk
  • Per-commissioner citations, including ICB board papers, ICB policy publications, freedom of information responses and provider service updates, are listed under each row in the table above.
  • 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. Each row reflects publicly available information at the verification date shown on that row and may be out of date; always verify with the ICB or provider before referral.

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