Right to Choose

ICB Right to Choose Register, August 2026 edition

This is a frozen edition of the register, as it stood on 1 August 2026. It will not change. For the current position see the live register.

Edition date: 1 August 2026Adult ADHD capped or paused in 17 of 42Adult autism in 15 of 422 where sources conflict

At this edition, the areas recorded as capped or paused for adult ADHD were home to about 24.2 million adults, which is 52% of adults in England (ONS mid-2024 estimates of residents aged 18 and over).

Cite this edition

Cite the edition rather than the live register and your figures cannot move after you publish. Copy the line below.

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

Download this edition as CSV or as JSON. Both are generated from the same frozen observations as the table below.

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

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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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

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.

Verified 1 August 2026 and frozen at this edition.
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 publisher blocks automated link checks, so we could not verify it from a script on 1 August 2026. It is not known to be dead.

    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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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.

Verified 1 August 2026 and frozen at this edition.
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

General information, not legal or clinical advice. Finally Seen is not affiliated with any ICB, the NHS, or DWP. Every row here reflects publicly available information as at 1 August 2026 and is deliberately not updated; always verify the current position with the ICB or provider before referral.

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