{
  "name": "Finally Seen ICB Right to Choose Register, October 2026 edition",
  "source": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10",
  "edition": "2026-10",
  "editionLabel": "October 2026",
  "frozen": true,
  "citation": "Finally Seen, ICB Right to Choose Register, October 2026 edition, https://finallyseen.org.uk/right-to-choose/icb-status/2026-10",
  "licence": "Creative Commons Attribution 4.0 International (CC BY 4.0)",
  "licenceUrl": "https://creativecommons.org/licenses/by/4.0/",
  "retrieved": "2026-10-30",
  "reviewed": "2026-10-30",
  "rows": [
    {
      "icbSlug": "north-east-london",
      "icbName": "NHS North East London ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "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. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-north-east-london"
    },
    {
      "icbSlug": "north-central-london",
      "icbName": "NHS North Central London ICB (now part of West and North London ICB)",
      "successor": "West and North London ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. The successor commissioner, West and North London ICB, says Indicative Activity Plans apply to all providers, including Right to Choose providers, and that a provider that reaches its planned activity for the year places referrals on a waiting list. It says referrals have not been paused and providers must keep accepting eligible referrals. You can still be referred and added to a waiting list. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-north-central-london"
    },
    {
      "icbSlug": "north-west-london",
      "icbName": "NHS North West London ICB (now part of West and North London ICB)",
      "successor": "West and North London ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. This body was abolished on 1 April 2026 and its area is now part of West and North London ICB, which says Indicative Activity Plans apply to all providers, including Right to Choose providers, and that a provider that reaches its planned activity for the year places referrals on a waiting list. It says referrals have not been paused and providers must keep accepting eligible referrals. You can still be referred and added to a waiting list. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-north-west-london"
    },
    {
      "icbSlug": "south-east-london",
      "icbName": "NHS South East London ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "high",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Adult ADHD is restricted: the commissioner requires every first adult ADHD referral, including Right to Choose, to go through its central triage service, and Right to Choose providers do not take direct GP referrals for a first ADHD assessment. For adult autism, three Right to Choose providers now report 2026/27 limits set by the ICB, one saying its funding is fully allocated. Referrals can still be made. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-south-east-london"
    },
    {
      "icbSlug": "south-west-london",
      "icbName": "NHS South West London ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "open",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Adult ADHD is capped here, not closed. The commissioner agreed activity plans with each Right to Choose ADHD provider from 1 July 2026 and says providers may pause new assessment appointments while still accepting referrals onto waiting lists. At least one provider reports that its agreed level for the year has been reached. No restriction found for adult autism at this sweep; that records the absence of a reported restriction, not a positive confirmation from the commissioner. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-south-west-london"
    },
    {
      "icbSlug": "hampshire-and-isle-of-wight",
      "icbName": "NHS Hampshire and Isle of Wight ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Restriction continues. The commissioner says activity plans are in place across all Right to Choose providers for autism and ADHD assessments, and that people already waiting, and new referrals in 2026/27, will only be offered an assessment in 2027 if they meet prioritisation criteria. Since 1 October 2026 new adult ADHD referrals go through the commissioner's Single Point of Access and Triage Hub, with adult autism due to follow from 1 November 2026; the commissioner says this does not remove or restrict the legal Right to Choose. Referrals can still be made and added to a waiting list. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-hampshire-and-isle-of-wight"
    },
    {
      "icbSlug": "kent-and-medway",
      "icbName": "NHS Kent and Medway ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "high",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. The commissioner has put activity plans in place with providers for 2026/27 and says providers must work within them and prioritise those with the greatest need, and providers report that new routine bookings are not being offered. Adult autism referrals must go through the triage service run by Kent Community Health NHS Foundation Trust. You can still be referred and added to a waiting list. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-kent-and-medway"
    },
    {
      "icbSlug": "sussex",
      "icbName": "NHS Sussex ICB (now part of Surrey and Sussex ICB)",
      "successor": "Surrey and Sussex ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose looks capped here, not closed. Providers report that the commissioner, now Surrey and Sussex ICB, has set activity limits for 2026/27 that lengthen waits, and we could not read the commissioner's own position. A commissioner answer in May 2026 said no activity plans had then been issued to Sussex ADHD providers. You can still be referred and added to a waiting list. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-sussex"
    },
    {
      "icbSlug": "surrey-heartlands",
      "icbName": "NHS Surrey Heartlands ICB (now part of Surrey and Sussex ICB)",
      "successor": "Surrey and Sussex ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose looks capped here, not closed. This body was abolished on 1 April 2026 and its area is now part of Surrey and Sussex ICB. Providers report that the successor has set activity limits for 2026/27 that lengthen waits, and we could not read the commissioner's own position. You can still be referred and added to a waiting list. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-surrey-heartlands"
    },
    {
      "icbSlug": "buckinghamshire-oxfordshire-and-berkshire-west",
      "icbName": "NHS Buckinghamshire, Oxfordshire and Berkshire West ICB (now part of Thames Valley ICB)",
      "successor": "Thames Valley ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "high",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Restriction continues. The successor commissioner, Thames Valley ICB, says it has agreed activity plans with all providers, including Right to Choose providers, and applies referral thresholds for adults seeking an ADHD assessment, so not all requests for a Right to Choose referral are being put forward. It says that once a provider reaches its funded limit no further assessment appointments can be booked, other than for people already part-way through assessment or treatment. Providers report limits on autism assessments too. Referrals can still be made and added to a waiting list. Check with the provider and the commissioner before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-buckinghamshire-oxfordshire-and-berkshire-west"
    },
    {
      "icbSlug": "frimley",
      "icbName": "NHS Frimley ICB (Abolished 1 April 2026, split between Thames Valley, Hampshire and Isle of Wight, and Surrey and Sussex)",
      "successor": "Abolished 1 April 2026, split between Thames Valley, Hampshire and Isle of Wight, and Surrey and Sussex",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Commissioner abolished on 1 April 2026 and its area split between three successor commissioners. Each now limits Right to Choose activity for 2026/27: Thames Valley ICB (East Berkshire) and Hampshire and Isle of Wight ICB (North East Hampshire) say so on their own sites, and providers report the same for Surrey and Sussex ICB (Surrey Heath, Ash and Farnham). You can still be referred and added to a waiting list. Check with the provider and the successor commissioner covering your GP practice before you refer.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-frimley"
    },
    {
      "icbSlug": "bath-and-north-east-somerset-swindon-and-wiltshire",
      "icbName": "NHS Bath and North East Somerset, Swindon and Wiltshire ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "No restriction found at this sweep. Referrals are accepted and queued. The ICB's own pages describe Right to Choose for adult ADHD and autism without a cap or pause, and the providers re-read on 30 October 2026 list no local limit. This records the absence of a reported restriction, not a positive confirmation from the commissioner. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-bath-and-north-east-somerset-swindon-and-wiltshire"
    },
    {
      "icbSlug": "bristol-north-somerset-and-south-gloucestershire",
      "icbName": "NHS Bristol, North Somerset and South Gloucestershire ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. The ICB's October 2026 guide says it sets annual activity plans for the main Right to Choose providers, and that a provider at its limit adds new referrals to a waiting list for the next financial year. For adult ADHD, a local screening step must be completed before a referral can be considered. Referrals can still be made. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-bristol-north-somerset-and-south-gloucestershire"
    },
    {
      "icbSlug": "cornwall-and-isles-of-scilly",
      "icbName": "NHS Cornwall and the Isles of Scilly ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "No restriction found at this sweep. Referrals are accepted and queued. The evidence is provider pages re-read on 30 October 2026 that list no local limit. This records the absence of a reported restriction, not a positive confirmation from the commissioner. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-cornwall-and-isles-of-scilly"
    },
    {
      "icbSlug": "devon",
      "icbName": "NHS Devon ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is restricted here, not closed. The ICB asks Right to Choose providers to support a minimum 14 week and a maximum 52 week wait from GP referral, and one provider reports an agreed funding limit for 2026/27. Referrals are accepted and queued. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-devon"
    },
    {
      "icbSlug": "dorset",
      "icbName": "NHS Dorset ICB",
      "successor": "",
      "adhdStatus": "unknown",
      "autismStatus": "unknown",
      "confidence": "low",
      "adhdConfidence": "low",
      "autismConfidence": "low",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "No status held. The commissioner has published no position on adult Right to Choose, and our sources conflict: one Right to Choose provider lists Dorset as limited activity for 2026/27, while others list no local limit. Referrals can still be made. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-dorset"
    },
    {
      "icbSlug": "gloucestershire",
      "icbName": "NHS Gloucestershire ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "No restriction found at this sweep. Referrals are accepted and queued. The ICB's 30 September 2026 board finance report says work is under way to agree indicative activity plans with providers, but it does not describe a cap or pause, and the providers re-read in October 2026 list no local limit. This records the absence of a reported restriction, not a positive confirmation from the commissioner. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-gloucestershire"
    },
    {
      "icbSlug": "somerset",
      "icbName": "NHS Somerset ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped or paused here, not closed. Providers report that ICB activity plans have used up funded appointments or set waits of more than 52 weeks for adult ADHD and autism in 2026/27. Referrals are accepted and queued. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-somerset"
    },
    {
      "icbSlug": "bedfordshire-luton-and-milton-keynes",
      "icbName": "NHS Bedfordshire, Luton and Milton Keynes ICB (now part of Central East ICB)",
      "successor": "Central East ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. This area is now commissioned by Central East ICB, which has said waiting times will temporarily rise for people referred in 2026/27. Several providers report that the ICB has set a funding limit for the year, and one says its funded activity is fully used. You can still be referred and added to a waiting list, and some providers report standard waits. Verify the current position with the provider and Central East ICB before referral.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-bedfordshire-luton-and-milton-keynes"
    },
    {
      "icbSlug": "cambridgeshire-and-peterborough",
      "icbName": "NHS Cambridgeshire and Peterborough ICB (now part of Central East ICB)",
      "successor": "Central East ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. The former Cambridgeshire and Peterborough ICB no longer exists; this area is now commissioned by Central East ICB, which has said waiting times will temporarily rise for people referred in 2026/27. Several providers report that the ICB has set a funding limit for the year, and one says its funded activity is fully used. You can still be referred and added to a waiting list, and some providers report standard waits. Verify the current position with the provider and Central East ICB before referral.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-cambridgeshire-and-peterborough"
    },
    {
      "icbSlug": "hertfordshire-and-west-essex",
      "icbName": "NHS Hertfordshire and West Essex ICB (now part of Central East ICB (Hertfordshire) and Essex ICB (West Essex))",
      "successor": "Central East ICB (Hertfordshire) and Essex ICB (West Essex)",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Capped here, not closed. This footprint now sits under two commissioners. Providers report 2026/27 funding limits set by Central East ICB for Hertfordshire and by Essex ICB for West Essex, with some providers' funding fully allocated. Essex ICB says Right to Choose remains available, and some providers still report capacity. Referrals can still be made. Check with the provider and the commissioner covering your GP practice.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-hertfordshire-and-west-essex"
    },
    {
      "icbSlug": "mid-and-south-essex",
      "icbName": "NHS Mid and South Essex ICB (now part of Essex ICB)",
      "successor": "Essex ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Capped here, not closed. Several Right to Choose providers report a 2026/27 funding cap set by Essex ICB, with funding fully allocated or a waiting list pending ICB funding. Essex ICB says Right to Choose remains available, and some providers still report their usual waits. Referrals can still be made. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-mid-and-south-essex"
    },
    {
      "icbSlug": "norfolk-and-waveney",
      "icbName": "NHS Norfolk and Waveney ICB (now part of Norfolk and Suffolk ICB)",
      "successor": "Norfolk and Suffolk ICB",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. This area is now commissioned by Norfolk and Suffolk ICB. Several providers say the ICB has set a budget or fixed funding for 2026/27 that limits the adult assessments they can deliver (Psychiatry UK and Skylight Psychiatry), or cite NHS funding restrictions (The Owl Centre), for both ADHD and autism. The ICB's own pages list approved adult ADHD providers and publish no limit. You can still be referred and added to a waiting list. Verify the current position with the provider and the ICB before referral.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-norfolk-and-waveney"
    },
    {
      "icbSlug": "suffolk-and-north-east-essex",
      "icbName": "NHS Suffolk and North East Essex ICB (now part of Norfolk and Suffolk ICB (Suffolk) and Essex ICB (North East Essex))",
      "successor": "Norfolk and Suffolk ICB (Suffolk) and Essex ICB (North East Essex)",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Capped here, not closed. This footprint now sits under two commissioners. Providers report 2026/27 limits set by Norfolk and Suffolk ICB for Suffolk and by Essex ICB for North East Essex, with some providers' funding fully allocated. Referrals can still be made and some providers still report capacity. Check with the provider and the commissioner covering your GP practice.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-suffolk-and-north-east-essex"
    },
    {
      "icbSlug": "birmingham-and-solihull",
      "icbName": "NHS Birmingham and Solihull ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped or paused here, not closed. The ICB's own page, whose wording is still scoped to the end of 2025/26, names Clinical Partners, Psychiatry UK and ADHD 360 as having paused new assessments. Clinical Partners reports in September 2026 that the pause and an additional ICB review of each referral remain in place, and Psychiatry UK reports an indicative activity plan with waits over 52 weeks. Referrals are accepted and queued. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-birmingham-and-solihull"
    },
    {
      "icbSlug": "black-country",
      "icbName": "NHS Black Country ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped or paused here, not closed. Providers report an indicative activity plan from the ICB with adult ADHD and autism waits over 52 weeks, and Clinical Partners reports that each referral must pass an additional ICB review before it can be accepted. A January 2026 government answer describes an ICB prior-approval process for Right to Choose providers. Referrals are accepted and queued. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-black-country"
    },
    {
      "icbSlug": "coventry-and-warwickshire",
      "icbName": "NHS Coventry and Warwickshire ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Capped here, not closed, on provider evidence. Two Right to Choose providers report limits set by the ICB for 2026/27, and one says its funding for the year is fully allocated. The ICB's all-age policy from May 2026 still stands: there is no age bar, referrals are accepted and queued, and providers must meet the ICB's quality standards. Some providers still report their usual waits. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-coventry-and-warwickshire"
    },
    {
      "icbSlug": "derby-and-derbyshire",
      "icbName": "NHS Derby and Derbyshire ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "No restriction found at this sweep. Referrals are accepted and queued. The ICB's own Right to Choose wording dates from December 2025. This records the absence of a reported restriction, not a positive confirmation from the commissioner. Check with the provider and the commissioner before referral.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-derby-and-derbyshire"
    },
    {
      "icbSlug": "herefordshire-and-worcestershire",
      "icbName": "NHS Herefordshire and Worcestershire ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "No restriction found at this sweep. Referrals are accepted and queued. The ICB runs an accreditation list for adult ADHD providers, which narrows practical choice without suspending the right, and its own autism page covers Right to Choose for under 18s only. This records the absence of a reported restriction, not a positive confirmation from the commissioner. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-herefordshire-and-worcestershire"
    },
    {
      "icbSlug": "leicester-leicestershire-and-rutland",
      "icbName": "NHS Leicester, Leicestershire and Rutland ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. The ICB says it has agreed Indicative Activity Plans with independent providers for 2026/27, and that providers may need to pause or delay new appointment dates to stay within their allocation. Referrals can still be made and added to a waiting list, and the position differs by provider. Verify the current position with the provider and the ICB before referral.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-leicester-leicestershire-and-rutland"
    },
    {
      "icbSlug": "lincolnshire",
      "icbName": "NHS Lincolnshire ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "low",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Adult ADHD is capped here on provider evidence: one ADHD provider says commissioners have imposed limits on the number of patients it can see each year, and another lists a waiting list due to local commissioning restrictions. Other providers still report their usual waits. No restriction was found for adult autism; that records the absence of a reported restriction, not a confirmation. Referrals can still be made. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-lincolnshire"
    },
    {
      "icbSlug": "northamptonshire",
      "icbName": "NHS Northamptonshire ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Capped here, not closed, on provider evidence. Three Right to Choose providers report limits set by the ICB for 2026/27, including a funding cap that is fully allocated and no routine activity funded. Some providers still report their usual waits. We could not re-read the commissioner's own page at this sweep. Referrals can still be made. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-northamptonshire"
    },
    {
      "icbSlug": "nottingham-and-nottinghamshire",
      "icbName": "NHS Nottingham and Nottinghamshire ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "No restriction found at this sweep. Referrals are accepted and queued. In FOI answers dated March 2026 the ICB reported no restrictions, no activity caps and no funding limits for Right to Choose providers, and it said it is reviewing its model. This records the absence of a reported restriction, not a positive confirmation from the commissioner. Check with the provider and the commissioner before referral.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-nottingham-and-nottinghamshire"
    },
    {
      "icbSlug": "shropshire-telford-and-wrekin",
      "icbName": "NHS Shropshire, Telford and Wrekin ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "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. The ICB says it is redesigning its all-age ADHD and autism pathways, which could change local referral routes later in 2026/27. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-shropshire-telford-and-wrekin"
    },
    {
      "icbSlug": "staffordshire-and-stoke-on-trent",
      "icbName": "NHS Staffordshire and Stoke-on-Trent ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "low",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Providers report that adult ADHD Right to Choose referrals here must pass an additional review required by the ICB before the GP can send them to the chosen provider, and the ICB commissioned a referral management service for adult ADHD referrals in 2025. Referrals are still accepted and queued. No restriction was found for adult autism, which rests on provider pages only. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-staffordshire-and-stoke-on-trent"
    },
    {
      "icbSlug": "humber-and-north-yorkshire",
      "icbName": "NHS Humber and North Yorkshire ICB",
      "successor": "",
      "adhdStatus": "open",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "medium",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "No restriction found at this sweep. Referrals are accepted and queued. In an FOI answer of 15 June 2026 the ICB said it had no activity plans for adult ADHD Right to Choose providers but was finalising them with its largest providers, so this may change. This records the absence of a reported restriction, not a positive confirmation from the commissioner. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-humber-and-north-yorkshire"
    },
    {
      "icbSlug": "north-east-and-north-cumbria",
      "icbName": "NHS North East and North Cumbria ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is limited here, not closed. For 2026/27 the ICB has introduced activity plans and an equalised minimum wait of about 78 weeks for ADHD and autism assessments with the providers it funds, and it says referrals remain open. You can still be referred and added to a waiting list. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-north-east-and-north-cumbria"
    },
    {
      "icbSlug": "south-yorkshire",
      "icbName": "NHS South Yorkshire ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "open",
      "confidence": "medium",
      "adhdConfidence": "medium",
      "autismConfidence": "low",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Since 1 October 2026 adult ADHD referrals in Sheffield have had to go first to the Primary Care Sheffield ADHD Interface Service and cannot be sent straight to a Right to Choose provider. The ICB has also approved activity plans and a minimum wait for Right to Choose providers, and some providers report ICB funding limits. Other parts of South Yorkshire were not verified. No restriction was found on adult autism. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-south-yorkshire"
    },
    {
      "icbSlug": "west-yorkshire",
      "icbName": "NHS West Yorkshire ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. The ICB has agreed a minimum wait of two years from referral for all autism and ADHD assessments with independent providers, alongside activity plans. Referrals are still accepted and queued. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-west-yorkshire"
    },
    {
      "icbSlug": "cheshire-and-merseyside",
      "icbName": "NHS Cheshire and Merseyside ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. The ICB says it will buy fewer adult ADHD assessments and fewer adult autism assessments in 2026/27 than in 2025/26, and its adult ADHD policy sets a referral threshold and asks for a face to face first assessment within 60 minutes' travel of home. Referrals can still be made and added to a waiting list. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-cheshire-and-merseyside"
    },
    {
      "icbSlug": "greater-manchester",
      "icbName": "NHS Greater Manchester ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "high",
      "adhdConfidence": "high",
      "autismConfidence": "high",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Restriction continues. Greater Manchester gave Right to Choose providers Indicative Activity Plans in April 2026 that limit how many appointments each can offer, with no published end date, and one provider reports its funded appointments for the year are used up. Referrals can still be made and added to a waiting list. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-greater-manchester"
    },
    {
      "icbSlug": "lancashire-and-south-cumbria",
      "icbName": "NHS Lancashire and South Cumbria ICB",
      "successor": "",
      "adhdStatus": "restricted",
      "autismStatus": "restricted",
      "confidence": "medium",
      "adhdConfidence": "high",
      "autismConfidence": "low",
      "lastVerified": "2026-10-30",
      "observationDate": "2026-10-30",
      "note": "Right to Choose is capped here, not closed. The ICB asked all adult ADHD providers, including Right to Choose providers, to reduce new assessments from April 2026 for people who have waited under 52 weeks. Several providers now report ICB activity limits on adult autism assessments too, although the ICB says no decision has yet been made on autism services. Referrals can still be made and added to a waiting list. Check with the provider and the commissioner.",
      "registerUrl": "https://finallyseen.org.uk/right-to-choose/icb-status/2026-10#icb-lancashire-and-south-cumbria"
    }
  ]
}