Every ICB ranked by how open its Right to Choose route is
All 30 integrated care boards that exist in their own right, ordered by what we have been able to verify about adult ADHD and autism Right to Choose referrals. 16 have no restriction reported for ADHD, 12 are restricted or suspended, 0 have sources that conflict, and 2 have no status we can evidence either way.
Register last reviewed 1 August 2026. Each row carries the date it was observed and the publication it came from.
| # | Integrated care board | Adult ADHD | Adult autism | Observed | Source |
|---|---|---|---|---|---|
| 1 | NHS Bath and North East Somerset, Swindon and Wiltshire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 2 | NHS Bristol, North Somerset and South Gloucestershire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 3 | NHS Cornwall and the Isles of Scilly ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 4 | NHS Coventry and Warwickshire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 5 | NHS Derby and Derbyshire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 6 | NHS Gloucestershire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 7 | NHS Herefordshire and Worcestershire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 8 | NHS Humber and North Yorkshire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 9 | NHS Lincolnshire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 10 | NHS North East London ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 11 | NHS Northamptonshire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 12 | NHS Nottingham and Nottinghamshire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 13 | NHS Shropshire, Telford and Wrekin ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 14 | NHS South West London ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 15 | NHS South Yorkshire ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 16 | NHS Staffordshire and Stoke-on-Trent ICB | No restriction reported | No restriction reported | 1 August 2026 | No published source held |
| 17 | NHS Lancashire and South Cumbria ICB | Restricted: capped or paused, referrals still accepted | No restriction reported | 1 August 2026 | No published source held |
| 18 | NHS South East London ICB | Restricted: capped or paused, referrals still accepted | No restriction reported | 1 August 2026 | No published source held |
| 19 | NHS Birmingham and Solihull ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 20 | NHS Black Country ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 21 | NHS Cheshire and Merseyside ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 22 | NHS Devon ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 23 | NHS Greater Manchester ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 24 | NHS Hampshire and Isle of Wight ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 25 | NHS Kent and Medway ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 26 | NHS Leicester, Leicestershire and Rutland ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 27 | NHS Somerset ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 28 | NHS West Yorkshire ICB | Restricted: capped or paused, referrals still accepted | Restricted: capped or paused, referrals still accepted | 1 August 2026 | No published source held |
| 29 | NHS Dorset ICB | No status held | No status held | 1 August 2026 | No published source held |
| 30 | NHS North East and North Cumbria ICB | No status held | No status held | 1 August 2026 | No published source held |
How this list is built
One row per integrated care board that exists in its own right today. Ordered by the status recorded for adult ADHD first, then autism: no restriction reported, then sources conflict, then restricted, then suspended, then no status held. Where we hold no evidence either way the row says so and is never counted as open.
Source: Finally Seen ICB Right to Choose register
Our compilation is CC BY 4.0. Commissioner and provider publications remain the property of their publishers.
Attribution: Finally Seen, Every ICB ranked by how open its Right to Choose route is, https://finallyseen.org.uk/right-to-choose/open-icbs. Reuse permitted with attribution.
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