{
  "dataset": "English ICBs ordered by adult ADHD and autism Right to Choose status",
  "reviewed": "2026-08-01",
  "source": {
    "name": "Finally Seen ICB Right to Choose register, compiled from commissioner and provider publications",
    "path": "/right-to-choose/icb-status"
  },
  "method": "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.",
  "licence": "Our compilation is CC BY 4.0. Commissioner and provider publications remain the property of their publishers.",
  "rows": [
    {
      "position": 1,
      "icbSlug": "bath-and-north-east-somerset-swindon-and-wiltshire",
      "name": "NHS Bath and North East Somerset, Swindon and Wiltshire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 2,
      "icbSlug": "bristol-north-somerset-and-south-gloucestershire",
      "name": "NHS Bristol, North Somerset and South Gloucestershire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 3,
      "icbSlug": "cornwall-and-isles-of-scilly",
      "name": "NHS Cornwall and the Isles of Scilly ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 4,
      "icbSlug": "coventry-and-warwickshire",
      "name": "NHS Coventry and Warwickshire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 5,
      "icbSlug": "derby-and-derbyshire",
      "name": "NHS Derby and Derbyshire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 6,
      "icbSlug": "gloucestershire",
      "name": "NHS Gloucestershire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 7,
      "icbSlug": "herefordshire-and-worcestershire",
      "name": "NHS Herefordshire and Worcestershire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 8,
      "icbSlug": "humber-and-north-yorkshire",
      "name": "NHS Humber and North Yorkshire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 9,
      "icbSlug": "lincolnshire",
      "name": "NHS Lincolnshire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 10,
      "icbSlug": "north-east-london",
      "name": "NHS North East London ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 11,
      "icbSlug": "northamptonshire",
      "name": "NHS Northamptonshire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 12,
      "icbSlug": "nottingham-and-nottinghamshire",
      "name": "NHS Nottingham and Nottinghamshire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 13,
      "icbSlug": "shropshire-telford-and-wrekin",
      "name": "NHS Shropshire, Telford and Wrekin ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 14,
      "icbSlug": "south-west-london",
      "name": "NHS South West London ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 15,
      "icbSlug": "south-yorkshire",
      "name": "NHS South Yorkshire ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 16,
      "icbSlug": "staffordshire-and-stoke-on-trent",
      "name": "NHS Staffordshire and Stoke-on-Trent ICB",
      "adhd": "open",
      "autism": "open",
      "adhdLabel": "No restriction reported",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "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."
    },
    {
      "position": 17,
      "icbSlug": "lancashire-and-south-cumbria",
      "name": "NHS Lancashire and South Cumbria ICB",
      "adhd": "restricted",
      "autism": "open",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 18,
      "icbSlug": "south-east-london",
      "name": "NHS South East London ICB",
      "adhd": "restricted",
      "autism": "open",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "No restriction reported",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 19,
      "icbSlug": "birmingham-and-solihull",
      "name": "NHS Birmingham and Solihull ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 20,
      "icbSlug": "black-country",
      "name": "NHS Black Country ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 21,
      "icbSlug": "cheshire-and-merseyside",
      "name": "NHS Cheshire and Merseyside ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 22,
      "icbSlug": "devon",
      "name": "NHS Devon ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 23,
      "icbSlug": "greater-manchester",
      "name": "NHS Greater Manchester ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 24,
      "icbSlug": "hampshire-and-isle-of-wight",
      "name": "NHS Hampshire and Isle of Wight ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 25,
      "icbSlug": "kent-and-medway",
      "name": "NHS Kent and Medway ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 26,
      "icbSlug": "leicester-leicestershire-and-rutland",
      "name": "NHS Leicester, Leicestershire and Rutland ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 27,
      "icbSlug": "somerset",
      "name": "NHS Somerset ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 28,
      "icbSlug": "west-yorkshire",
      "name": "NHS West Yorkshire ICB",
      "adhd": "restricted",
      "autism": "restricted",
      "adhdLabel": "Restricted: capped or paused, referrals still accepted",
      "autismLabel": "Restricted: capped or paused, referrals still accepted",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "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."
    },
    {
      "position": 29,
      "icbSlug": "dorset",
      "name": "NHS Dorset ICB",
      "adhd": "unknown",
      "autism": "unknown",
      "adhdLabel": "No status held",
      "autismLabel": "No status held",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "Corrected on 8 September 2026, from capped or paused to no status held. Our sources do not show the commissioner limiting the adult Right to Choose activity it will fund, and they do not confirm an unrestricted pathway either. Referrals can still be made. Check with the provider and the commissioner."
    },
    {
      "position": 30,
      "icbSlug": "north-east-and-north-cumbria",
      "name": "NHS North East and North Cumbria ICB",
      "adhd": "unknown",
      "autism": "unknown",
      "adhdLabel": "No status held",
      "autismLabel": "No status held",
      "lastVerified": "2026-08-01",
      "observedOn": "2026-08-01",
      "sourceName": null,
      "sourceUrl": null,
      "note": "Corrected on 8 September 2026, from capped or paused to no status held. Our sources record long waits and activity plans still being agreed, neither of which establishes a limit on the activity the commissioner will fund. Referrals can still be made. Check with the provider and the commissioner."
    }
  ]
}