For residents of Cheltenham seeking an ADHD assessment, the Right to Choose pathway remains a legally protected option under NHS England rules, allowing your GP to refer you to any eligible independent provider rather than automatically placing you on the local NHS waiting list. NHS Gloucestershire ICB has faced significant pressure on its adult ADHD services, and local NHS assessment waits have been reported to stretch to several years in some cases, making the Right to Choose route an understandably appealing alternative for many people who simply cannot wait that long. It is worth noting that some ICBs across England have introduced informal triage steps or attempted to restrict Right to Choose referrals, and whilst NHS Gloucestershire ICB operates within national NHS England guidance, it is sensible to check whether your GP practice is currently aware of your entitlement before your appointment, as understanding can vary at surgery level. Before you attend, confirm that your chosen provider is listed on the NHS England Right to Choose directory. Arriving with objective evidence of your neurological functioning, such as a quantitative EEG brain screening report, can meaningfully support the clinical conversation and demonstrate to your GP that your concerns are grounded in measurable data.