For residents of Derby and the surrounding area, accessing an ADHD assessment through the NHS can feel daunting. NHS Derby and Derbyshire ICB oversees local mental health commissioning, and while the ICB has not publicly announced formal triage restrictions that block Right to Choose referrals outright, GPs in the area have reported applying varying degrees of scrutiny before agreeing to refer, meaning some patients have experienced pushback or been asked to evidence the clinical need more clearly before a referral is accepted. The standard NHS pathway in Derbyshire currently carries reported waits of several years in many cases, whereas approved Right to Choose providers are legally required to offer an assessment within 18 weeks of referral, making this route considerably faster for those who qualify. Before your GP appointment, it is worth checking that your chosen provider appears on the NHS England Right to Choose directory and remains actively accepting referrals, as availability does change. Attending your appointment with objective evidence — such as a clinically validated qEEG brain screening report — can meaningfully strengthen your case and give your GP measurable, impartial data to support the referral discussion.