For residents of Leeds, NHS West Yorkshire ICB oversees local mental health commissioning, and like many integrated care boards across England, it has faced significant pressure managing the volume of Right to Choose referrals for adult ADHD assessment. While NHS West Yorkshire ICB has not publicly announced a blanket ban on Right to Choose requests, some GPs across the region have applied informal gatekeeping steps, such as asking patients to complete symptom questionnaires or requesting supporting evidence before processing a referral, which can create inconsistency in access. The standard NHS ADHD assessment pathway in West Yorkshire currently carries reported waits of several years in many areas, whereas approved Right to Choose providers are generally expected to begin assessment within 18 weeks, making the pathway a meaningful option for those who cannot wait. Before your GP appointment, it is worth confirming that your chosen provider holds current NHS Right to Choose approval and is accepting referrals from your area. Bringing objective evidence of cognitive and neurological differences, such as a qEEG brain screening report, gives your GP a clinically grounded basis for supporting your referral with confidence.