For residents across Greater London, the Right to Choose (RtC) pathway for ADHD assessment remains a legally protected option under NHS England rules, allowing patients to request a referral to any approved independent provider rather than waiting on the standard NHS list. NHS North East London Integrated Care Board, like several of its counterpart ICBs, has faced significant pressures managing RtC demand, and there have been reported instances of GP practices applying informal gatekeeping steps — such as requiring patients to complete screening questionnaires or attend a preliminary appointment before a referral is processed — which, whilst not formally policy, can delay access. The standard NHS ADHD assessment wait across North East London currently stretches to several years in many areas, whereas the RtC pathway, when correctly invoked, typically offers appointments within weeks to a few months. Before your GP appointment, it is worth confirming that your practice is aware of NHS England's Right to Choose guidance and understands they cannot refuse a valid referral request. Bringing objective evidence such as a qEEG brain screening report can meaningfully support your conversation with the GP, demonstrating neurological indicators consistent with ADHD and strengthening the clinical basis for your referral.