For residents of Nottingham and the surrounding county, accessing an ADHD assessment through the NHS Right to Choose pathway remains a recognised option, though the process is not without its complexities. NHS Nottingham and Nottinghamshire ICB oversees commissioning in this area, and like many ICBs across England, it has faced pressure to manage demand on the Right to Choose route; some GPs in the area have reported informal gatekeeping or additional triage steps before agreeing to issue a referral, meaning patients may encounter hesitancy at practice level even when their entitlement under NHS guidelines is clear. Standard NHS pathway waits in Nottinghamshire have been reported at several years in some instances, whereas the Right to Choose pathway, whilst not instant, can offer a meaningfully shorter route to assessment. Before your GP appointment, it is worth confirming that your chosen Right to Choose provider is currently accepting NHS referrals and has an up-to-date NHS contract. Arriving with objective evidence, such as a quantitative EEG brain screening report that highlights attention-related biomarkers, can ground the conversation in measurable data and demonstrate to your GP that your concerns are clinically substantiated.