For residents of Plymouth, NHS Devon ICB is the responsible commissioning body overseeing adult ADHD services across the region, and it operates within the wider national framework that permits patients to request a Right to Choose referral under the NHS Choice framework, allowing access to an alternative qualified provider rather than waiting solely on the local NHS pathway. Reported waits on the standard NHS Devon pathway have in some areas stretched to several years, whereas Right to Choose providers have generally offered assessments within a considerably shorter timeframe, though individual wait times vary and change regularly. NHS Devon ICB has, in line with many ICBs nationally, applied scrutiny to Right to Choose requests, so it is worth confirming with your GP surgery that they are familiar with the current referral process and any administrative steps required locally before your appointment. Practically, Plymouth residents should check that their GP practice is up to date with NHS England's Right to Choose guidance and has an agreed referral route ready to action. Bringing objective evidence to your GP appointment, such as a quantitative EEG brain screening report documenting neurological patterns consistent with attention difficulties, can meaningfully strengthen your case and support a more informed clinical conversation.