For residents of Reading, Berkshire, accessing an ADHD assessment through the NHS is currently a significant challenge, with the local commissioning body, NHS Buckinghamshire, Oxfordshire and Berkshire West ICB, overseeing a standard NHS pathway that carries reported waiting times of several years in many parts of its footprint. Under the national Right to Choose framework, patients registered with a GP in England can request referral to an alternative NHS-commissioned provider, and this route has generally offered considerably shorter waits; however, NHS Buckinghamshire, Oxfordshire and Berkshire West ICB has been among the ICBs reported to have introduced additional administrative steps or scrutiny around Right to Choose referrals, meaning the process is not always as straightforward as the national guidance suggests. Before attending your GP appointment, it is worth checking whether your practice has a specific referral policy or preferred Right to Choose pathway document, as individual surgeries can vary in their familiarity with the process. Bringing objective evidence to that conversation — such as results from a quantitative EEG brain screening assessment, which provides clinically recognised neurological data — can meaningfully strengthen your case and demonstrate to your GP that your concerns are well-founded and thoroughly considered.