In Birmingham and the wider West Midlands, adult ADHD assessments are primarily commissioned through NHS Birmingham and Solihull Mental Health NHS Foundation Trust, while children and young people are typically seen through Birmingham Women's and Children's NHS Foundation Trust and local CAMHS services, though commissioning arrangements vary across the region's integrated care boards. Waiting times across both pathways are widely reported to be multi-year, reflecting a significant and well-documented national capacity crisis that is felt acutely in a densely populated urban area like Birmingham. Many local GPs are aware of the NHS England Right to Choose pathway, which allows adults to self-refer or be referred to an alternative NHS-funded provider, though uptake varies considerably depending on individual practice awareness and the patient's ability to navigate the process independently. For those currently on a waiting list, a qEEG brain activity screening can provide objective, clinically meaningful data about attention and neurological function, giving patients and their clinicians something tangible to work with while awaiting a formal NHS diagnosis.