NHS ADHD assessment services in Dudley, West Midlands, fall under Black Country Healthcare NHS Foundation Trust, which holds responsibility for both adult and children and young people's (CAMHS) mental health provision across the borough. Waiting times for a formal ADHD assessment on the NHS are currently multi-year for many patients in this area, reflecting a significant and well-documented gap between referral capacity and clinical demand that is not unique to Dudley but is particularly acute here given historical underinvestment in community mental health infrastructure. Local GPs vary considerably in their willingness to make direct referrals for ADHD assessment; some follow a stepped-care pathway requiring prior mental health input, which can add further delay before a patient even reaches the waiting list. Adults in Dudley do have the legal Right to Choose an alternative NHS provider for assessment, though awareness of this option among both patients and primary care staff remains inconsistent. While waiting, a qEEG brain activity screening offers objective, clinically grounded evidence of neurological patterns associated with ADHD, helping individuals and their GPs build a clearer picture ahead of any formal diagnostic appointment.