In Lancaster and the wider Lancashire area, adult ADHD assessments are commissioned through NHS Lancashire and South Cumbria Integrated Care Board, with clinical services largely delivered by Lancashire and South Cumbria NHS Foundation Trust; children and young people's assessments fall under the CAMHS pathway within the same system. Waiting times for both pathways are currently multi-year, reflecting significant demand against limited specialist capacity — a pressure that mirrors the national picture but is particularly acute in this geographically large, mixed urban-rural patch. Many Lancaster GPs refer patients to the central Lancashire neurodevelopmental hub, though referral routes and triage criteria can vary between practices, and some patients find their referral stalls at the GP stage due to uncertainty about eligibility thresholds. Lancashire has seen growing use of the NHS Right to Choose scheme, allowing adults to request an assessment through an alternative qualified provider at NHS expense, though awareness of this entitlement among local GPs remains inconsistent. While waiting, a clinically validated qEEG brain-activity screening can provide objective, neurophysiological evidence to support your case and inform conversations with your GP or future assessor.