The average ADHD wait in Bristol exceeds 3 years. Right to Choose reduces that to 3–6 months. The assessment is identical — following NICE NG87 guidelines — just delivered faster by a different provider, paid for by the NHS. From Bristol, the first step is evidence your GP can act on.
The Right to Choose pathway has a specific bottleneck that most people near Bristol do not anticipate: GP willingness. The legal right is clear. The process is straightforward. The funding is available. But the referral requires your GP to submit it — and many GPs have never processed a Right to Choose ADHD referral before.
This unfamiliarity creates friction. Some GPs confuse Right to Choose with 'going private.' Others believe it requires CCG approval (it does not). Some think it only applies to certain conditions. A small number incorrectly believe they can refuse the request entirely.
Our approach solves this. The comprehensive package (£845) includes a clinical interpretation letter that explains Right to Choose, names the recommended provider, and provides the clinical evidence in a format GPs recognise. Several GPs have told us this letter was the first time anyone had clearly explained the Right to Choose process to them. Education plus evidence equals referral.
Three things stop most people near Bristol from using Right to Choose. First, they do not know it exists — the NHS does not publicise it, and many people only discover it through ADHD communities on social media. Second, their GP has never heard of it — surveys suggest fewer than half of GPs have processed a Right to Choose ADHD referral. Third, the GP is not convinced a referral is warranted — self-reported symptoms alone are often insufficient to overcome clinical caution.
Our service addresses all three barriers. Our clinical letter explains Right to Choose to your GP, provides the evidence that justifies the referral, and names the specific provider to refer to. You walk in with a complete referral package — your GP just needs to submit it through the NHS e-Referral Service (e-RS).
Clients from Bristol consistently report that having the clinical letter transformed their GP appointment from a frustrating negotiation into a 5-minute administrative process.
The pathway from Bristol to diagnosis runs through five clear stages. First, evidence gathering: our brain screening provides the objective data, but you should also complete an ASRS-v1.1 (adults) or Conners questionnaire (children), write a functional impairment summary, and gather any historical evidence (school reports, previous assessments).
Second, the GP appointment: book a double slot, present everything in the first minute, and make the Right to Choose request explicitly. Our GP evidence guide has word-for-word scripts. Third, the referral itself: a 5-minute administrative process if the GP has the evidence in front of them. Fourth, the wait: 3–6 months typically, during which you can use the screening report for school, work, and other support. Fifth, the assessment: comprehensive clinical evaluation following NICE NG87, leading to diagnosis and treatment if appropriate.
Most clients near Bristol complete steps 1–3 within two weeks. The total elapsed time from brain screening to diagnosis is typically 4–8 months — compared to 3–7 years via the standard NHS pathway.
The Psychiatry-UK assessor who conducts your Right to Choose assessment will review all available evidence before the appointment. Most patients arrive with questionnaires and a GP referral letter. You will arrive with those plus objective neurological data that no other patient typically brings. This does not guarantee diagnosis — that is a clinical decision based on the full picture. But it gives the assessor an additional evidence dimension that enhances the assessment quality and efficiency.
Several assessors have told clients that our reports are among the most detailed screening documents they receive. The z-scores, frequency band analysis, and Go/No-Go attention data provide a neurocognitive profile that complements the clinical interview. The assessment becomes a richer, more informed process.
Objective z-scores and peer-reviewed citations are significantly harder to dismiss than self-reported symptoms. GPs near Bristol respond to evidence.
GPs who include our data in their referral letter give the receiving provider more context, leading to a more focused and efficient assessment.
During the 3–6 month wait, use the report for EHCP applications, Access to Work, and employer reasonable adjustments.
If diagnosed, your baseline data enables a follow-up comparison scan (£345) to objectively track medication response.
Brain screening (£595–£845) + Right to Choose (free) + shared care (NHS). Total: under £850 for a complete diagnostic pathway.
The Right to Choose assessor reviews all evidence. Objective brain data adds a dimension that no other patient typically brings to the assessment.
A third option is fully private assessment (£700–£1,500), which has the shortest wait (2–8 weeks) but you pay the full cost. Many people from Bristol combine approaches: brain screening (£595–£845) + Right to Choose assessment (free) + Access to Work support (free). Total out-of-pocket: the screening only. View all pricing options.
We provide Right to Choose evidence for children aged 6+, teenagers, adults, and women & girls who are systematically underdiagnosed by questionnaire-based assessment.
Each person is compared against age-matched normative data from published research. The clinical letter is tailored for Right to Choose referral submissions, with z-scores, peer-reviewed citations, and specific recommendations your GP can act on immediately.
View packages: standard screening (£595) · comprehensive (£845) · family package (£1,095) · all pricing
After your screening: ADHD support hub · results explained · what to do next · GP appointment guide · medication guide · coping strategies · workplace rights · ADHD in women · parent's guide · relationships guide · sleep guide · exercise & ADHD
Not required — but strongly recommended. Our clinical letter provides the objective evidence that convinces GPs to refer. Without it, many GPs hesitate. With it, most refer promptly. The comprehensive package (£845) includes the clinical letter specifically formatted for Right to Choose referrals.
The Comprehensive Assessment (£845) — it includes the clinical interpretation letter your GP needs, tailored for Right to Choose referral submissions. The standard Brain Screening (£595) provides the data report but without the formal letter.
This is common. Print the NHS patient choice guidance from nhs.uk and bring it to the appointment. Our clinical letter also explains Right to Choose. Psychiatry-UK has a GP information page your GP can review. In many cases, our letter is the first clear explanation the GP has received.
Right to Choose is England only. Scotland, Wales, and Northern Ireland have separate NHS systems without equivalent patient choice legislation. If you live in those nations, options are standard NHS referral or fully private assessment. Many UK-wide telehealth providers offer video assessments regardless of location.
Yes — and you should. While waiting for Right to Choose assessment, use the report for: EHCP applications, JCQ exam access arrangements, Access to Work evidence, employer reasonable adjustments, and additional GP conversations. One screening supports multiple applications simultaneously.
Request the refusal in writing. Ask for a second opinion from another GP at the same practice. Consider registering with a different practice. Contact PALS (Patient Advice and Liaison Service). Ask Psychiatry-UK to contact the GP directly — they have a process for this. GP refusal after seeing objective brain data is rare but not impossible.
Yes. The assessment is fully NHS-funded — you pay nothing for the assessment itself. The only cost is any supporting evidence you choose to gather beforehand, such as our brain screening (£595–£845). Everything from the Right to Choose referral onwards is free.
No. Right to Choose is a legal right under Section 3a of the NHS Constitution. Your GP cannot refuse the right itself — they can only decline to refer for ADHD if they believe it is not clinically warranted. Objective brain data makes that position very difficult to justify. If they refuse, ask for the refusal in writing and request a second opinion.
Yes. Right to Choose applies to children and teenagers as well as adults. Parents request the referral through their child's GP. The family package (£1,095) screens two family members for Right to Choose evidence.
Typically 3–6 months from GP referral to assessment. This varies by provider and current demand. Even at the longer end, it is dramatically faster than the 2–5 year Bristol NHS standard pathway. During the wait, your screening report supports school, work, and other applications.
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Same-day clinical letter. Evidence your GP will act on. From £595.