Right to Choose is not a loophole. It is Section 3a of the NHS Constitution — your legal right to choose your healthcare provider. For ADHD, this means assessment by specialists like Psychiatry-UK in months instead of years. From Sunderland, the process starts with your GP — and our clinical letter gives them everything they need.
Source: NHS England ICB commissioning data · ADHD UK postcode tracker
NHS North East and North Cumbria ICB is the integrated care board that commissions ADHD services for Sunderland and the surrounding area. Like most of England, demand here has outstripped capacity for years — and like a growing number of ICBs, the local position on Right to Choose ADHD referrals is now something you need to verify rather than assume. Some areas route every referral directly to your chosen provider; others have introduced a triage or single-point-of-access step first.
Do not let this put you off. Right to Choose remains your legal right under the NHS Constitution, and even a triaged Right to Choose referral is typically months faster than the standard Tyne and Wear pathway. Check the NHS North East and North Cumbria ICB website and ADHD UK's local data the week of your GP appointment, bring the current position with you, and you will be ahead of most patients — and most GPs — walking into that conversation.
GPs near Sunderland are not the enemy. They are overwhelmed professionals handling 30+ patients per day with 10-minute appointments. When someone comes in saying 'I think I have ADHD,' the GP has to weigh this against limited clinical evidence, competing priorities, and the knowledge that the referral will land on a service already drowning in demand.
This context explains why evidence matters so much. A GP who receives a well-structured clinical letter with objective brain data, z-scores, and peer-reviewed citations can process the referral efficiently and confidently. They are not being asked to diagnose — they are being asked to refer, and the evidence makes the referral defensible.
Our GP evidence guide includes everything you need to prepare for that appointment: what to say, what to bring, how to handle pushback, and when to invoke Right to Choose explicitly. The combination of our clinical letter and this preparation makes GP refusal extremely unlikely.
Right to Choose is enshrined in the NHS Constitution under Section 3a. It gives every patient in England the legal right to choose which qualified provider carries out their first outpatient appointment — including ADHD assessment. In practice, this means your GP near Sunderland can refer you to an approved private provider, and the NHS pays the full cost.
For ADHD, the most commonly used provider is Psychiatry-UK, which has a formal partnership with NHS England. Other approved providers include Clinical Partners and selected regional clinics. The assessment follows identical NICE NG87 guidelines — clinical interview, developmental history, behavioural rating scales, and diagnostic formulation. The only difference is speed: 3–6 months instead of 2–5 years.
Right to Choose is not a loophole, a workaround, or a grey area. It is established NHS policy. Your GP cannot remove the right itself — but they can decline to refer for ADHD if they believe a referral is not clinically warranted, and some ICBs have introduced local triage steps that change how the referral routes. That is why evidence matters: objective brain data makes the clinical case impossible to dismiss.
For parents near Sunderland pursuing Right to Choose for their child, the process is identical but the preparation is slightly different. Gather: our brain screening report, school observations or SENCO reports, Conners parent and teacher rating scales, examples of difficulties across settings (home, school, social), and any old developmental health visitor records.
At the GP appointment, frame it around the child's functional impairment: academic underperformance relative to ability, social difficulties, emotional dysregulation, and the impact on family life. Present the brain data as objective neurological evidence supporting the referral. Request Right to Choose referral to a provider that assesses children (Psychiatry-UK, Clinical Partners).
After referral, the provider will send questionnaires to you and your child's school before the assessment appointment. The assessment itself is typically longer for children (90–120 minutes) and may include direct observation. If ADHD is confirmed, the specialist discusses treatment options with you and initiates medication if agreed, with shared care transferred to your GP.
Your screening report serves multiple purposes simultaneously. While you wait for the Right to Choose assessment (3–6 months), the same report can support: EHCP applications for your child's school, JCQ exam access arrangements (extra time, rest breaks), employer reasonable adjustment requests under the Equality Act 2010, Access to Work evidence gathering, and the Right to Choose referral itself. One screening, one report, multiple applications running in parallel.
If you are later diagnosed and prescribed medication, the baseline brain data becomes invaluable. A follow-up medication scan (£345) compares your on-medication brain activity against the baseline — providing objective evidence that treatment is having the intended neurological effect. This data supports medication dosage reviews and shared care monitoring.
Objective z-scores and peer-reviewed citations are significantly harder to dismiss than self-reported symptoms. GPs near Sunderland 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 Sunderland 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
GP referrals from Sunderland are commissioned by NHS North East and North Cumbria ICB. Right to Choose is national law, but since 2024 several ICBs have introduced triage steps or attempted restrictions on ADHD Right to Choose referrals, and the position changes frequently. Before your GP appointment, check the current position on the ICB's own website and via ADHD UK's local data pages — so you can ask for the correct pathway by name.
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.
Right to Choose is a legal right under the NHS Constitution — your GP cannot remove the right itself, but they can decline to refer for ADHD if they believe it is not clinically warranted, and some ICBs have added local triage steps that change how referrals route. Objective brain data makes a clinical refusal very difficult to justify. If your GP declines, ask for the reason in writing, ask what the ICB's current approved pathway is, 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 Tyne and Wear NHS standard pathway. During the wait, your screening report supports school, work, and other applications.
Yes. The two pathways run in parallel. Stay on the NHS list as backup while pursuing Right to Choose as a faster route. If assessed via Right to Choose first, you can then leave the NHS list. We recommend staying on both.
If ADHD is confirmed, the provider initiates medication (typically stimulant or non-stimulant options) and monitors your titration over 4–12 weeks. They then set up a shared care agreement with your GP for ongoing prescribing. Your GP handles repeat prescriptions at standard NHS cost (£9.90 per item or free with prepayment).
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.
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Same-day clinical letter. Evidence your GP will act on. From £595.