Long NHS waiting lists can make getting the support you or your child needs feel overwhelming. In some areas, waiting times can stretch into months or even years. Fortunately, many people in England have a legal right to choose where they receive certain NHS services. This is known as NHS Right to Choose. For eligible patients, it can lead to much shorter waiting times for assessments and treatment.
Disclaimer: This article is provided for general information and educational purposes only. NaturesZion and its authors are not healthcare professionals, and nothing in this article should be considered medical, legal, or professional advice. NHS guidance, policies, and waiting times can change. Always speak to your GP or another qualified healthcare professional about your own circumstances. If you believe any information on this page is out of date, please contact us so we can review and update it.
What is NHS Right to Choose?
NHS Right to Choose is a legal right available to many patients in England. It allows you to choose which NHS-funded provider you are referred to for certain specialist services.
Many people know about Right to Choose because of ADHD and autism assessments. However, it is not limited to neurodevelopmental conditions. It can also apply to a range of physical and mental health services, provided you meet the eligibility criteria.
The most common services include:
- ADHD assessments
- Autism assessments
- Mental health services
It may also apply to many consultant-led physical health services.
If your chosen provider has an NHS contract for the service you need, your care is still funded by the NHS. Even if the provider is an independent organisation, you do not pay privately.
Why do people use Right to Choose?
The main reason is simple.
Shorter waiting times.
Many NHS services have long waiting lists. In contrast, some NHS-funded providers that accept Right to Choose referrals have much shorter waits.
This may allow you to:
- Receive an assessment sooner.
- Get a diagnosis earlier.
- Begin treatment more quickly.
- Access specialist clinicians sooner.
Earlier support can make a significant difference. This is especially true for children and adults who are struggling at school, university, work, or in everyday life.
Who can use Right to Choose?
In general, you may be able to use Right to Choose if:
- You live in England.
- You are registered with an NHS GP in England.
- Your GP agrees that a referral is clinically appropriate.
- Your chosen provider has an NHS contract for that service.
There are some exceptions. As a result, not every referral or NHS service is covered.
How does NHS Right to Choose work?
The process is usually straightforward.
Step 1. Speak to your GP
Book an appointment and explain your symptoms or concerns.
If your GP believes you need a specialist assessment or treatment, they can make a referral.
Step 2. Research your preferred provider
Before your appointment, look for an NHS-funded provider that accepts Right to Choose referrals.
Many providers publish useful information, including:
- Eligibility criteria
- Referral forms
- Guidance for GPs
- Estimated waiting times
Taking this information with you can help make the referral process smoother.
Step 3. Request a Right to Choose referral
Tell your GP that you would like your referral sent under the NHS Right to Choose scheme.
It can also help to provide your chosen provider’s referral form or guidance.
Step 4. Wait for the provider to review your referral
Once your GP has submitted the referral, the provider will review it.
If your referral is accepted, the provider will contact you directly with the next steps and appointment information.
Can my GP refuse?
Your GP decides whether a referral is clinically appropriate.
If they believe a referral is not medically necessary, they are not required to make one.
However, if your GP agrees that a referral is appropriate and your chosen provider meets the legal requirements for Right to Choose, you have the right to ask for that provider.
If there is any uncertainty, you can politely ask your GP to review the NHS Choice Framework guidance.
Does it cost anything?
No.
If your referral is accepted under NHS Right to Choose, your assessment and any treatment remain fully funded by the NHS.
You do not have to pay privately.
Is Right to Choose only for ADHD and autism?
No.
Although ADHD and autism assessments are the most common examples, Right to Choose can apply to many consultant-led NHS services where the eligibility criteria are met.
Things to remember
Keep these key points in mind:
- Right to Choose only applies in England.
- Your GP must agree that a referral is clinically appropriate.
- Not every NHS service is included.
- Not every provider accepts Right to Choose referrals.
- Waiting times vary between providers.
Final thoughts
Understanding your rights can make navigating the NHS much less stressful.
For many families, NHS Right to Choose has provided a faster route to assessment, diagnosis, and treatment. Although it will not be suitable for every situation, it is well worth discussing with your GP if you think you need a specialist referral.
Getting the right support sooner can make a real difference. Earlier assessment often leads to earlier treatment, better understanding of your needs, and improved access to ongoing support.
Useful Links
Clicking the titles below will bring you to the relevant sources-
NHS England Choice Information
