NHS Right to Choose Assessments
Harley Street Mental Health is commissioned by the NHS to provide specialist neurodevelopmental assessments in England.
- Right to Choose Adult Autism Assessments (18 years and older)
- Right to Choose Adult ADHD Assessments (18 years and older)
From 1st November we will also be accepting Childhood ADHD referrals (ages 6-17) and Titration Only referrals for people previously diagnosed with ADHD.
Services We Offer
Please note that all* NHS assessments are conducted virtually over a video call.
This NHS service is for:
Adult ADHD
Adults aged 18 or over located in England and registered with an English GP Practice. Assessments are virtual.
Adult Autism
Adults aged 18 or over located in England and registered with an English GP Practice. Assessments are virtual.
Childhood ADHD
From 1st November. Children aged 6-17 located in England and registered with an English GP Practice. Assessments are virtual.
Titration Only
From 1st November. Adults and Children aged 6+ located in England and registered with an English GP Practice. Must have a previous ADHD diagnosis. Assessments are virtual.
*Adult Autism patients in West Yorkshire have the option to attend an in-person appointment in Leeds
For Patients, Parents, and Carers
While waiting, take this opportunity to discuss shared care with your GP. Once you have a titration appointment, you will work with our prescribers to find out what medication and dosage works best for you.
While waiting, take this opportunity to discuss shared care with your GP. Once your child has a titration appointment, you will work with our prescribers to find out what medication and dosage works best for them.
Please note that we cannot accept self-referrals for these services. Referrals must come from your registered NHS GP practice.
If your circumstances change while waiting for your appointment please speak to your GP and let us know
For GPs
Where To Send A Referral
- To ensure our service is the best one for your patient, confirm with the patient that there are no acute or unmanaged risks that make waiting for an assessment unsuitable for the patient
- Exclusion criteria for referrals are detailed in each referral form in accordance with our NHS contracts
- Ensure all relevant parties consent to the assessment
- Ensure a virtual assessment is conducive to success for the patient
To process a patient's referral to our service, we require:
- A Summary of Care
- A referral form or letter
- A risk assessment
- Legible and accurate contact and identifying information for the patient and GP practice
Without these, there will be delays in processing the referral.
For child referrals school reports, SENCO needs assessments, and adjustments the school has previously tried are also requested.
This is NOT a crisis service. Should you deem a patient requires an earlier assessment that current wait times permit, please outline why, the likely effect of delay, relevant evidence, and time scale in the referral. Urgent referrals are not guaranteed to occur on an accelerated timeline.
Referral Documents
Adult Referrals
Use the same adult form for either assessment. Select the service required.
Complete all 4 pages. Confirm remote suitability.
Please include:
Relevant clinical or diagnostic reports, where applicable.
Childhood ADHD
Complete all 4 pages. Confirm remote suitability and the required parental or young person’s consent.
Please include:
-
Summary Care Record.
Relevant parent, carer and developmental information.
School or other education reports, including needs and support or adjustments tried.
Relevant clinical or diagnostic reports, where applicable.
For Titration Only referrals, please provide the previous diagnostic report.
Questions?
Get in touch at contact@hsmh.co.uk
Frequently Asked Questions
(FAQs)
If you can’t find what you’re looking for, our team is here to help. Contact us for personalized guidance.
We cannot accept self referrals. All Right to Choose Referrals must be submitted by your registered GP practice in England.
Our Right to Choose service is fully virtual. Only West Yorkshire Autism Patients have the option to have an in-person assessment in Leeds. All other assessments and appointments take place over a video call.
While the school will provide supporting documentation for the referral, the Right to Choose referral itself must come from the patient's registered GP practice. Please share any education reports and supporting information to the GP to provide alongside the referral.
While we accept dual referrals, the assessments will be separate. Dual referrals are treated as two separate referrals sent on the same day. We do not conduct combined assessments.
You can only be on one Right to Choose waiting list at a time. To submit a referral to our service, you would have to take yourself off any other Right to Choose waiting lists ahead of your GP sending the referral.
If you already have a diagnosis, please ensure your GP includes this in the referral documentation.
Our service does not currently have the capacity to provide interpreters for assessments. All assessments take place in spoken English over a video call. Should you require an alternate form of communication, our service may not be a fit for you.
Should you require the questionnaires in an alternate format, please send us an email at contact@hsmh.co.uk and we can see what can be arranged.
We aim to process referrals within 10 business days of receiving them from your GP. One your referral has been processed, your wait time is dependant on where your GP Practice is located. You can use the wait time checker at the top of this page to get an approximate wait time for your area.
No, Right to Choose patients' journeys with our service are fully funded by the NHS. This includes the assessment as well as any ADHD treatment/follow up where applicable.
The questionnaires you complete ahead of your appointment allow your assessor to get a fuller picture of your, your circumstances, your symptoms, and how ADHD or Autism may have affected your life. Completing all of them is also essential to comply with NICE guidelines so that your diagnosis and report will be accepted by the NHS. Without all questionnaires complete ahead of the appointment, your appointment may be delayed or cancelled.
If no one who knew you in childhood is able to fill out the questionnaire, you can send us an email at contact@hsmh.co.uk explaining this. We can send you an alternate version of the form to complete, and give further help for your specific circumstance.
During a childhood ADHD assessment, the clinician will talk with you and your child to understand their development, symptoms, and previously tried management strategies.
Yes, the individual with parental responsibility is expected to attend the appointment. You will be asked about your child’s development and milestones so it is helpful if you can have this information to hand (when they first walked, talked, potty trained, etc).
Please let us know as soon as possible in advance of the appointment. Cancellations within 24 hours of the appointment will be marked as "Did Not Attend". Once 3 appointments have been missed or cancelled with short notice, you may be discharged from our service back to your GP.
Our Right to Choose service is virtual. Only West Yorkshire Autism Patients have the option to have an in-person assessment in Leeds. All other assessments or appointments take place over a video call.
Our current wait time for titration is 20 weeks from the date of your Adult ADHD assessment.
Our current wait time for titration for childhood ADHD is 10 weeks from the date of your assessment.
To start shared care, you must be on the same type and dose of medication for at least 2 months. If this is the case, send us an email at contact@hsmh.co.uk and we can start the process for you.
If your GP doesn't accept shared care, our prescribing team will continue to issue you NHS Repeat Prescriptions.
Please send us an email with the following and we can seek clinical guidance for you if need be:
- An up to date blood pressure and pulse reading
- If you have noticed any positive effects from the medication at any point and if so how long is this lasting?
- Any side effects from the medication you may be experiencing, and if so what sort of time of the day these are
- Have there been any changes to your general health or other medications since your appointment with the doctor?
If you are happy with your medication and dose, you can request an NHS repeat prescription here.Once you have ordered your repeat prescription, you will receive a confirmation email with a short questionnaire that needs completing relating to your physical
health. Once the questionnaire has been completed, this will be sent to the doctors to review who will aim to action your prescription within 72 hours.
If you require any dose adjustments or are experiencing any side effects you'd like to discuss with your prescriber, please book a titration appointment.