Do I need a GP referral?

Do you need a GP referral for an ADHD or autism assessment?

Whether you need a GP referral depends on the route you choose. There are generally three main pathways in the UK: NHS referral, Right to Choose, and fully private assessment.

NHS referral

To access an NHS assessment for ADHD or autism, you will usually need to see your GP first. They will discuss your concerns, may rule out other explanations, and if appropriate, refer you to a local NHS specialist service. This referral is generally required to enter standard NHS pathways.

Right to Choose

Right to Choose is an NHS policy that allows eligible patients in England to choose a provider for their assessment, sometimes with shorter waiting times than local services, still funded by the NHS. You typically still need a GP referral to use this route, as the GP submits the referral to your chosen provider on your behalf. Not all GP practices are familiar with this process, so it can help to be specific about which provider and pathway you are requesting.

Private assessment

Many private clinics allow you to self-refer directly, without needing to see your GP first. You can usually contact a clinic directly to arrange an assessment. However, it is still a good idea to inform your GP that you are seeking a private assessment, particularly if medication or shared care might be relevant later.

Why involving your GP can still help

Even where a referral is not strictly required, your GP can be a useful part of the process because they:

• Hold your medical history, which may be relevant to assessment
• Can rule out or address other conditions that might explain your symptoms
• May need to be involved later for shared care or ongoing prescribing
• Can offer support and signposting alongside any private assessment

Summary of routes

• NHS assessment: GP referral generally required
• Right to Choose: GP referral required, submitted to your chosen provider
• Private assessment: many clinics accept self-referral, though informing your GP is still worthwhile

A note on this guide

This information is general and may vary by provider or local area. If you are unsure which route is right for you, speak to your GP, who can talk through the options available in your circumstances.

What to say to your GP

If you are considering an NHS or Right to Choose referral, it can help to prepare for your GP appointment by writing down specific examples of how ADHD or autism traits affect your daily life, rather than relying on memory in the moment. This can help your GP understand your situation and make an appropriate referral.

If you're not sure which route is right for you

Some people start with a GP conversation even if they are considering a private assessment, simply to get a general view and rule out other explanations first. This is not compulsory, but it can be a useful starting point if you feel uncertain about which path to take.

If you've recently moved GP practices

If you've recently registered with a new GP practice, it's worth allowing some time for your records to transfer before requesting a referral, as this can occasionally affect how quickly a referral is processed. Being patient and following up politely if you haven't heard back within a reasonable time is a sensible approach.