Self-Referral vs GP Referral for ADHD Assessment: Which Is Right for You?
One of the most frequently asked questions is whether a GP referral is required to book a private ADHD assessment. The short answer is no, you can refer yourself directly to a private provider. However, understanding the differences between the available routes can help you choose the most suitable option for your circumstances. Each route may differ in terms of waiting times, costs, and access to ongoing support. Considering these factors carefully can help you make a more informed decision.
Self-referral to a private provider
Self-referral means booking directly with a private ADHD assessment service without going through your GP first. The advantages include shorter waiting times, with appointments typically available within two to four weeks, no need to convince your GP that an assessment is necessary, and greater control over the process. There are no clinical disadvantages to self-referral.
Many adults choose self-referral because they have already tried to discuss ADHD with their GP and felt dismissed, they cannot wait months for a GP appointment, or they simply want to take control of the process.
GP referral to a private provider (Right to Choose)
If your GP refers you under the NHS Right to Choose, the assessment may be funded by the NHS. This removes the cost but typically involves longer waiting times than a self-funded assessment, usually 3-12 months rather than 2-4 weeks.
GP referral to NHS services
A GP referral to NHS ADHD services is free but involves the longest waiting times, currently 1-5 years in most areas of England. This is not a practical option for most adults who are struggling now.
A direct comparison
| Route | Cost | Wait time | GP involvement | Outcome |
|---|---|---|---|---|
| Self-referral (private) | From £399 | 2-4 weeks | Not required | Comprehensive report |
| Right to Choose (NHS-funded) | Free | 3-12 months | Required | Comprehensive report |
| NHS referral | Free | 1-5 years | Required | Varies by service |
What we recommend
Speak to your GP before or after your private assessment. Beforehand, your GP can help rule out other medical causes for your symptoms. After receiving an adult ADHD diagnosis, informing your GP can help ensure your medical records are updated and allow them to consider supporting medication through a shared care agreement.
You do not need your GP’s permission to book a private assessment, but keeping them informed is recommended. A reputable private provider should send your GP a letter after the assessment, regardless of the outcome.
What to look for in a private provider
Not all private ADHD assessment providers are equal. When choosing a provider, look for:
- CQC registration (the Care Quality Commission regulates healthcare providers in England)
- GMC-registered clinicians
- Assessments conducted in accordance with NICE guideline NG87
- A comprehensive written report (not just a letter)
- Clear pricing with no hidden costs
- A clear process for shared care support
After your assessment: next steps
Whether you self-refer or go through your GP, the outcome of a private ADHD assessment is the same, a written clinical report confirming or ruling out ADHD, with recommendations for treatment and support. This report can be used to access medication through your GP under a shared care arrangement, apply for workplace adjustments under the Equality Act, and access educational or social support.
Conclusion
Both self-referral and GP referral can lead to a professional ADHD assessment, but the right route depends on your budget, preferred waiting time, and support needs. Self-referral generally provides faster access and greater control, while NHS-funded options reduce costs. Whichever route you choose, keeping your GP informed can help support future treatment and ongoing care.