ADHD services in London

London's five ICBs - North Central, North West, North East, South East, and South West London - each commission ADHD services separately, so waiting times and Right to Choose arrangements vary depending on where you live. Several NHS trusts provide specialist ADHD assessment, including South London and Maudsley, Central and North West London, and East London NHS Foundation Trust. Private ADHD clinics are widely available across London, many offering assessment within days or weeks.

ADHD assessment and treatment in the UK sits across two main pathways. On the NHS, your GP refers you to a specialist ADHD service or psychiatrist. Waiting times for NHS ADHD assessments vary enormously by area but are often measured in years rather than months, making this one of the longest waits in mental healthcare. The NHS Right to Choose allows you to request assessment from any qualified provider, including independent services funded by the NHS - this can significantly reduce waiting times, though availability depends on your Integrated Care Board.

Private ADHD assessments are available without a GP referral from most providers and typically offer much shorter waits. Costs vary depending on whether you need a diagnostic assessment only or ongoing medication management. If you are diagnosed privately and want your GP to prescribe your medication on the NHS, this is done through a shared care agreement - your GP is not obliged to agree, but many do.

ADHD is managed through a combination of medication (usually stimulants such as methylphenidate or lisdexamfetamine, prescribed by a psychiatrist or specialist nurse prescriber), coaching, and psychological support. NICE guidelines recommend medication as a first-line treatment for adults with moderate-to-severe ADHD, alongside non-pharmacological strategies.