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The NHS ADHD pathway, step by step

This is the route the NHS describes for an adult, in its own words. It starts at your GP; what happens next depends on where you live. Children’s routes differ by area.

Docorix read the official pages named on this page on 30 October 2026. This is information, not medical advice, and Docorix is not part of the NHS and cannot make or speed up a referral. Waiting times, caps and provider lists change without notice: confirm with your GP and the provider before you rely on anything here.

  1. 1See your GPTell them how ADHD symptoms affect your study, work or relationships.
  2. 2GP decides on referralThey must agree it is clinically appropriate.
  3. 3Choose the routeLocal NHS service, or in England Right to Choose.
  4. 4Specialist assessmentAn ADHD specialist, such as a psychiatrist.
  5. 5Diagnosis and planLifestyle, adjustments, medicines, talking therapies.
  6. 6Medicines startedStarted and monitored by the specialist.
  7. 7Back to your GP?Only if a shared care agreement exists.

From the NHS page “ADHD in adults”. Source: NHS – ADHD in adults

What the NHS says

1. See your GP
If your ADHD symptoms are affecting your studies, work or relationships, the NHS says to make an appointment with a GP to find out what support is available. The GP may also want to consider other conditions, such as autism, Tourette’s or anxiety.
Source: NHS – ADHD in adults
2. Referral
The GP may decide to refer you for an assessment with a mental health professional specialising in ADHD. If you were diagnosed with ADHD in childhood and need help for your symptoms, the NHS says to talk to your GP about getting a referral.
Source: NHS – ADHD in adults
3. Choosing where
The NHS says you may be able to find a clinic with shorter waiting lists through your GP using the Right to Choose scheme, and that you can ask for an NHS appointment at any clinic, including a private clinic, if it provides ADHD services for the NHS in England.
Source: NHS – ADHD in adults
4. The assessment
Your appointment will be with an ADHD specialist such as a psychiatrist. The specialist may want to contact someone who knows you well, such as a family member or close friend.
Source: NHS – ADHD in adults
5. Your plan
The NHS says ADHD can be managed in many ways, including lifestyle changes, changes at work, or medicines, and that not everyone needs or wants to take medicine. Talking therapies such as cognitive behavioural therapy or mindfulness may be recommended for adults.
Source: NHS – ADHD in adults
6. Medicines
ADHD medicines must be started and monitored by an ADHD specialist. The NHS names methylphenidate and lisdexamfetamine and says you may need to try more than one medicine.
Source: NHS – ADHD in adults
7. Back to your GP?
A GP may be able to take over prescribing ADHD medicines, but only if there is a “shared care agreement” between the GP and the ADHD specialist.
Source: NHS – ADHD in adults

How long it takes

No single answer
Waiting times vary and you may have to wait several months or years to access ADHD specialist services.
Source: NHS – ADHD in adults
Open referrals
In June 2026 there were up to 959,662 open referrals that may be for an ADHD assessment: 780,430 recorded in the Mental Health Services Dataset and up to 179,232 in the Community Health Services waiting list data. The figure is “up to”.
Source: NHS England – ADHD Management Information, August 2026 (published 27 August 2026)

What the ADHD Taskforce summary says

From NHS England’s plain-English summary of the ADHD Taskforce report, published 9 December 2025.

Support should not wait
The summary says not to make children wait for a diagnosis to get help.
Source: NHS England – Plain English summary of the ADHD Taskforce report (9 December 2025)
Waits
It says some people wait more than 2 years for an ADHD assessment, and that in some areas waiting times have grown to 10-15 years.
Source: NHS England – Plain English summary of the ADHD Taskforce report (9 December 2025)
Who does what
It recommends the Department of Health and Social Care support GP practices to take on some parts of ADHD care.
Source: NHS England – Plain English summary of the ADHD Taskforce report (9 December 2025)
Regulation
It says the Care Quality Commission should have oversight of all ADHD service providers.
Source: NHS England – Plain English summary of the ADHD Taskforce report (9 December 2025)

Sources