This summary guide helps you to understand support options, assessment routes, and prescribing rules for autism and ADHD. For more information, see our FAQ.
Do I Need a Diagnosis?
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Support is based on needs, not diagnosis.
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You don’t need a diagnosis for help at school, social care, or benefits.
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You do need a diagnosis to be prescribed ADHD medication.
Why Are Waiting Times So Long?
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Demand for assessments has surged.
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NHS services are expanding, but waits can be between 1–13 years nationally.
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500 Extra assessments are being added in Northamptonshire for 2025/26.
Support Without Diagnosis
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Local services include: Enfold, CHAT Health, Shout, TRACK, SENDIASS, Recovery College, and many peer support groups. More information is in the larger FAQ.
Assessment Routes
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NHS Referral: Via GP; includes holistic assessment and prescribing.
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Right to Choose (RtC): Choose an NHS-approved provider; discuss with your GP the referral pathway.
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Not all RtC providers offer prescribing, GPs may not prescribe unless a formal Shared Care Agreement is in place.
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Right to choose is for one provider only per patient unless prescribing is referred to local services.
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Private Assessment: Self-funded (£500–£3,500+).
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May not be accepted by NHS.
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Prescribing is usually private unless reassessed by NHS.
ADHD Medication
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NHS local services starts treatment, then GPs may continue under Shared Care.
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GPs won’t prescribe based on private diagnosis unless safety protocols are met.
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RtC providers may prescribe if they hold NHS contracts.
Switching Between Services
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You can move from private to NHS care, but may need reassessment.
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NHS won’t reimburse private costs.
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You can’t be on both NHS and RtC waiting lists at once.
Consider what you want from a diagnosis—it’s not always necessary unless medication is needed.
Autism & ADHD Services in Northamptonshire – Quick Guide
Page published: 29 September 2025
Last updated: 29 September 2025