Referrals to Right to Choose Providers

ADHD and ASD Services at Kingswood Surgery

Due to unprecedented demand and significant funding challenges, local NHS services for ADHD and Autism (ASD) assessments are currently under immense pressure. To ensure a safe and sustainable service for all our patients, Kingswood Surgery has implemented the following protocols.

Important: Shared Care Agreements (SCA)

Kingswood Surgery will no longer enter into new Shared Care Agreements (SCAs) with any provider, including Right to Choose (RTC) or private services.

This decision prioritises patient safety. Managing complex, controlled medications requires intensive monitoring and seamless communication. Given the high volume of providers and the lack of standardised monitoring resources, we cannot safely guarantee the necessary oversight.

If a diagnosis is made by a non-local NHS provider (e.g., RTC or private), that provider remains responsible for all ongoing prescribing and clinical monitoring indefinitely. There is no internal appeals process for this policy.

NHS Right to Choose (RTC) Referrals

If you wish to exercise your Right to Choose for an ADHD or ASD assessment, the responsibility for coordinating the referral lies with the patient.

Step 1: Choose a Provider from our Approved List

We have reached out to providers to confirm they accept standard GP referral letters to avoid administrative delays. You can see up-to-date waiting times for these and other providers at ADHD / ASD UK Wait Times.

Note on Other Providers: If you wish to use a provider not listed above, please ask them to complete our RTC Provider Questionnaire.  https://forms.office.com/e/hmttvB6Su4 We only add providers to our approved list once they confirm they will accept a standard GP referral letter and provide their official NHS referrals email address.

Disclaimer: Please note that inclusion on this list does not constitute an endorsement by Kingswood Surgery regarding the quality or clinical safety of the provider. These organisations are listed solely because they have confirmed they will adhere to our administrative referral process.

Step 2: Submit via Accurx

Once you have selected your provider, please submit an Accurx request to the surgery.

Step 3: Patient Questionnaire

After we receive your Accurx request, we will send you a clinical questionnaire to complete.

• Why? We have found that patients with neurodiversity can struggle to explain their symptoms during a standard face-to-face consultation.

• Process: You will be given 7 days to complete this questionnaire. This allows you the time and space to express your concerns as thoroughly as possible. We use this information to send your referral directly, usually without the need for a GP appointment.

Please Note: Kingswood Surgery does not complete provider-specific forms or log into third-party portals. A standard clinical referral letter containing your medical history is the appropriate method for transferring care.

Adults: Local and Private Services

• Local NHS: Most local adult services are currently closed to new referrals.

• Criteria: You must complete self-screening tools (ASRS for ADHD or AQ-10 for Autism) and demonstrate significant daily life impact.

• Private Assessments: NHS GPs cannot issue private prescriptions or continue treatments initiated privately. You must fund medication and reviews indefinitely.

Children and Adolescents

• NHS Referrals: We strongly encourage using local services (CAMHS or Buckinghamshire Children’s ADHD service) to ensure integrated support with schools.

• School Role: Schools should refer children directly to neurodevelopmental pathways if symptoms are primarily observed in the educational setting.

• Private Providers: As with adults, we do not enter into shared care with private paediatric providers. A full NHS reassessment is required before any NHS prescribing can be considered.

Administrative Policy: Forms and Third-Party Portals

Please note that Kingswood Surgery does not complete provider-specific referral templates or log into third-party websites to manually upload patient data. With dozens of unique providers, it is neither clinically safe nor practical for our team to navigate multiple different administrative systems and login credentials. Managing a high volume of bespoke forms increases the risk of data errors and significantly delays the referral process for all patients. In accordance with general NHS policy and the Standard General Medical Services Contract, a professional clinical referral letter containing the patient’s full medical history and relevant screening results is the appropriate and safest method for transferring care.