FOI 2025/1188

I am writing to request information under the Freedom of Information Act 2000. I would be grateful if you could provide the following details relating to Adult ADHD and Adult Autism assessment services commissioned by your ICB:

Waiting List Data

Please provide the most recent available data for:

1a. The total number of patients currently on the waiting list for Adult ADHD assessments.

1b. The total number of patients currently on the waiting list for Adult Autism assessments.

1c. The average and maximum waiting times for each of the above services.

Right to Choose (RTC) Contracts

2. The number of Right to Choose contracts issued by your ICB for Adult ADHD and Adult Autism assessments in the last 12 months.

Financial Spend – Adult ADHD Assessments For the most recent 12-month period:

3a. The total value of spend on Adult ADHD assessments through core block contracts.

3b. The total value of spend on Adult ADHD assessments with Right to Choose providers.

Financial Spend – Adult Autism Assessments For the most recent 12-month period:

4a. The total value of spend on Adult Autism assessments through core block contracts.

4b. The total value of spend on Adult Autism assessments with Right to Choose providers.

Assessment Activity – Right to Choose vs Block Contracts For the same 12-month period:

The volume (number of assessments completed) for both Adult ADHD and Adult Autism under:

5a. Core block contract provision

5b. Right to Choose arrangements

If possible, please provide this information in spreadsheet or tabular format.

1a) NHS Greater Manchester ICB (NHS GM) does not hold this data.

1b) NHS GM does not hold this data.

1c) NHS GM does not hold this data.

2) NHS GM has not issued any right to choose contracts over the past 12 months. Right to choose is a process where people from one ICB area can choose a service in another, where there is already a standard NHS contract in place. Therefore, an ICB would not issue right to choose contracts in this manner, as the ICB relies on the contract already in place.

3a) The core block contracts do not provide this level of detail.

3b) NHS GM is currently unable to disaggregate the specific cost of assessments for Adult ADHD. This is due to the nature of the invoices received, which often combine charges for Adult and Children and Young People (CYP) services, titration, medication, and, in some cases, autism assessments—particularly when these services are delivered by the same provider. As such, it is not possible to isolate the costs specific to Adult ADHD assessments from the available financial data.

4a) The core block contracts do not provide this level of detail.

4b) NHS GM is currently unable to disaggregate the specific cost of assessments for Adult Autism. This is due to the nature of the invoices received, which often combine charges for Adult and CYP services, and, in some cases, ADHD assessments—particularly when these services are delivered by the same provider. As such, it is not possible to isolate the costs specific to Adult Autism assessments from the available financial data.

5a) NHS GM does not hold this data.

5b) NHS GM does not hold this data.