FOI 2026/1589

Please can you provide the information below under the Freedom of Information Act 2000.

If exact data are not held, please provide the nearest available figures or best available estimates and specify whether they are estimates.

Where figures are not held in the requested format, please provide them in the closest format available.

Definitions (to support consistent reporting):

• “Adult” means patients aged 18 years or over.
• “Right to Choose (RTC)” refers to NHS patient choice arrangements under the NHS Constitution where an eligible patient is referred for an NHS-funded assessment with an alternative provider.
• “ADHD diagnostic assessments via RTC” refers to NHS-funded ADHD diagnostic assessments commissioned by your ICB and delivered by external providers under RTC arrangements.

1) Commissioned activity volumes

1. For adults requiring an ADHD diagnostic assessment, how many assessments are currently commissioned by your ICB to be delivered via Right to Choose:

a) On an ongoing basis (e.g. a contracted number per month and/or per financial year)?

b) As part of any time-limited plan (e.g. an agreed number to be completed by a specified date)?

2) Actual activity delivered

1. How many adult ADHD diagnostic assessments via RTC were actually completed for your ICB population in:

a) Financial year 2024/25 (or the most recent completed financial year available)

b) Calendar year 2025 (if held)

3) Annual spend

1. What was the total spend by your ICB on adult ADHD diagnostic assessments delivered via RTC in:

a) Financial year 2024/25 (or the most recent completed financial year available)

Please state whether this includes assessment-only, follow-up appointments, and/or any additional costs (e.g. admin fees).

4) RTC provider landscape

1. How many external providers (organisations/companies) delivered NHS-funded adult ADHD diagnostic assessments via RTC for your ICB in the most recent completed financial year?
2. Please provide the name of each provider (if held).

5) Regulation / CQC registration

1. For each provider delivering adult ADHD diagnostic assessments via RTC, please confirm whether they are CQC registered for the regulated activity(ies) relevant to the service they deliver (or confirm how many are CQC registered if provider-level details cannot be disclosed).

6) Assessor competence / quality assurance information requested by the ICB

1. What information does your ICB require or receive from RTC providers regarding assessor competence, including (where available):

a) Professional qualifications / registration status of assessors

b) ADHD-specific diagnostic training (e.g. UKAAN or equivalent)

c) Relevant experience in ADHD diagnostic assessments (e.g. years or volume of assessments)

d) Clinical supervision arrangements

e) Governance / quality assurance processes (e.g. audit, clinical oversight, peer review)

A brief description of what is required/received is sufficient.

7) Outcome and reporting expectations (if held)

1. Do RTC providers report any of the following to your ICB? If yes, please state which metrics are collected:

a) Diagnostic outcome rates (ADHD diagnosed vs not diagnosed)

b) Waiting times (referral to assessment, assessment to outcome)

c) DNA/cancellation rates

d) Patient experience measures

1 a) & b) NHS Greater Manchester (NHS GM) does not commission any activity to be delivered by right to choose – this is delivered as non-contractual activity and is not commissioned by the provider.

2 a) & b) NHS GM does not hold this information. This would need to be obtained from the providers shown below.

3 a) £11,623,906.89.

4 a) & b) see response to Q1a and b.

5) NHS GM has a requirement that all providers hold a CQC registration to deliver services to GM registered population.

6) NHS GM does not oversee quality assurance for right to choose providers. This is the responsibility of the host ICB.

7 a), b), c) and d) NHS GM do not receive this data.