Question

How do I start looking into an adult ADHD assessment in Wales?

Adult ADHD services in Wales are not yet evidenced as one uniform national access pathway, so England-specific choice rules or one health board's referral process would be misleading if generalised.

Last reviewed: 3 September 2026 · Status: Partially resolved

Scope before you act

Wales This scope signal is derived from the governed question wording for orientation only. It is not an eligibility, legal or clinical determination.

Relevant to inspect, not recommended. This is a bounded synthesis of the current governed catalogue, not a personalised recommendation or proof that a listed resource will work for you.

Current understanding

Welsh Government's 2026–27 Neurodivergence Improvement Programme says an adult ADHD task-and-finish group is developing options to improve services, including work related to shared care. Current operational pathways remain health-board specific. For example, Hywel Dda currently describes a professional-referral route, usually through a GP, for adults in its catchment; that is a local example and not a Wales-wide rule. NICE NG87 provides professional diagnostic standards in England and Wales: diagnosis should be made by an appropriately qualified specialist following a full assessment rather than a checklist alone. Diagnosis, medication, titration, prescribing and shared care are separate decisions. England Right to Choose does not apply in Wales.

What evidence is still needed

Where people may disagree

When this answer should be revisited

Question provenance and review state

Practical Wales adult-ADHD route assembled from current Welsh Government programme evidence, NICE guidance and an explicitly local Hywel Dda NHS pathway. National uncertainty and local variation are retained.

Created 2026-09-03 · last reviewed 3 September 2026 · review state editor_reviewed