Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the proposed 2025/26 NHS Payment Scheme consultation to enable Integrated Care Boards (ICBs) to set financial limits for each independent provider delivering services under patient right of choice regulations where the level of activity is greater than £0.1 million per year on ADHD waiting times.

A patients’ right to choose is set out in legislation. The proposed 2025/26 NHS Payment Scheme (NHSPS) makes no changes to this right. As required by the Health and Care Act 2022, NHS England has conducted an assessment of the impact of the proposed NHSPS. This is available at the following link: https://www.england.nhs.uk/wp-content/uploads/2025/01/25-26-NHSPS-Consultation-notice-C-impact-assessment.pdf

This impact assessment includes consideration of the impact on patient choice, as well as an assessment of the impact on patients, in line with NHS England’s public sector equality duty.

Local integrated care boards (ICBs) are responsible for planning service provision in their local area, including for attention deficit hyperactivity disorder assessments. In doing so, ICBs should take account of waiting lists, and should consider how local funding can be deployed to best meet the needs of their local population.