SEND support across Greater London: find your borough route
London has 32 borough SEND systems, a separate City of London authority and four NHS integrated care boards. Start with the child's home borough.
How support is organised in Greater London
London is one city, but SEND decisions are not made by one London-wide team. Each of the 32 borough councils publishes a Local Offer and manages its own EHC assessments, transport and children''s social-care responsibilities.
Families routinely cross borough boundaries for school, healthcare, work and family support. That can make the system feel more joined up than it is. The council responsible for the child''s home is normally the right starting point for statutory SEND questions.
London''s boroughs sit within four NHS integrated care boards: North East London, South East London, South West London, and West and North London. The last of these was created on 1 April 2026 by bringing together the former North Central and North West London ICBs.
NHS boundaries and provider catchments do not always match borough lines. The ICB plans services across its area, while the hospital, community service or mental health provider named on a referral manages the individual pathway.
The local picture in Greater London
This section maps the current health bodies serving this area and, where a comparable official measure is available, presents it alongside the national figure. It is not a rating of the area or the quality of an individual service.
Health
NHS commissioning for Greater London
Integrated care boards, usually shortened to ICBs, plan and pay for many NHS services in England. They do not necessarily deliver an assessment or treatment themselves, and some pathways work across more than one area.
education
EHC plans issued within 20 weeks
The percentage of new EHC plans issued within the statutory 20-week period during 2025, excluding cases where permitted exceptions applied.
| Council | Local figure | England comparison | Period |
|---|---|---|---|
| Barking and Dagenham | 27.2% | England: 46.1%18.9 percentage points below the England figure | 2025 calendar year |
| Barnet | 100% | England: 46.1%53.9 percentage points above the England figure | 2025 calendar year |
| Bexley | 65.9% | England: 46.1%19.8 percentage points above the England figure | 2025 calendar year |
| Brent | 69.7% | England: 46.1%23.6 percentage points above the England figure | 2025 calendar year |
| Bromley | 71.3% | England: 46.1%25.2 percentage points above the England figure | 2025 calendar year |
| Camden | 73% | England: 46.1%26.9 percentage points above the England figure | 2025 calendar year |
| Croydon | 61.2% | England: 46.1%15.1 percentage points above the England figure | 2025 calendar year |
| Ealing | 52.2% | England: 46.1%6.1 percentage points above the England figure | 2025 calendar year |
| Enfield | 67.2% | England: 46.1%21.1 percentage points above the England figure | 2025 calendar year |
| Greenwich | 31.2% | England: 46.1%14.9 percentage points below the England figure | 2025 calendar year |
| Hackney | 32.8% | England: 46.1%13.3 percentage points below the England figure | 2025 calendar year |
| Hammersmith and Fulham | 87.2% | England: 46.1%41.1 percentage points above the England figure | 2025 calendar year |
| Haringey | 89.6% | England: 46.1%43.5 percentage points above the England figure | 2025 calendar year |
| Harrow | 88.2% | England: 46.1%42.1 percentage points above the England figure | 2025 calendar year |
| Havering | 32% | England: 46.1%14.1 percentage points below the England figure | 2025 calendar year |
| Hillingdon | 77.6% | England: 46.1%31.5 percentage points above the England figure | 2025 calendar year |
| Hounslow | 58.4% | England: 46.1%12.3 percentage points above the England figure | 2025 calendar year |
| Islington | 85.8% | England: 46.1%39.7 percentage points above the England figure | 2025 calendar year |
| Kensington and Chelsea | 97.9% | England: 46.1%51.8 percentage points above the England figure | 2025 calendar year |
| Kingston upon Thames | 97.2% | England: 46.1%51.1 percentage points above the England figure | 2025 calendar year |
| Lambeth | 89.1% | England: 46.1%43.0 percentage points above the England figure | 2025 calendar year |
| Lewisham | 22.9% | England: 46.1%23.2 percentage points below the England figure | 2025 calendar year |
| Merton | 95.6% | England: 46.1%49.5 percentage points above the England figure | 2025 calendar year |
| Newham | 31.5% | England: 46.1%14.6 percentage points below the England figure | 2025 calendar year |
| Redbridge | 27.9% | England: 46.1%18.2 percentage points below the England figure | 2025 calendar year |
| Richmond upon Thames | 96.5% | England: 46.1%50.4 percentage points above the England figure | 2025 calendar year |
| Southwark | 42.8% | England: 46.1%3.3 percentage points below the England figure | 2025 calendar year |
| Sutton | 96% | England: 46.1%49.9 percentage points above the England figure | 2025 calendar year |
| Tower Hamlets | 46% | England: 46.1%0.1 percentage points below the England figure | 2025 calendar year |
| Waltham Forest | 25.7% | England: 46.1%20.4 percentage points below the England figure | 2025 calendar year |
| Wandsworth | 100% | England: 46.1%53.9 percentage points above the England figure | 2025 calendar year |
| Westminster | 92.9% | England: 46.1%46.8 percentage points above the England figure | 2025 calendar year |
How to read this indicator
The Department for Education calculates this measure from the mandatory SEN2 return. FamilyFX presents each responsible council separately and compares its published percentage with the England figure for the same period and definition.
Timeliness describes one part of the EHC plan process. It does not show the quality of a plan, whether support was suitable or what an individual family experienced. A high percentage can also be based on a relatively small number of plans.
Source: Department for Education, checked 14 August 2026. Update frequency: annual.
Autism referral data for NHS North East London
NHS North East London plans NHS services across Barking and Dagenham, City of London, Hackney, Havering, Newham, Redbridge, Tower Hamlets and Waltham Forest. The March 2026 figures describe recorded suspected-autism referrals across the system, not an individual provider's complete waiting list.
Recorded referrals
5,555
Open suspected-autism referrals
People whose suspected-autism referral was recorded as open at some point in March 2026.
A count shows scale, not comparative performance.
Share of referrals
87.2%
Open for at least 13 weeks
The share of recorded open suspected-autism referrals that had been open for 13 weeks or longer.
England: 89.7%. 2.5 percentage points lower than the England figure.
Share of referrals
2.7%
First contact within 13 weeks
Among referrals open for at least 13 weeks, the share with a first attended care contact recorded within 13 weeks of referral.
England: 3.7%. 1.0 percentage points lower than the England figure.
Share of referrals
65.3%
No first care contact recorded
Among referrals open for at least 13 weeks, the share without a first care contact recorded in the dataset.
England: 82.7%. 17.4 percentage points lower than the England figure.
What these figures mean
A system signal, not a waiting-time promise
The NHS England measures follow suspected-autism referrals from the referral date to the first attended care contact recorded in the Mental Health Services Dataset. FamilyFX preserves the published counts, shows the numerator and denominator behind each derived percentage, and compares only measures with the same definition and reporting month.
NHS North East London continued on the same statutory footprint on 1 April 2026. The calculation uses source rows QMF. Published counts are rounded, so derived percentages are approximate.
Important limitation
This dataset is incomplete by design
These are official statistics in development, not a complete autism waiting list. Most child autism assessments take place in community paediatric services whose activity cannot yet be identified in the Community Services Dataset. March 2026 data from Psychiatry UK was incomplete, and a missing care-contact date can mean a contact was not submitted, the person was still waiting, or the referral closed without a first appointment. The figures should not be used to rate an ICB or predict an individual wait.
Show the calculation behind each figure
| Measure | Numerator | Denominator | NHS codes | Calculation note |
|---|---|---|---|---|
| Open suspected-autism referrals | 5,555 | Not applicable | ASD16 | The published count is retained without a population comparison because it describes system scale, not comparative performance. |
| Open for at least 13 weeks | 4,845 | 5,555 | ASD16 + ASD16a | FamilyFX divided ASD16a by ASD16 and rounded the result to one decimal place. Source counts are published rounded values. |
| First contact within 13 weeks | 130 | 4,845 | ASD16a + ASD18 | FamilyFX divided ASD18 by ASD16a and rounded the result to one decimal place. Source counts are published rounded values. |
| No first care contact recorded | 3,165 | 4,845 | ASD16a + ASD18b | FamilyFX divided ASD18b by ASD16a and rounded the result to one decimal place. A missing contact is not the same as a confirmed wait. |
What has changed, and what it means for families
The current statutory ICB footprint
NHS England lists NHS North East London Integrated Care Board among the 36 ICBs operating from 1 April 2026. Its footprint covers Barking and Dagenham, City of London, Hackney, Havering, Newham, Redbridge, Tower Hamlets and Waltham Forest.
Why this matters: The ICB is responsible for planning and commissioning across this wider system. The provider named on a referral remains the practical contact for an individual appointment or waiting-list query.
Read the source from NHS EnglandNHS commissioning and statutory boundaries · published 1 April 2026 · checked 14 August 2026
Where current system information is published
NHS England identifies the ICB website as the current system-level source for NHS North East London.
Why this matters: Use the ICB site for current commissioning, policy and pathway information. For a personal referral update, use the hospital, community service or assessment provider named in the referral correspondence.
Read the source from NHS North East London Integrated Care BoardCurrent NHS system and pathway information · checked 14 August 2026
Autism referral data for NHS South East London
NHS South East London plans NHS services across Bexley, Bromley, Greenwich, Lambeth, Lewisham and Southwark. The March 2026 figures describe recorded suspected-autism referrals across the system, not an individual provider's complete waiting list. NHS England records shared leadership with NHS South West London, but the boards remain separate legal entities.
Recorded referrals
1,890
Open suspected-autism referrals
People whose suspected-autism referral was recorded as open at some point in March 2026.
A count shows scale, not comparative performance.
Share of referrals
88.9%
Open for at least 13 weeks
The share of recorded open suspected-autism referrals that had been open for 13 weeks or longer.
England: 89.7%. 0.8 percentage points lower than the England figure.
Share of referrals
1.8%
First contact within 13 weeks
Among referrals open for at least 13 weeks, the share with a first attended care contact recorded within 13 weeks of referral.
England: 3.7%. 1.9 percentage points lower than the England figure.
Share of referrals
87.8%
No first care contact recorded
Among referrals open for at least 13 weeks, the share without a first care contact recorded in the dataset.
England: 82.7%. 5.1 percentage points higher than the England figure.
What these figures mean
A system signal, not a waiting-time promise
The NHS England measures follow suspected-autism referrals from the referral date to the first attended care contact recorded in the Mental Health Services Dataset. FamilyFX preserves the published counts, shows the numerator and denominator behind each derived percentage, and compares only measures with the same definition and reporting month.
NHS South East London continued on the same statutory footprint on 1 April 2026. The calculation uses source rows QKK. Published counts are rounded, so derived percentages are approximate.
Important limitation
This dataset is incomplete by design
These are official statistics in development, not a complete autism waiting list. Most child autism assessments take place in community paediatric services whose activity cannot yet be identified in the Community Services Dataset. March 2026 data from Psychiatry UK was incomplete, and a missing care-contact date can mean a contact was not submitted, the person was still waiting, or the referral closed without a first appointment. The figures should not be used to rate an ICB or predict an individual wait.
Show the calculation behind each figure
| Measure | Numerator | Denominator | NHS codes | Calculation note |
|---|---|---|---|---|
| Open suspected-autism referrals | 1,890 | Not applicable | ASD16 | The published count is retained without a population comparison because it describes system scale, not comparative performance. |
| Open for at least 13 weeks | 1,680 | 1,890 | ASD16 + ASD16a | FamilyFX divided ASD16a by ASD16 and rounded the result to one decimal place. Source counts are published rounded values. |
| First contact within 13 weeks | 30 | 1,680 | ASD16a + ASD18 | FamilyFX divided ASD18 by ASD16a and rounded the result to one decimal place. Source counts are published rounded values. |
| No first care contact recorded | 1,475 | 1,680 | ASD16a + ASD18b | FamilyFX divided ASD18b by ASD16a and rounded the result to one decimal place. A missing contact is not the same as a confirmed wait. |
What has changed, and what it means for families
The current statutory ICB footprint
NHS England lists NHS South East London Integrated Care Board among the 36 ICBs operating from 1 April 2026. Its footprint covers Bexley, Bromley, Greenwich, Lambeth, Lewisham and Southwark.
Why this matters: The ICB is responsible for planning and commissioning across this wider system. The provider named on a referral remains the practical contact for an individual appointment or waiting-list query.
Read the source from NHS EnglandNHS commissioning and statutory boundaries · published 1 April 2026 · checked 14 August 2026
Shared leadership does not create one local pathway
NHS England records NHS South East London in a leadership cluster with NHS South West London. The ICB remains a separate legal body with its own footprint and published information.
Why this matters: Use the ICB site for current commissioning, policy and pathway information. For a personal referral update, use the hospital, community service or assessment provider named in the referral correspondence.
Read the source from NHS South East London Integrated Care BoardCurrent NHS system and pathway information · checked 14 August 2026
Autism referral data for NHS South West London
NHS South West London plans NHS services across Croydon, Kingston upon Thames, Merton, Richmond upon Thames, Sutton and Wandsworth. The March 2026 figures describe recorded suspected-autism referrals across the system, not an individual provider's complete waiting list. NHS England records shared leadership with NHS South East London, but the boards remain separate legal entities.
Recorded referrals
5,660
Open suspected-autism referrals
People whose suspected-autism referral was recorded as open at some point in March 2026.
A count shows scale, not comparative performance.
Share of referrals
86.8%
Open for at least 13 weeks
The share of recorded open suspected-autism referrals that had been open for 13 weeks or longer.
England: 89.7%. 2.9 percentage points lower than the England figure.
Share of referrals
3.2%
First contact within 13 weeks
Among referrals open for at least 13 weeks, the share with a first attended care contact recorded within 13 weeks of referral.
England: 3.7%. 0.5 percentage points lower than the England figure.
Share of referrals
83.7%
No first care contact recorded
Among referrals open for at least 13 weeks, the share without a first care contact recorded in the dataset.
England: 82.7%. 1.0 percentage points higher than the England figure.
What these figures mean
A system signal, not a waiting-time promise
The NHS England measures follow suspected-autism referrals from the referral date to the first attended care contact recorded in the Mental Health Services Dataset. FamilyFX preserves the published counts, shows the numerator and denominator behind each derived percentage, and compares only measures with the same definition and reporting month.
NHS South West London continued on the same statutory footprint on 1 April 2026. The calculation uses source rows QWE. Published counts are rounded, so derived percentages are approximate.
Important limitation
This dataset is incomplete by design
These are official statistics in development, not a complete autism waiting list. Most child autism assessments take place in community paediatric services whose activity cannot yet be identified in the Community Services Dataset. March 2026 data from Psychiatry UK was incomplete, and a missing care-contact date can mean a contact was not submitted, the person was still waiting, or the referral closed without a first appointment. The figures should not be used to rate an ICB or predict an individual wait.
Show the calculation behind each figure
| Measure | Numerator | Denominator | NHS codes | Calculation note |
|---|---|---|---|---|
| Open suspected-autism referrals | 5,660 | Not applicable | ASD16 | The published count is retained without a population comparison because it describes system scale, not comparative performance. |
| Open for at least 13 weeks | 4,915 | 5,660 | ASD16 + ASD16a | FamilyFX divided ASD16a by ASD16 and rounded the result to one decimal place. Source counts are published rounded values. |
| First contact within 13 weeks | 155 | 4,915 | ASD16a + ASD18 | FamilyFX divided ASD18 by ASD16a and rounded the result to one decimal place. Source counts are published rounded values. |
| No first care contact recorded | 4,115 | 4,915 | ASD16a + ASD18b | FamilyFX divided ASD18b by ASD16a and rounded the result to one decimal place. A missing contact is not the same as a confirmed wait. |
What has changed, and what it means for families
The current statutory ICB footprint
NHS England lists NHS South West London Integrated Care Board among the 36 ICBs operating from 1 April 2026. Its footprint covers Croydon, Kingston upon Thames, Merton, Richmond upon Thames, Sutton and Wandsworth.
Why this matters: The ICB is responsible for planning and commissioning across this wider system. The provider named on a referral remains the practical contact for an individual appointment or waiting-list query.
Read the source from NHS EnglandNHS commissioning and statutory boundaries · published 1 April 2026 · checked 14 August 2026
Shared leadership does not create one local pathway
NHS England records NHS South West London in a leadership cluster with NHS South East London. The ICB remains a separate legal body with its own footprint and published information.
Why this matters: Use the ICB site for current commissioning, policy and pathway information. For a personal referral update, use the hospital, community service or assessment provider named in the referral correspondence.
Read the source from NHS South West London Integrated Care BoardCurrent NHS system and pathway information · checked 14 August 2026
Autism referral data for NHS West and North London
NHS West and North London plans NHS services across Barnet, Brent, Camden, Ealing, Enfield, Hammersmith and Fulham, Haringey, Harrow, Hillingdon, Hounslow, Islington, Kensington and Chelsea, and Westminster. The March 2026 figures describe recorded suspected-autism referrals across the system, not an individual provider's complete waiting list.
Recorded referrals
5,885
Open suspected-autism referrals
People whose suspected-autism referral was recorded as open at some point in March 2026.
A count shows scale, not comparative performance.
Share of referrals
84.3%
Open for at least 13 weeks
The share of recorded open suspected-autism referrals that had been open for 13 weeks or longer.
England: 89.7%. 5.4 percentage points lower than the England figure.
Share of referrals
11.9%
First contact within 13 weeks
Among referrals open for at least 13 weeks, the share with a first attended care contact recorded within 13 weeks of referral.
England: 3.7%. 8.2 percentage points higher than the England figure.
Share of referrals
64.1%
No first care contact recorded
Among referrals open for at least 13 weeks, the share without a first care contact recorded in the dataset.
England: 82.7%. 18.6 percentage points lower than the England figure.
What these figures mean
A system signal, not a waiting-time promise
The NHS England measures follow suspected-autism referrals from the referral date to the first attended care contact recorded in the Mental Health Services Dataset. FamilyFX preserves the published counts, shows the numerator and denominator behind each derived percentage, and compares only measures with the same definition and reporting month.
NHS West and North London began on 1 April 2026, so FamilyFX reconciled the final March Sub-ICB rows to the new statutory footprint. The calculation uses source rows 93C, W2U3Z. Published counts are rounded, so derived percentages are approximate.
Important limitation
This dataset is incomplete by design
These are official statistics in development, not a complete autism waiting list. Most child autism assessments take place in community paediatric services whose activity cannot yet be identified in the Community Services Dataset. March 2026 data from Psychiatry UK was incomplete, and a missing care-contact date can mean a contact was not submitted, the person was still waiting, or the referral closed without a first appointment. The figures should not be used to rate an ICB or predict an individual wait.
Show the calculation behind each figure
| Measure | Numerator | Denominator | NHS codes | Calculation note |
|---|---|---|---|---|
| Open suspected-autism referrals | 5,885 | Not applicable | ASD16 | The published count is retained without a population comparison because it describes system scale, not comparative performance. |
| Open for at least 13 weeks | 4,960 | 5,885 | ASD16 + ASD16a | FamilyFX divided ASD16a by ASD16 and rounded the result to one decimal place. Source counts are published rounded values. |
| First contact within 13 weeks | 590 | 4,960 | ASD16a + ASD18 | FamilyFX divided ASD18 by ASD16a and rounded the result to one decimal place. Source counts are published rounded values. |
| No first care contact recorded | 3,180 | 4,960 | ASD16a + ASD18b | FamilyFX divided ASD18b by ASD16a and rounded the result to one decimal place. A missing contact is not the same as a confirmed wait. |
What has changed, and what it means for families
A new statutory footprint from April 2026
NHS England lists NHS West and North London Integrated Care Board among the 36 ICBs operating from 1 April 2026. Its footprint covers Barnet, Brent, Camden, Ealing, Enfield, Hammersmith and Fulham, Haringey, Harrow, Hillingdon, Hounslow, Islington, Kensington and Chelsea, and Westminster.
Why this matters: The ICB is responsible for planning and commissioning across this wider system. The provider named on a referral remains the practical contact for an individual appointment or waiting-list query.
Read the source from NHS EnglandNHS commissioning and statutory boundaries · published 1 April 2026 · checked 14 August 2026
Where current system information is published
NHS England identifies the ICB website as the current system-level source for NHS West and North London.
Why this matters: Use the ICB site for current commissioning, policy and pathway information. For a personal referral update, use the hospital, community service or assessment provider named in the referral correspondence.
Read the source from NHS West and North London Integrated Care BoardCurrent NHS system and pathway information · checked 14 August 2026
ADHD referral data for NHS North East London
NHS England now publishes ICB-level management information about referrals that may relate to ADHD assessment. These figures add useful scale and waiting-band context, but they are not a confirmed ADHD waiting list.
Read this first
These are referrals that may be for an ADHD assessment. They are not confirmed diagnoses and should not be read as an exact local ADHD waiting list.
Open referrals
9,160
Possible ADHD referrals still open
Open mental-health referrals recorded under neurodevelopmental conditions excluding autism, including referrals that have already had a first contact.
Open referrals
At least 7,765
Open for more than 13 weeks
Possible ADHD referrals recorded in the three published bands above 13 weeks. This describes referral age, not a promised assessment date.
Open referrals
At least 4,980
Open for more than 52 weeks
Possible ADHD referrals recorded in the 52-to-104-week and 104-weeks-or-more bands.
Open referrals
At least 4,045
No first contact recorded
Open possible-ADHD referrals without a first care contact in the submitted Mental Health Services Dataset record.
Monthly referrals
At least 595
New possible referrals in March
Possible ADHD referrals newly recorded during March 2026. It is a monthly flow measure rather than a waiting-list total.
Possible open referrals by recorded age
Each bar uses ADHD003 for the same reporting month. Bar lengths compare age groups within this displayed footprint only.
People aged 0 to 4
People aged 5 to 17
People aged 18 to 24
People aged 25+
Age not recorded in the source row
How the figures were built
A traceable system signal
Measures ADHD003 to ADHD007 come from the Mental Health Services Dataset. NHS England identifies referrals whose primary reason is recorded as neurodevelopmental conditions excluding autism, then publishes their status and time bands by age. FamilyFX keeps the official definitions, source codes and reporting month visible and does not combine the figures into a score or rank.
FamilyFX added the published March 2026 age-band values for predecessor ICB code or codes QMF. Values are rounded to the nearest five, and asterisks marking small suppressed cells are retained as lower bounds.
Important limitation
The publication is still developing
The referral category can include conditions other than ADHD, while some ADHD pathways, Right to Choose providers and independent providers do not submit complete data. An open referral may also remain open after assessment because medication reviews or continuing care are still managed by the provider. The figures therefore cannot give an exact ADHD waiting list, a diagnosis count or an individual waiting-time estimate.
Show the NHS measures behind these figures
| Measure | Displayed value | NHS codes | Calculation note |
|---|---|---|---|
| Possible ADHD referrals still open | 9,160 | ADHD003 | FamilyFX added the published March 2026 age-band counts. NHS England rounds these values to the nearest five. |
| Open for more than 13 weeks | At least 7,765 | ADHD003b + ADHD003c + ADHD003d | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| Open for more than 52 weeks | At least 4,980 | ADHD003c + ADHD003d | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| No first contact recorded | At least 4,045 | ADHD004 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| New possible referrals in March | At least 595 | ADHD007 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
ADHD referral data for NHS South East London
NHS England now publishes ICB-level management information about referrals that may relate to ADHD assessment. These figures add useful scale and waiting-band context, but they are not a confirmed ADHD waiting list.
Read this first
These are referrals that may be for an ADHD assessment. They are not confirmed diagnoses and should not be read as an exact local ADHD waiting list.
Open referrals
At least 14,820
Possible ADHD referrals still open
Open mental-health referrals recorded under neurodevelopmental conditions excluding autism, including referrals that have already had a first contact.
Open referrals
At least 12,790
Open for more than 13 weeks
Possible ADHD referrals recorded in the three published bands above 13 weeks. This describes referral age, not a promised assessment date.
Open referrals
At least 8,365
Open for more than 52 weeks
Possible ADHD referrals recorded in the 52-to-104-week and 104-weeks-or-more bands.
Open referrals
At least 9,985
No first contact recorded
Open possible-ADHD referrals without a first care contact in the submitted Mental Health Services Dataset record.
Monthly referrals
At least 670
New possible referrals in March
Possible ADHD referrals newly recorded during March 2026. It is a monthly flow measure rather than a waiting-list total.
Possible open referrals by recorded age
Each bar uses ADHD003 for the same reporting month. Bar lengths compare age groups within this displayed footprint only.
People aged 0 to 4
People aged 5 to 17
People aged 18 to 24
People aged 25+
Age not recorded in the source row
How the figures were built
A traceable system signal
Measures ADHD003 to ADHD007 come from the Mental Health Services Dataset. NHS England identifies referrals whose primary reason is recorded as neurodevelopmental conditions excluding autism, then publishes their status and time bands by age. FamilyFX keeps the official definitions, source codes and reporting month visible and does not combine the figures into a score or rank.
FamilyFX added the published March 2026 age-band values for predecessor ICB code or codes QKK. Values are rounded to the nearest five, and asterisks marking small suppressed cells are retained as lower bounds.
Important limitation
The publication is still developing
The referral category can include conditions other than ADHD, while some ADHD pathways, Right to Choose providers and independent providers do not submit complete data. An open referral may also remain open after assessment because medication reviews or continuing care are still managed by the provider. The figures therefore cannot give an exact ADHD waiting list, a diagnosis count or an individual waiting-time estimate.
Show the NHS measures behind these figures
| Measure | Displayed value | NHS codes | Calculation note |
|---|---|---|---|
| Possible ADHD referrals still open | At least 14,820 | ADHD003 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| Open for more than 13 weeks | At least 12,790 | ADHD003b + ADHD003c + ADHD003d | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| Open for more than 52 weeks | At least 8,365 | ADHD003c + ADHD003d | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| No first contact recorded | At least 9,985 | ADHD004 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| New possible referrals in March | At least 670 | ADHD007 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
ADHD referral data for NHS South West London
NHS England now publishes ICB-level management information about referrals that may relate to ADHD assessment. These figures add useful scale and waiting-band context, but they are not a confirmed ADHD waiting list.
Read this first
These are referrals that may be for an ADHD assessment. They are not confirmed diagnoses and should not be read as an exact local ADHD waiting list.
Open referrals
At least 24,030
Possible ADHD referrals still open
Open mental-health referrals recorded under neurodevelopmental conditions excluding autism, including referrals that have already had a first contact.
Open referrals
At least 20,810
Open for more than 13 weeks
Possible ADHD referrals recorded in the three published bands above 13 weeks. This describes referral age, not a promised assessment date.
Open referrals
At least 13,880
Open for more than 52 weeks
Possible ADHD referrals recorded in the 52-to-104-week and 104-weeks-or-more bands.
Open referrals
At least 16,125
No first contact recorded
Open possible-ADHD referrals without a first care contact in the submitted Mental Health Services Dataset record.
Monthly referrals
At least 1,460
New possible referrals in March
Possible ADHD referrals newly recorded during March 2026. It is a monthly flow measure rather than a waiting-list total.
Possible open referrals by recorded age
Each bar uses ADHD003 for the same reporting month. Bar lengths compare age groups within this displayed footprint only.
People aged 0 to 4
People aged 5 to 17
People aged 18 to 24
People aged 25+
Age not recorded in the source row
How the figures were built
A traceable system signal
Measures ADHD003 to ADHD007 come from the Mental Health Services Dataset. NHS England identifies referrals whose primary reason is recorded as neurodevelopmental conditions excluding autism, then publishes their status and time bands by age. FamilyFX keeps the official definitions, source codes and reporting month visible and does not combine the figures into a score or rank.
FamilyFX added the published March 2026 age-band values for predecessor ICB code or codes QWE. Values are rounded to the nearest five, and asterisks marking small suppressed cells are retained as lower bounds.
Important limitation
The publication is still developing
The referral category can include conditions other than ADHD, while some ADHD pathways, Right to Choose providers and independent providers do not submit complete data. An open referral may also remain open after assessment because medication reviews or continuing care are still managed by the provider. The figures therefore cannot give an exact ADHD waiting list, a diagnosis count or an individual waiting-time estimate.
Show the NHS measures behind these figures
| Measure | Displayed value | NHS codes | Calculation note |
|---|---|---|---|
| Possible ADHD referrals still open | At least 24,030 | ADHD003 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| Open for more than 13 weeks | At least 20,810 | ADHD003b + ADHD003c + ADHD003d | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| Open for more than 52 weeks | At least 13,880 | ADHD003c + ADHD003d | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| No first contact recorded | At least 16,125 | ADHD004 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
| New possible referrals in March | At least 1,460 | ADHD007 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
ADHD referral data for NHS West and North London
NHS England now publishes ICB-level management information about referrals that may relate to ADHD assessment. These figures add useful scale and waiting-band context, but they are not a confirmed ADHD waiting list.
Read this first
These are referrals that may be for an ADHD assessment. They are not confirmed diagnoses and should not be read as an exact local ADHD waiting list.
Open referrals
32,960
Possible ADHD referrals still open
Open mental-health referrals recorded under neurodevelopmental conditions excluding autism, including referrals that have already had a first contact.
Open referrals
28,510
Open for more than 13 weeks
Possible ADHD referrals recorded in the three published bands above 13 weeks. This describes referral age, not a promised assessment date.
Open referrals
18,760
Open for more than 52 weeks
Possible ADHD referrals recorded in the 52-to-104-week and 104-weeks-or-more bands.
Open referrals
19,310
No first contact recorded
Open possible-ADHD referrals without a first care contact in the submitted Mental Health Services Dataset record.
Monthly referrals
At least 1,960
New possible referrals in March
Possible ADHD referrals newly recorded during March 2026. It is a monthly flow measure rather than a waiting-list total.
Possible open referrals by recorded age
Each bar uses ADHD003 for the same reporting month. Bar lengths compare age groups within this displayed footprint only.
People aged 0 to 4
People aged 5 to 17
People aged 18 to 24
People aged 25+
Age not recorded in the source row
How the figures were built
A traceable system signal
Measures ADHD003 to ADHD007 come from the Mental Health Services Dataset. NHS England identifies referrals whose primary reason is recorded as neurodevelopmental conditions excluding autism, then publishes their status and time bands by age. FamilyFX keeps the official definitions, source codes and reporting month visible and does not combine the figures into a score or rank.
FamilyFX added the published March 2026 age-band values for predecessor ICB code or codes QMJ + QRV. Values are rounded to the nearest five, and asterisks marking small suppressed cells are retained as lower bounds.
Important limitation
The publication is still developing
The referral category can include conditions other than ADHD, while some ADHD pathways, Right to Choose providers and independent providers do not submit complete data. An open referral may also remain open after assessment because medication reviews or continuing care are still managed by the provider. The figures therefore cannot give an exact ADHD waiting list, a diagnosis count or an individual waiting-time estimate.
Show the NHS measures behind these figures
| Measure | Displayed value | NHS codes | Calculation note |
|---|---|---|---|
| Possible ADHD referrals still open | 32,960 | ADHD003 | FamilyFX added the published March 2026 age-band counts. NHS England rounds these values to the nearest five. |
| Open for more than 13 weeks | 28,510 | ADHD003b + ADHD003c + ADHD003d | FamilyFX added the published March 2026 age-band counts. NHS England rounds these values to the nearest five. |
| Open for more than 52 weeks | 18,760 | ADHD003c + ADHD003d | FamilyFX added the published March 2026 age-band counts. NHS England rounds these values to the nearest five. |
| No first contact recorded | 19,310 | ADHD004 | FamilyFX added the published March 2026 age-band counts. NHS England rounds these values to the nearest five. |
| New possible referrals in March | At least 1,960 | ADHD007 | This is a lower-bound subtotal. Small source cells may be suppressed, or a 2026 boundary change may prevent part of the current footprint being separated from a predecessor ICB row. |
Urgent help
Urgent health and mental health help in England
Use NHS 111 when you need urgent help but it is not a life-threatening emergency. Call 999 in an emergency.
Visit Urgent health and mental health help in EnglandLocal organisations and advice
Barking and Dagenham Council
Covers Barking and Dagenham
Use for a Barking and Dagenham home address.
Visit websiteBarnet Council
Covers Barnet
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Visit websiteBexley Council
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Visit websiteBrent Council
Covers Brent
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Visit websiteBromley Council
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Visit websiteCamden Council
Covers Camden
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Visit websiteCroydon Council
Covers Croydon
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Visit websiteEaling Council
Covers Ealing
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Visit websiteEnfield Council
Covers Enfield
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Visit websiteRoyal Borough of Greenwich
Covers Greenwich
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Visit websiteHackney Council
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Visit websiteHammersmith and Fulham Council
Covers Hammersmith and Fulham
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Visit websiteHaringey Council
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Visit websiteHarrow Council
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Visit websiteHavering Council
Covers Havering
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Visit websiteHillingdon Council
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Visit websiteHounslow Council
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Visit websiteIslington Council
Covers Islington
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Visit websiteRoyal Borough of Kensington and Chelsea
Covers Kensington and Chelsea
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Visit websiteKingston and Richmond SEND Local Offer
Covers Kingston upon Thames and Richmond upon Thames
The councils are separate but publish one shared Local Offer.
Visit websiteLambeth Council
Covers Lambeth
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Visit websiteLewisham Council
Covers Lewisham
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Visit websiteMerton Council
Covers Merton
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Visit websiteNewham Council
Covers Newham
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Visit websiteRedbridge Council
Covers Redbridge
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Visit websiteSouthwark Council
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Visit websiteSutton Council
Covers Sutton
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Visit websiteTower Hamlets Council
Covers Tower Hamlets
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Visit websiteWaltham Forest Council
Covers Waltham Forest
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Visit websiteWandsworth Council
Covers Wandsworth
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Visit websiteWestminster City Council
Covers Westminster
Use for a Westminster home address.
Visit websiteNHS North East London Integrated Care Board
Covers North East London
Local providers deliver individual care.
Visit websiteNHS South East London Integrated Care Board
Covers South East London
Local providers deliver individual care.
Visit websiteNHS South West London Integrated Care Board
Covers South West London
Local providers deliver individual care.
Visit websiteNHS West and North London Integrated Care Board
Covers West and North London
Local providers deliver individual care.
Visit websiteInformation, Advice and Support Services Network
Find the free, impartial SEND advice service for your home authority.
Visit websiteNHS England
Use NHS guidance for urgent help; call 999 in an emergency.
Visit websiteServices and local pathways
SEN support and EHC plan guidance
Department for Education SEND guidance
Official English guidance on SEN support and EHC plans.
Who it is for: Children and young people in England who have or may have special educational needs.
How to access it: Begin with the education setting. Use the council route for an EHC needs assessment or Local Offer information.
Check current detailsFind your local SEND information, advice and support service
Information, Advice and Support Services Network
Find the impartial advice service for your home authority.
Who it is for: Children and young people with SEND and their parents or carers in England.
How to access it: Choose your local authority in the Council for Disabled Children directory and contact the listed service directly.
Check current detailsADHD assessment choices in England
If a GP is making an elective referral for an ADHD assessment in England, you may have a legal right to choose a clinically appropriate provider that holds a qualifying NHS Standard Contract. The referrer still decides whether the referral and provider are clinically appropriate, and the rules do not apply in every situation.
NHS England explains the underlying patient-choice rules. ADHD UK also publishes an ICB finder with local information gathered about ADHD assessment routes and waiting times. Its information is independent of the NHS, so check the current position with your GP and the relevant NHS organisation before relying on it for a referral.
Practical next steps
Confirm the home borough before completing an EHC form or applying for council support. A London postcode, nearby school or familiar hospital does not identify the responsible council reliably.
If school is in another borough, ask who owns each action. The setting remains responsible for the support it provides, while the home local authority normally owns an EHC assessment.
For health, keep the referral destination and date. Ask the referrer to identify the receiving provider if this is unclear. Use the provider for an individual update and the ICB for system-level information.
Related FamilyFX help
Do you support SEND families in Greater London?
If you are part of a charity, parent group, advice service, inclusive activity or another organisation supporting SEND families in Greater London, we would like to hear from you. Send us your website, the area you cover, who the service is for and how families can get in touch. We check submissions before deciding whether to add them.
Send us your detailsSources and checking dates
Local services change. We check the sources below and review any substantive change before altering the page.
- Barking and Dagenham Council, checked 13 August 2026
- Barnet Council, checked 13 August 2026
- Bexley Council, checked 13 August 2026
- Brent Council, checked 13 August 2026
- Bromley Council, checked 13 August 2026
- Camden Council, checked 13 August 2026
- Council for Disabled Children: find your local IAS service, checked 13 August 2026
- Croydon Council, checked 13 August 2026
- Ealing Council, checked 13 August 2026
- Enfield Council, checked 13 August 2026
- GOV.UK: special educational needs support, checked 14 August 2026
- Hackney Council, checked 13 August 2026
- Hammersmith and Fulham Council, checked 13 August 2026
- Haringey Council, checked 13 August 2026
- Harrow Council, checked 13 August 2026
- Havering Council, checked 13 August 2026
- Hillingdon Council, checked 13 August 2026
- Hounslow Council, checked 13 August 2026
- Islington Council, checked 13 August 2026
- Kingston and Richmond SEND Local Offer, checked 13 August 2026
- Lambeth Council, checked 13 August 2026
- Lewisham Council, checked 13 August 2026
- Merton Council, checked 13 August 2026
- Newham Council, checked 13 August 2026
- NHS North East London Integrated Care Board, checked 13 August 2026
- NHS South East London Integrated Care Board, checked 13 August 2026
- NHS South West London Integrated Care Board, checked 13 August 2026
- NHS West and North London Integrated Care Board, checked 13 August 2026
- NHS: when to use 111, checked 14 August 2026
- Redbridge Council, checked 13 August 2026
- Royal Borough of Greenwich, checked 13 August 2026
- Royal Borough of Kensington and Chelsea, checked 13 August 2026
- Southwark Council, checked 13 August 2026
- Sutton Council, checked 13 August 2026
- Tower Hamlets Council, checked 13 August 2026
- Waltham Forest Council, checked 13 August 2026
- Wandsworth Council, checked 13 August 2026
- Westminster City Council, checked 13 August 2026