The Therapy Space
Psychodynamic Psychotherapist · UKCP & BPC Registered · Esher
Based in Esher and London Bridge supporting adults coping with a range of concerns and struggles.
ADHD assessment & psychiatry — Esher, Surrey
Private ADHD assessment in Esher, Surrey
Told it's a years-long wait, or quoted £595–£2,095 by a clinic you've never heard of? There are two credible ways to be assessed at 13 Church Street: NHS-funded through Right to Choose at Skylight Psychiatry — adults 18+, with a GP referral — or privately at Heart & Mind Clinic — adults and children, no referral needed. Compare what each involves, what it costs, and what happens after a diagnosis.
NHS Right to Choose at Skylight Psychiatry (adults 18+) · Private route for adults & children · GP referral or self-referral · In person at 13 Church Street · or call 0345 11 22 300
Consultant-psychiatrist-led In person at 13 Church Street, Esher NHS Right to Choose at Skylight Psychiatry (adults, GP referral) Private route for adults & children
Each practice at Health Village operates independently and is responsible for its own clinical care.
Can I get an ADHD assessment in Esher?
Yes — two ways. Skylight Psychiatry runs NHS-funded adult ADHD assessments at Health Village through the NHS Right to Choose scheme: no cost to you, arranged by GP referral. Heart & Mind Clinic offers private consultant-psychiatrist assessments for adults and children, booked directly with the clinic. Both assess in person at 13 Church Street; Skylight also assesses by video or at home.
The standard NHS route through your local mental-health service is free and right for many people — but demand is extreme. NHS Digital counted up to 735,157 open referrals that may be awaiting ADHD assessment in December 2025 (management information, not official statistics), and waiting lists in many areas are measured in years. Right to Choose exists for exactly this situation: it is still NHS care, still free — you just choose the provider. clinical review
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Two questions. This suggests services to consider — it doesn’t provide medical advice or a diagnosis.
Medical care
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NHS Right to Choose
Skylight Psychiatry
Adult Autism & ADHD Assessments · NHS Right to Choose Provider
NHS-funded adult ADHD and autism assessments through Right to Choose — GP referral required, no cost to you. In person at Health Village, by video, or at home.
Additional support
Additional support available at Health Village
Supportive and complementary services work alongside medical care, not instead of it.
Traditional acupuncture
Sarah San Acupuncture
Lic.Ac; Dip. TuiNa; MBAcC · Traditional Chinese Medicine Acupuncturist
5.0 ★ · 7 Google reviews (July 2026)
Traditional acupuncture appointments for relaxation and general wellbeing — available alongside ADHD assessment and care, not instead of it.
Compare ADHD assessment routes in Esher
Private ADHD assessments nationally run £595–£2,095 before any medication, and most providers are online-only. Both routes here assess in person in Esher — and one of them is NHS-funded. Checked against each practice's published information, July 2026.
| Skylight Psychiatry | Heart & Mind Clinic | |
|---|---|---|
| The route | NHS-funded via NHS Right to Choose — GP referral required (for mental health, only a GP can make the referral) | Private self-pay. Self-referral — no GP involved unless you want them to be |
| Who it's for | Adults 18+ only — no under-18 services on any pathway | Adults and children — younger patients are seen by Dr Ekta Sharma; mention at booking that it's for a child practice confirm |
| Your first appointment | A NICE-aligned diagnostic assessment with a consultant psychiatrist — face to face at Health Village, by video, or at home. Note: a referral being accepted isn't the same as being on the waiting list — you must complete registration with Skylight first practice confirm | An initial diagnostic assessment with a consultant psychiatrist — clinically validated tools, structured questionnaires, clinical interview, collateral history, and a full written report with treatment recommendations |
| Fees | No cost to you — NHS-funded through Right to Choose | Assessment fees on enquiry confirm |
| Typical waits | Skylight publishes current estimated waits on its own website — check there for the latest | The clinic states enquiries are answered within 24 hours (clinic-stated, July 2026) confirm |
| After a diagnosis | Medication titration for patients Skylight assessed itself; long-term prescribing normally transfers to your GP under shared care if your GP practice agrees. A Right to Choose diagnosis is an NHS diagnosis | A year-long follow-up programme with regular reviews is available, plus ongoing psychiatric follow-up and medication reviews for adults and children |
| Credentials & regulation | Consultant-psychiatrist-led; Clinical Director Dr Caryl Marshall. Skylight states it holds an NHS contract with Waveney ICB for adult ADHD diagnostic assessments. CQC-registered | Consultant psychiatrists Dr Sanjay Garg (MRCPsych) and Dr Ekta Sharma (MBBS, FRCPsych), credentials as stated by the practice. CQC registration in progress (clinic-stated, July 2026) practice confirm |
| How to start | Talk to your GP — the referral is the route. Or start a referral via Skylight's contact page | Call the clinic or use the enquiry form — mention at booking if it's for a child |
Checked against each practice's published information in July 2026. Always confirm details when you enquire.
Read both and still not sure? Ask us which fits, free, or call 0345 11 22 300.
Right to Choose: NHS-funded ADHD assessment at Skylight Psychiatry
If you're an adult registered with a GP in England, you have a legal right to choose which provider your NHS referral goes to. That's the whole trick — and it's why Right to Choose ADHD assessments nationally typically take weeks-to-months rather than years. That route runs through Esher. Here's how it actually works, including the parts nobody explains.
What the right is — and who qualifies
Under the NHS Choice Framework and your NHS choices, when your GP makes a first routine referral for a condition like ADHD, you can choose any provider in England that holds an NHS contract for that service. Skylight Psychiatry assesses adults 18+ this way. It doesn't apply if you're already under a service for the same condition, need crisis care, are serving in the armed forces, or are detained under the Mental Health Act — and your GP still decides a referral is clinically appropriate. It's a right to choose where a referral goes, not a right to be referred.
Why a Norfolk NHS contract covers you in Esher
Skylight states it holds a contract with Waveney ICB for adult ADHD diagnostic assessments. Under NHS rules, a provider contracted by one NHS area can lawfully see Right to Choose patients from anywhere in England — that's the mechanism, not a loophole. The assessment itself happens face to face at 13 Church Street, by video, or at your home.
Exactly what to ask your GP
Book a routine GP appointment and say you'd like a referral for an adult ADHD assessment "under NHS Right to Choose, to Skylight Psychiatry". It helps to complete a screening questionnaire (ASRS) beforehand. Then chase it: a referral being sent isn't the same as being accepted, and being accepted isn't the same as being on the waiting list — you complete registration with Skylight after acceptance. practice confirm
Medication, titration and your GP
If assessment leads to a prescription, Skylight handles the initial medication titration for patients it assessed itself. Longer term, prescribing normally transfers to your GP under a shared-care agreement — and that agreement depends on your GP practice: shared care is voluntary for GPs, so ask about it at your assessment. One honest asymmetry worth knowing: a Right to Choose diagnosis is an NHS diagnosis, while a privately-funded diagnosis can't usually convert to NHS prescribing without re-entering the NHS pathway.
The honest small print
Some NHS areas have temporarily paused new Right to Choose ADHD referrals, and the list changes — check Skylight's site for current status before your GP appointment. Surrey Heartlands, the NHS area covering Esher, is not on Skylight's pause list at the time of writing (checked July 2026). quarterly check If your GP declines an RTC referral you believe you're entitled to, you can raise it with the practice, then your ICB, then the Health Service Ombudsman. More at ADHD UK's Right to Choose guide.
If things are hard right now
An ADHD assessment is never urgent care. If you're in crisis or struggling to keep yourself safe, that comes first: call NHS 111 and choose the mental-health option, or 999 in an emergency. Samaritans are on 116 123, free, day and night.
This page signposts assessment services available in Esher. It's general information, not medical advice, and it doesn't diagnose anything. Whatever route you choose, your NHS GP remains central to your care. Sources: NHS: ADHD · NICE guideline NG87 · NHS Choice Framework.
Finding us at 13 Church Street
Health Village is moments from Esher High Street, with public pay-and-display car parks a short walk away. Download the finding-us map (PDF). One honest practical note: the building is a refurbished Victorian property and consulting rooms are up two flights of stairs — if that's a barrier, Skylight assesses by video or at home. Patients come from Esher, Claygate, Cobham, Oxshott, Thames Ditton, Weybridge and Walton-on-Thames.
Common Questions
Questions about ADHD
What is Right to Choose, and can I use it for an ADHD assessment in Esher?
If you're registered with a GP in England, you have a legal right to choose which provider a first routine NHS referral goes to. Skylight Psychiatry assesses adults 18+ at Health Village Esher this way — NHS-funded, no cost to you, arranged through a GP referral.
Do I need a GP referral?
For the NHS-funded route at Skylight Psychiatry, yes — for mental health, only a GP can make a Right to Choose referral. For the private route at Heart & Mind Clinic, no — you can self-refer by phone or their enquiry form.
Can my child be assessed?
Not under Right to Choose here — Skylight assesses adults only. Privately, yes: Heart & Mind Clinic assesses children for ADHD and autism, with younger patients seen by Dr Ekta Sharma. Mention at booking that the appointment is for a child.
What actually happens at the assessment?
Both practices publish what's included. Skylight: a NICE-aligned assessment with a consultant psychiatrist, with a pre-assessment questionnaire beforehand and a written report and treatment plan after. Heart & Mind: clinically validated tools, structured questionnaires, a clinical interview, collateral history, and a full written report with recommendations.
What happens about medication after a diagnosis?
Both practices describe titration and review services. Skylight provides medication titration for patients it assessed itself. Heart & Mind offers a year-long follow-up programme with regular reviews, and ongoing medication reviews for adults and children. What's prescribed, if anything, is a clinical decision made at your assessment.
Will my GP take over prescribing?
Agreement depends on your GP practice — ask at your assessment. Shared care is voluntary for GPs. A Right to Choose diagnosis is an NHS diagnosis; a privately-funded diagnosis usually can't convert to NHS prescribing without re-entering the NHS pathway.
How long will I wait?
Honestly: it varies, and nobody can guarantee a date. The standard NHS route is measured in years in many areas. Right to Choose is typically weeks-to-months nationally. Skylight publishes its current estimated waits on its own website, and Heart & Mind states enquiries are answered within 24 hours.
Where is Health Village, and is there parking?
13 Church Street, Esher KT10 8QS — a few minutes' walk from the High Street, with public pay-and-display car parks nearby. The building is a refurbished Victorian property with consulting rooms up two flights of stairs; Skylight offers video and home assessments if stairs are a barrier.
Not sure which door is yours?
Tell us what's going on — we'll point you to the right practitioner
Your message comes to the Health Village team, not the practitioners. We reply within one working day with a suggestion of where to start. No mailing list, no follow-up calls unless you ask — and nothing is passed to a practitioner without your say-so.
All practitioners at Health Village work independently and are responsible for their own clinical care and treatment outcomes. Information on this page is for educational purposes and does not constitute medical advice. Always consult a qualified practitioner for diagnosis and treatment.
