Mental health services are the area of the NHS most reliant on private companies to provide services. As the NHS’s capacity to deal with demand for mental health services, particularly inpatient services, has fallen over the years, private companies have been given substantial contracts to provide much of the inpatient care needed. So any money mental health services receive is in part paid to private companies in the business of making a profit out of caring for some of the NHS’s most vulnerable patients.
Mental health services also includes several services under the remit of public health services, including addiction services and some services for young people, and as such are commissioned by local councils. Following the transfer of commissioning of public health services to councils in 2013, the influx of non-NHS organisations, in particular not-for-profits, has increased.
Prior to the pandemic the NHS had already turned to private providers to boost capacity and as a result private health companies have a strong foothold in the NHS in this area.
Hospital care
For many years there have been regular reports from whistle-blowers and the Care Quality Commission of appalling quality of care at private mental health hospitals. The past few years have seen a number of hospitals run by private companies castigated by the CQC, particularly in the area of CAMHS. The three leading companies, The Priory, Cygnet Healthcare, and Huntercombe Group (now Active Care Group) have all had to close wards as a result of damning CQC reports, and St Andrews Healthcare the leading not-for-profit in the sector has had severe limitations put on its services due to CQC reports.
Failures at the leading private companies – The Priory, Huntercombe Group, Elysium Healthcare, and Cygnet Healthcare, are detailed in individual company profiles.
Plus CQC reports were published in September 2019 in which it found 28 mental health units run by private companies to be “inadequate” in the past three years; in November 2017, where the CQC report found that nearly three-quarters of private clinics were failing to hit regulatory standards of care for addiction services; and from October 2018 to October 2019, the CQC rated as inadequate 14 independent mental health hospitals that admit people with a learning disability and/or autism, and put them into special measures.
In November 2018, The Times published a damning article exposing the companies and charities that make millions by providing substandard care to NHS patients. The article included one case where the directors of a psychiatric hospital that was found to provide substandard care to NHS patients by the CQC, had paid almost £25 million into a secretive trust in Belize. The article noted that the company had received £26.3 million for services over 18 months in 2016-17 from NHS contracts.
In October 2021, the CQC ruled that two Staffordshire hospitals, John Munroe Hospital in Rudyard and Edith Shaw Hospital in Leek, run by the company John Munroe Group, can no longer admit patients without permission from regulators, after inspectors flagged multiple instances of poor care, including patients being pushed and laughed at by staff. The hospitals were rated “inadequate” for a second time.
But despite numerous serious incidents, including suicides, bullying and abuse, the NHS is so short of capacity for mental health patients, that it continues to use these private companies.
Active Care Group/The Huntercombe Group
Hospitals run by the Active Care Group (previously Huntercombe Group) have received particularly critical reports over many years after inspections by the CQC.
Over 2022, an investigation by The Independent and Sky News, reported in October 2022, found that there had been a decade of “systemic abuse” of patients at hospitals owned by The Huntercombe Group (now Active Care). Patients who came forward spoke of being “treated like animals” , with the use of “painful” restraints, being held down for hours by male nurses, being stopped from going outside for months and living in wards with blood-stained walls. They also alleged they were given so much medication they had become “zombies” and were force-fed. As a result of the revelations the DHSC launched an investigation into the allegations of 22 young women who were patients in units run by The Huntercombe Group.
As a result of the investigation by June 2024, The Independent reported that hospitals formerly run by The Huntercombe Group face at least 54 individual clinical negligence claims.
In March 2023 the company decided to close its hospital in Maidenhead, which it had renamed Taplow Manor Hospital, by May 2023. Although this came after a threat by the CQC to close the hospital if it failed to make improvements and due to the Independent/Sky News investigation.
In April 2023, a report in The Independent on sexual offences in childrens mental health services, found that Active Care Group’s Huntercombe Hospital in Maidenhead with just 59 beds reported more than 1,600 “sexual safety incidents” in four years. The hospital was responsible for more than half of the sex investigations reported in the 209 children’s mental health units across the country. Despite warnings at a rate of more than one a day to the health service since 2019, no action was taken to stop vulnerable NHS patients being sent to the hospital as a result of the 1,643 sexual incident reports.
The Maidenhead hospital had been put into special measures by the CQC in February 2021 after an inspection raised serious concerns over the apparent over-use of medication to sedate patients, among other issues. It has since received further warning notices. However, the HSJ reports that multiple concerns were being raised about the hospital for several years before it was rated ‘inadequate’. In February 2022, the police were called in to investigate the death of 14 year old Ruth Szymankiewicz in the Maidenhead hospital and admissions to the hospital were suspended. In August 2025, the inquest into this death, found that although Ruth should have been under constant supervision, the member of staff on duty left her for 15 minutes. Shortly afterwards, she was found unconscious and died at the John Radcliffe Hospital in Oxford two days later. It has since been found that the support worker was using a false name and ID documents and has now fled the country.
In May 2022 the CQC limited Huntercombe to filling just 22 of its 51 beds at the Maidenhead hospital due to the concerns over patient safety. The hospital’s rating has also been suspended by the CQC. The CQC handed the hospital a formal warning due to concerns over failures in the way staff were carrying out observations of vulnerable patients. Five former patients and four parents told HSJ of poor care and practices at the unit between 2016 and 2020. Two of the families raised concerns directly to Huntercombe, as well as NHS England, local authorities and the local community provider, Berkshire Healthcare FT.
In December 2018, an inspection by the CQC of the company’s hospital in Norwich found serious concerns. The CQC took immediate action to protect those using the service, including enforcement action to remove the registration for the hospital. The Huntercombe Group then closed the service and the children and adolescents had to be found places elsewhere.
Earlier issues, include in September 2017, Watcombe Hall, was closed indefinitely after the local NHS hospital raised concerns about the number of young patients being admitted from the unit suffering from malnutrition and dehydration and in 2016, the company’s hospital in Stafford was placed in special measures and told to urgently improve in 24 areas.
Cygnet Healthcare
Cygnet, a specialist mental health provider which operates more than 150 facilities across the UK, which between them have more than 1,000 beds, has been repeatedly criticised by the CQC. Such was the level of failures that in April 2021, a letter was sent to Cygnet management by Claire Murdoch, the national mental health director, and John Stewart, national commissioning director, which HSJ reported warned Cygnet that “patients deserve better” and they will “not hesitate to take further action” if improvements are not made. The letter noted their concern and disappointment with regard to the repeated service failures and that they are not decreasing in number. The letter also noted that NHS England had been meeting with senior management in Cygnet since February 2020 to address the issues. Cygnet’s CEO is Tony Romero and the company has an advisory board that includes former Royal College of GPs chair, Clare Gerada, and Lord Patel of Bradford, who chairs England’s social work regulator.
There have been at least 21 deaths of patients at Cygnet hospitals across the UK since 2011, according to the organisation Inquest. In March 2022, an inquest concluded that the death of Emma Pring at Cygnet’s Maidstone hospital in April 2021 could have been prevented by the hospital, with the jury finding there had been an “insufficient level of observation, and a misjudgment of Emma’s actual risk”. Pring was not placed on one-to-one observations which might have prevented her death. Pring was supposed to have been observed by staff every 15 minutes, a timeframe which the inquest found was not always adhered to. The coroner is considering whether to issue a prevention of future deaths notice to Cygnet hospitals. An inquest following the death of 17-year-old Chelsea Blue Mooney at a Cygnet hospital in Sheffield in April 2021, found that “insufficient care” at the hospital had led to her death.
In June 2021, the CQC published a review of how Cygnet Healthcare was performing in terms of management – also known as a ‘well-led assessment’. The review followed-up on a 2019 review triggered by the Whorlton Hall scandal (although Cygnet did not own this hospital at the time of the scandal).
Some of the most damning conclusions to come from the 2021 review once again concerned the management within the company. The CQC found that the company did “not have a longer term strategic plan” and “members of the senior leadership team were not able to articulate which groups of service users they were planning to support in the future and how they would ensure they had the appropriate estate and skilled staff to meet their needs. ” A consequence of this management approach, noted the report, was that “Cygnet had continued to close and ‘repurpose’ services and at times this took place with short notice and in response to serious concerns,” which had an adverse impact on the care of service users and caused distress to patients.
From October 2018 to January 2020, 10 of Cygnet Healthcare’s hospitals were rated “inadequate”. However, in 2021 alone the CQC has rated seven of Cygnet’s facilities as ‘requires improvement’ and three as ‘inadequate’, plus Cygnet Appletree Hospital in Durham, which has not received a rating but was given an urgent enforcement notice and restricted patient admissions.
In September 2021 the CQC rated Cygnet Views, the company’s hospital in Matlock as ‘inadequate’. Earlier in the year in July 2021, Cygnet Hospital Hexham was rated ‘inadequate’ and in August 2021, Cygnet Wast Hills was rated ‘inadequate’. The latter hospital was placed in special measures, but despite Cygnet saying improvements were in progress, the hospital was rated ‘inadequate’ again in early 2022. Among the criticisms from the CQC, was that the hospitals’ leadership had a “poor oversight” of the hospital environment. Overall the CQC said that the hospital was “not suited to modern day psychiatric care”.
An unannounced inspection by the CQC at the company’s CAMHS at the Godden Green hospital in Kent in October 2020 identified serious concerns about environmental risks and staff’s ability to keep patients safe from harm and injury. The CQC had received complaints from other professionals and relatives. Inspectors found a culture of negativity had developed among some staff, with patients referred to as ‘difficult’ and ‘troublemakers’ in records. Cygnet has now decided to close this service and focus on adult patients at this hospital.
Following an inspection of Cygnet’s hospital in Colchester in October 2020, the CQC told the hospital must remain in special measures with improvements still needed. The inspection followed reports relating to the safeguarding of patients and the reporting, investigation and management of incidents. Inspectors found an allegation of abuse had not been reported appropriately and that staff did not always follow correct Covid-19 policy or infection prevention and control guidelines.
In September 2020 the CQC carried out an unannounced inspection of Cygnet Yew Trees, a 10 bed facility for women with learning disability. The CQC reviewed 21 episodes of closed-circuit television footage and found nine that showed staff “abusing patients, acting inappropriately or delivering a poor standard of care”. Managers suspended eight permanent members of staff from working at the hospital. Referrals have also been made to the police. The CQC criticised Cygnet’s management for allowing a culture to develop at this hospital which led to people suffering abuse.
In January 2020, the CQC told Cygnet to take “immediate action” to improve its management following an investigation of the company and its hospitals. The CQC found that Cygnet-run hospitals were more likely to use seclusion and physical restraint on patients than other NHS providers of mental health care. The incidents of self-harm and assaults by other patients were also much higher. The CQC report also found that checks to ensure directors and members of the executive board were “fit and proper” were not carried out. The full-scale review was triggered by a BBC Panorama report in May 2019 into Whorlton Hall, a centre for people with learning disabilities. As a result of the programme ten people were arrested for abusing patients.
From January to September 2019, mental health units run by the company have been found to be inadequate by the CQC six times. In November 2019, the CQC ordered that the Cygnus Acer Clinic in Derbyshire must stop admitting new patients due to serious concerns over patient safety. CQC inspectors found that clinic patients had opportunities to hang themselves, and the unit had escalating levels of patient self harm, and a huge shortage of trained staff. In 2019 there were two serious incidents, one of which resulted in a patient taking their own life by hanging. The report notes that whilst inspectors were at the clinic in August they witnessed patients congregating in a ward near the reception and banging on the windows to get help from staff, but the staff were nowhere to be seen. Three whistleblowers have contacted the CQC, one prior to the visit and two whilst the CQC inspectors were present.
In October 2019 an inspection report on Cygnet’s Newbus Grange hospital in Darlington, noted how the CQC had found a patient with “unexplained injuries”, and there were opportunities for patients to kill themselves and staff asleep while on duty. The unit was put into special measures and its 10 patients moved elsewhere.
In July 2019, the CQC downgraded the hospital at Godden Green to “requires improvement”. The CQC also imposed two requirement notices on the hospital in relation to safe medicines management and making sure they have a permanent registered manager. As a result of the visits restrictions on the provider’s registration were imposed by the CQC, saying it could not admit any young person to the ward without prior agreement with the CQC. This remained in place for a month.
In June 2019, HSJ reported that multi-agency investigation had been launched into Cygnet’s 65-bed hospital in Maidstone, whose 15-bed male psychiatric unit had had a “disproportionate” number of safeguarding alerts for patient-on-patient attacks.
The CQC inspected the Knole Ward at the Cygnet Hospital at Godden Green, in Kent, in July and August 2017 after it was informed of concerns about the safe care and treatment of young people.
The Priory Group
The Priory the country’s leading provider of mental health services, owned by Waterland, a Dutch private equity group, has been the subject of several reports of failures in care in recent years, including patient deaths.
In November 2020, the CQC downgraded the company’s hospital in Middleton St George, Darlington from outstanding to inadequate and placed it in special measures. The CQC made an unannounced inspection in September, prompted by whistleblowing and notifications from the service indicating high levels of self-harm among patients.
The CQC found that the service had insufficient levels of permanent staff and was highly dependent on agency workers who did not always have the correct training. Governance and recordkeeping was also criticised and did not always comply with policies.
An inspection of the company’s Keston Unit, part of Priory Hospital Hayes Grove, in September 2020 led to the CQC telling The Priory that it must make urgent improvements. The unit caters is a specialised mixed gender unit for adults who have a diagnosis of Autistic Spectrum Disorder (ASD) with psychiatric co-morbidities, people with ASD and mild learning disabilities. Previously in January 2020, a CQC inspection rated the unit inadequate and placed a condition on
the provider’s registration, preventing it from admitting patients to the Keston Unit until improvements had been made. In September, inspectors found that the unit had failed to make sufficient progress since January and that the quality of care and treatment provided remained unsafe and compromised people’s privacy and dignity. The Priory Group has now decided to close the Keston Unit by the end of 2020.
Also in 2020, The Bristol Cable published an expose of The Priory Group’s hospital in Bristol. In July 2020, the Cable reported that Banksy ward in the hospital was closing down less than three years after opening because of staffing problems. The patients had to be transferred to the nearest ward of its kind 100 miles away in Maidenhead.
The Cable conducted a six month investigation looking at testimony from current and former workers and documentary evidence. The publication revealed that the problems on Bansky ward went back over a year, including struggles to keep permanent staff, regular incidents of self-harm and violent attacks on staff by patients.
Allegations from staff and former staff include that staffing levels on the ward were too low to deal with incidents, such as self-harm, and the high needs of the patients. There were physical attacks on staff and the high number who left meant that the hospital had to rely heavily on agency staff.
Admissions to the ward were halted in Autumn 2019 after an internal investigation by the Priory. The ward was reopened to new patients a few months later, but following discussions with NHS England, has now closed. The police are investigating a serious incident on the ward in June 2020.
In July 2019, the CQC placed two of the company’s hospitals in special measures – Priory Hospital Blandford in Dorset and Kneesworth House in Royston, Hertfordshire. The hospitals were found by the CQC to be unsafe and uncaring and rated them both as inadequate. The hospitals have been given up to six months to show improvement or face closure.
At the Blandford hospital, which caters for children and young people with learning disabilities or autism as well as a mental health disorders, the CQC inspectors found a high level of violence among patients and assaults on staff. Bricks and nails were used as weapons, patients felt unsafe and staff appeared unable to cope, resorting frequently to physical restraint.
Earlier in the year in February, the Priory’s hospital for children with learning disabilities in High Wycombe was closed, following a CQC report that gave the unit an overall rating of ‘inadequate’. The CQC found the hospital “not adequately equipped to care for young people with complex needs”. The hospital had only opened in April 2018 and catered for children aged 13 to 17 with learning disabilities and/or autism.
In July 2018, the company’s hospital in Southgate, North London, was rated “requires improvement” overall by the CQC, following an unannounced inspection. However, the CQC rated it as “inadequate” for safety and noted several concerns across its child and adolescent mental health services, acute adult wards and substance misuse services. In February 2018, the company’s hospital in Roehampton was rated “required improvement” overall.
In 2016, an inquest ruled that the death of a 14 year old Amy El-Keria at a Priory hospital in 2012 was as a result of months of serious failings at the hospital, including staff failing to pass on the fact that she had spoken of wanting to end her life. The inquest also ruled that staff failed to dial 999 quickly enough and failed to call a doctor promptly. Staff were also not trained in cardiopulmonary resuscitation (CPR). Staffing levels were also found to be inadequate and a lack of one-to-one time caused or contributed to Amy’s death in a “significant” way.
Following the death of Amy, the Health and Safety Executive brought a case against The Priory Group under the Health and Safety at Work Act. In January 2019, The Priory Group pleaded guilty; reports state the fine could be unlimited, but the prosecutor suggested it would be at least £2.4 million. Eventually the company was fined only £300,000 in April 2019; the judge reportedly took into account that the firm pleaded guilty to criminal charges and reported that its 2017 turnover was £133 million with an operating profit of £2 million.
Early in 2016, the the family of 17-year-old Sara Green, who died in the Priory Royal in Cheadle in 2014, called for the company to have its NHS contract cancelled. In March 2016, the Priory and Solent NHS Trust admitted liability for the death of 15-year-old George Werb, who had been a patient at the Priory Hospital Southampton.
St Andrew’s Healthcare
St Andrew’s Healthcare is one of the largest charities involved in residential mental health services. The CQC has issued a number of very critical reports on the organisation, its management, staff, governance, and safety and quality of care over recent years. The most recent in November 2025.
St Andrew’s Healthcare’s flagship mental health hospital in Northampton had to close to new admissions in summer 2025 due to serious CQC concerns, and was rated “inadequate” in a report in November 2025.
The CQC’s findings included evidence of widespread assault by staff of patients, which led to a police investigation which is ongoing.
An NHS England document, showing “enforcement undertakings” agreed with St Andrew’s in December 2025, reveals wider concerns about leadership stability, governance and finances at the provider, which is constituted as a charity.
As a result of the reduction in patient admissions, the charity is facing some financial difficulties and has reduced spend and begun a voluntary redundancy scheme. NHSE has put St Andrews into its “recovery support programme” and the charity must provide 13-week rolling cashflow forecast to NHSE fortnightly, and on a monthly basis provide details on the security of its debt and its relationship with other creditors.
In November 2021, the CQC criticised the charity’s adult ward in a hospital in Northampton, where it was claimed staff fell asleep during work. The CQC has described the facility as unsafe and restricted admissions. The provider is now banned from admitting new patients to its female-only forensic and rehabilitation units, plus all of its learning disability wards, without the CQC’s permission. Inspectors visited in July and August and expressed concerns about staffing levels, patient observations, and workforce culture.
In June 2019, its Northampton hospital was rated “inadequate” by the CQC. The watchdog had found that adolescents were kept in unsafe seclusion rooms for excessive amounts of time and without beds, blankets or pillows. It was reported that some patients had been in seclusion for years and earlier in 2019 the Victoria Derbyshire programme was given footage of a teenager reaching their arm through a door hatch to enable contact with their parents during a visit to the hospital.
In January 2020, the CQC published a highly critical report on St Andrew’s Healthcare and rated the organisation “requires improvement”. The report contained a number of concerns, including that in previous inspections records had been falsified for the CQC thus covering up allegations of poor care and abusive behaviour.
Inspectors have highlighted a series of failings at an independent provider, including treatment of a patient and children being dragged across the floor. In February 2020, the organisation’s adolescent mental health unit in Northampton was rated “inadequate” for the second time in a year, following a litany of failings found by the CQC.
The report stated: “Staff did not always use approved restraint techniques, which resulted in staff dragging patients along the floor or physically injuring patients during restraint. Senior staff told us they observed CCTV footage of these incidents and were concerned that other staff present had not acted to intervene.”
Elysium Healthcare
Elysium Healthcare is ranked as the third largest private mental health in the UK. The company has a portfolio across mental health care, neurological care, education, children’s services and private patient services. Elysium has 72 sites with around 2,000 beds and 6,000 employees across England and Wales.
In December 2021, Ramsay successfully bid to acquire Elysium Healthcare, from owners BC Partners. The acquisition cost Ramsay £775m. This is Ramsay’s first move into the UK mental health area, although it already runs mental health facilities in Australia, Sweden and France.
There have been several failures at hospitals run by Elysium in recent years, including deaths due to failures of supervision. In July 2021, an inquest jury found that serious failures of risk assessment, communication, and the setting of observation levels contributed to the death of 19-year-old Brooke Martin. Brooke, who had diagnoses of Autism and Emotionally Unstable Personality Disorder, was detained under the Mental Health Act at Chadwick Lodge Hospital. Elysium Healthcare was in charge of the facility when Brooke died. The inquest jury concluded that Elysium Healthcare failed to properly protect Brooke.
In November 2021, inquests held just seven days apart heard how Nadia Shah, 16, and 19-year-old Leon Tasi were found with ligatures round their neck at clinics run by Elysium Healthcare. In both cases juries were told inadequate checks had been made on the pair.
Nadia’s mother called for the Care Quality Commission to prosecute the company. Nadia died in 2019 at a clinic in Potters Bar, Herts. Leon took his life in 2020 at Chadwick Lodge in Milton Keynes. An inquest jury ruled the youngster had been failed by the clinic. Nadia should have been checked every 15 minutes to make sure she didn’t harm herself. But when she was found with a towel around her neck as a ligature, she hadn’t been monitored for 19 minutes.
At Leon’s inquest, a coroner was told staff gave him back his belt – which he then used to hang himself. He had been detained under the mental health act. Staff had failed to carry out an hourly visual check to see that he was safe, the inquest was told.
Community care
Recently the involvement of the private sector in the diagnosis of conditions such as ADHD and autism has created major issues in funding and quality of care. Two framework contracts for services for mental health and wellbeing services began in 2025 (see here for more details) with many private companies awarded places. Companies accepted on these frameworks can work for any NHS provider in England and Wales.
Cost
A Guardian investigation published in January 2026 found that the the NHS is overspending by £164m a year on ADHD services, with an increasing amount going to unregulated private assessments. Nineteen ICBs provided data to the Guardian on how much of their ADHD budget went on private companies, and showed spending had more than tripled in three years, from £16.3m in 2022-23 to £58m in 2024-25.
A report by the CHPI warns that the ADHD and autism market is particularly attractive to private providers as a company needs only one contract to treat patients anywhere in the country, and there is no cap on how much they can earn, because local NHS bodies cannot restrict patient numbers.
In May 2025, Northamptonshire Integrated Care Board was reported as having to pay private suppliers of ADHD and autism services three times as much as local NHS providers. Its annual bill of £3m was driven by patients opting for private treatment via Right to Choose. The ICB described the situation as “unsustainable”.
In mid-2025, two private companies, Clinical Partners and Psychiatry UK, reported a huge increase in income as a result of people opting for private assessments under Right to Choose.
Clinical Partners, which provides a range of mental health, autism, and ADHD services, saw its turnover double from £14.5m in 2022 to £29.2m in 2024 and its profits rise from £11.4m in 2023 to £15.6m in 2024. Clinical Partners’s biggest NHS customers in 2024 Leeds Community Healthcare Trust and Birmingham Community Healthcare Foundation Trust, who spent £6m and £5m on the company’s services respectively.
Psychiatry UK, which carries out similar work for the NHS, saw its income triple in size to £53.3m between 2022 and 2024.
Continuity of Care Issues
A Guardian investigation into the diagnosis of ADHD and other neurodivergent conditions by private companies uncovered cases of serious harm that appear to have been caused by problems with continuity of care after a private diagnosis.
In March 2025, a coroner issued a prevention of future deaths report on the death of 27-year-old Sheridan Pickett, who died by suicide after receiving an online ADHD diagnosis and taking stimulant medication prescribed by a private clinic.
When Pickett was later admitted to an NHS hospital after an overdose, doctors warned that the ADHD drugs should not be restarted, but that information was never passed back to the private provider, which continued prescribing.
The coroner noted that there were no formal rules requiring information-sharing between private neurodevelopmental services and NHS teams, and warned that without change similar deaths could occur.
The Guardian reports that experts said the standard of assessments carried out by private companies was not always good enough. One NHS clinician, speaking anonymously, said: “Some private providers do deliver good-quality assessments, but I’d estimate that around 70-80% do not, and there are certain ones I simply won’t work with when I see their name on the report.”
In January 2026, the Guardian reported on the lack of joined-up care between the private sector and the NHS. Although the NHS is increasingly referring patients to private providers, which it will then pay for, many of these assessments are then rejected. This is leading to an inefficient system that wastes public money and leaves patients without care and mental health trusts struggling to cope.
In a letter shared with the Guardian, the Midlands partnership university NHS foundation trust acknowledged it was struggling to cope and the trend was contributing to long waiting lists and “reduced capacity for new and complex cases”.
The trust highlighted the structural weaknesses of right to choose itself. “There is limited regulation surrounding private ADHD providers,” it wrote, noting that providers could establish services and request to diagnose ADHD, but that “at times their assessments do not comply with Nice guidelines”.
Rather than relieving pressure on NHS services, the scheme appears to be recycling it. The trust said the current model “highlights the challenges and limitations” of a system that can diagnose quickly but cannot always find “appropriately skilled staff to support prescribing.”
Quality of Care Issues
The recent increase in private companies being used via the NHS right-to-choose system for ADHD and autism diagnosis has bought with it quality of care issues. As already discussed above often private diagnoses are being rejected by the NHS, this can be because they are not compliant with guidelines from the National Institute for Health and Care Excellence (Nice). There are also major issues with continuity of care.
Holistic ADHD Solutions (ADHDNET) was registered with the Norfolk and Waveney ICB, which meant patients from across England could use its services under “right to choose” rules. The provider has an office in Leeds but offered remote consultations for adults nationwide. However, in December 2025 the company was suspended from registration. A notice on the ICB’s website says the suspension is “a precaution to ensure people’s care remains safe”, and that the move was triggered by concerns “regarding service management, safety oversight, and continuity of care arrangements”.
“The suspension notice remains in place, and we continue to meet with the company and the [Care Quality Commission],” it adds. “The company has agreed to take a number of actions to address the concerns raised about the management of the service and patient safety.”
The company’s own website blames the development on an “administrative issue”.
HSJ reported that the company has dozens of poor Google reviews, many about post-assessment follow-up and poor communication.
