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Worried About Your Child? Your Support Options, Explained

Illustration of a parent at a crossroads with four signposted paths representing support options

Worried About Your Child? Your Support Options, Explained

Almost every parent I meet arrives at the same crossroads. Something about their child's development is worrying them — speech, behaviour, focus, social skills, sleep — and they have realised they need help. The problem is not a lack of options. It is that the options are confusing, the language is full of jargon, and no one ever explains them side by side. So let me do that here, in plain English.

First: trust your instinct

If you have noticed something, that matters. Parents are usually right that something is going on, even when they are not sure what. You do not need to have it all figured out, and you do not need a label to start getting help. You just need to take the next step. Here are the four main routes for doing that.

Option 1: The NHS referral and waiting list

This is where most families start, and for good reason. NHS assessments are thorough, free, and carried out by highly qualified clinicians. Your GP, health visitor or school can refer your child to the relevant service.

The catch is time. Waits for children's assessments are long, and for autism and ADHD they can stretch to a year, two years, or more depending on where you live. If you want the full picture, we have written honestly about how long NHS waiting lists actually are. The NHS route is the right backbone for most families — but it rarely gives you answers quickly.

Option 2: NHS Right to Choose

This is the option most parents have never heard of. In England, you have a legal right to choose which qualified provider your child is referred to for many assessments — not just the local service. Sometimes that means a much shorter wait, and it is still free on the NHS.

It is not available everywhere or for everything, and you sometimes have to be persistent with your GP. We explain exactly how it works, who qualifies, and how to ask, in our guide to what NHS Right to Choose covers.

Option 3: Private practitioners

Going private buys speed and choice. A first appointment can come through in weeks, and you can pick a specialist who fits your child. The trade-offs are cost and the fact that you have to vet practitioners yourself — quality and pricing vary, and "private" does not automatically mean "better". We have laid out both sides in our honest look at the pros and cons of private practitioners.

Option 4: ChildWize

ChildWize sits deliberately in the gap between a two-year wait and an expensive clinic. We connect families with verified, DBS-checked child development specialists online, at published prices, usually within days. There is a free 15-minute call first, so you can talk things through before you decide anything or pay anything.

It is not a replacement for an NHS diagnosis where you need one — many families use ChildWize while staying on the NHS list. It is simply a way to stop waiting helplessly and get real support, advice and a plan now.

How to choose between them

There is no single right answer, because families differ. What helps is seeing the routes against each other on the things that actually matter: how fast you will be seen, what it costs, whether you can do it from home, the quality of the specialist, and how much hassle is involved.

That is exactly what we built our comparison page to do. It puts NHS waiting lists, Right to Choose, private practitioners and ChildWize side by side, calmly and without the hard sell, so you can see at a glance which route fits your family right now.

Do not forget school

Whichever route you choose, your child's school or nursery is part of the picture too. Under the SEND Code of Practice, schools can and should put support in place based on need, without waiting for a diagnosis. Ask to speak to the SENCo — the special educational needs coordinator — and share what you have noticed at home. A short written summary of your concerns, along with any diary notes you have kept, makes this conversation far more productive. School support is free, available now, and runs happily alongside any NHS, Right to Choose, private or ChildWize route you take. It will not replace a formal assessment, but it can make a real difference to your child's day-to-day experience while you wait for one.

The one thing to remember

You do not have to pick a single lane and stay in it. Most families I work with combine routes — joining the NHS list for the formal assessment, using Right to Choose or ChildWize to get help sooner, and leaning on school support throughout. The goal is not to choose perfectly. It is to make sure your child is getting support now, while the longer processes run in the background. You have already done the hardest part by looking. Everything after this is just choosing your next step.