NHS at risk of ‘system failures’ as demand for ADHD and autism care soars, inquiry finds

An official review in England has raised concerns about the potential over-diagnosis of ADHD and autism, with experts warning that cases now seem to exceed the expected number in certain younger age groups. The review, led by leading doctors, was ordered by Wes Streeting after a health secretary claimed in an interview that young people were being over-diagnosed and written off.

It found a rise in diagnoses over the past 25 years, leading to a situation where cases outnumber the typical number of people with these conditions in the population. The review called for stricter regulation of private firms offering assessments for the NHS, citing worries about quality and consistency, as well as a ban on advertising.

It also blamed economic uncertainty and social media for driving an increase in mental health problems among young people and emphasized the need for better support for all conditions.

The review focused on young people and children, who have the highest rates of diagnoses, but also looked at people of all ages. It concluded that diagnoses of mental health problems and ADHD and autism were often resulting in labels that defined individuals by their difficulties rather than their strengths and potential, negatively impacting their prospects in school, work, and relationships.

Children diagnosed with autism and ADHD before the age of 17 are four times more likely to be out of education, employment, or training between the ages of 16 and 24. With proper support following a diagnosis, however, these individuals could lead more fulfilling lives. The review highlighted that people were also being harmed by long waits for diagnoses of mental health and ADHD and autism, as families like the Watsons experienced when it took three years to obtain an autism assessment for their son.

The review emphasized that the current system is under immense strain and that diagnosis should not be the sole pathway to finding support. It called for reassessment of those on waiting lists to prioritize individuals with the highest needs and to consider alternative support options, such as adjustments at school or in workplaces and lifestyle support, like help with sleep or anxiety.

The review stressed that while diagnosis remains essential, it should not be the only avenue for accessing help, as some difficulties do not require a medical response. The National Autistic Society and charity YoungMinds expressed concerns over the report, stating that successive governments have failed autistic people and that the system needs significant reform to better support those with autism and ADHD.

The government welcomed the report and promised to introduce stricter regulations for ADHD and autism assessments in its upcoming mental health strategy.