Autism and ADHD Assessments

Debate between Bambos Charalambous and Robin Walker

Monday 6th February 2023 Westminster Hall

[Bambos Charalambous]

My hon. Friend makes an excellent point. We need education in society, and the acceptance of people with ADHD and autism, to ensure that people with those neurodiverse conditions are able to flourish and live to their full potential.

[Mr Robin Walker (Worcester) (Con)]

That is twice that the hon. Member for Batley and Spen (Kim Leadbeater) has intervened and I have agreed with what she said. As Chair of the Select Committee on Education, I am passionate about ensuring that we have the provision to address children’s needs. One challenge with the current delays in diagnosis is that although local authorities have the statutory duty to measure where provision is needed and to provide places accordingly, if children are not getting the diagnoses, they do not have the statistics. One thing that we can perhaps do with this debate is encourage faster diagnosis so that we can help to meet that need and ensure that, where specialist support is needed, it is provided .

[Bambos Charalambous]

The hon. Member is absolutely right: faster diagnosis is needed to ensure that the resources go to those who need the support the most. I very much look forward to the publication of the special educational needs and disabilities paper, because it might be a game changer if it delivers.

The inadequate services available for ADHD are another key barrier. As more people seek referrals for ADHD, there just is not the service capacity to match the demand. This is also an issue with staffing levels with regard both to people who can assess ADHD and to the support that is given after an assessment has been made, because there is a need to recruit people with those skills.

People are waiting years for an ADHD diagnosis, as access to services and treatment in the UK is limited and inconsistent. Indeed, according to survey data published in the ADHD Foundation’s “Born to Be ADHD” report, more than a third of adults and children diagnosed with ADHD had to visit their GP at least three times before being referred to a specialist, with 28% waiting two or more years before receiving a diagnosis. In advance of today’s debate, the Petitions Committee carried out a survey and found that most people who responded to the petition had had to wait more than a year for an assessment of ADHD or autism.

The impact of the delays cannot be overstated. The long-term effects of untreated ADHD are documented and include increased rates of other health problems, poor social functioning and antisocial behaviour. For example, those with ADHD are twice as likely not to take up full-time employment. It is also estimated that 24% of the prison population has ADHD, so intervention and diagnosis of ADHD would clearly improve the life chances of people with ADHD who fall into the criminal justice system.

Another problem is the inconsistency—what has been described as a postcode lottery—in support for people with ADHD. Where someone lives is critical in determining how long they are likely to wait to be referred.