Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of introducing a dual-tier NHS Right to Choose Tariff for ADHD and autism assessments that distinguishes between straightforward and complex cases.

The 2026/27 NHS Payment Scheme was published on 26 March 2026 and came into effect from 1 April 2026. The scheme governs transactions between providers and commissioners of secondary healthcare. The attention deficit hyperactivity disorder (ADHD) and autism payment guidance has also been updated and sets out national expectations for ADHD and autism services. This guidance is primarily intended for finance, costing, and data teams working in ADHD and autism assessment services, and integrated care boards (ICBs) with commissioning responsibilities for these services. The purpose is to support commissioners and providers to build consistent, transparent, and equitable ADHD and autism diagnostic pathways, with clear data requirements and a shared understanding of what good looks like.

Guide prices for ADHD and autism assessments were published as part of the 2026/27 NHS Payment Scheme. NHS England is engaging on the use of these prices and how they could be developed further, including whether to differentiate between straightforward and complex cases. The current prices already include a separate price for patients receiving a combined assessment for ADHD and autism which is often provided to more complex patients.

NHS England is continuing work on pricing arrangements for autism and ADHD assessment services through the NHS Payment Scheme. This aims to support a more equitable and consistent approach to commissioning and service delivery.

The Government announced on 4 December 2025 the launch of an Independent Review into Prevalence and Support for Mental Health Conditions, ADHD and Autism. The final report, due in the summer, will make recommendations on how the Government, the health system, and wider public services can respond to increasing demand for support more fairly and effectively so that people receive the right support, at the right time, in the right place. The next stage of the review will look at service design and how services might respond more effectively to rising need, including the role of earlier intervention, community-based provision, and more integrated pathways across health, education, and other public services. The review will also look at the question of what role the private sector plays in diagnostic services.