Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS England on the potential merits of conducting cross-conditional testing in the NHS when assessing for a neurodivergent condition to determine the potential co-occurrence of (a) autism and (b) ADHD to help (i) increase early diagnosis rates and (b) improve outcomes.

It is the responsibility of the integrated care boards (ICBs) across England to make available appropriate provision to meet the health and care needs of their local population, including autism and attention deficit hyperactivity disorder (ADHD) services, in line with relevant National Institute for Health and Care Excellence guidelines.

On 5 April 2023, NHS England published a national framework and operational guidance to help ICBs and the National Health Service to deliver improved outcomes for children, young people, and adults referred to an autism assessment service. The framework notes that autism should not be assessed without also considering the possibility of differential or co-occurring diagnoses.

In respect of ADHD, we are supportive of a cross-sector taskforce that NHS England has established to look at ADHD service provision and support across sectors, and their impact on patient experience. The taskforce is bringing together expertise from across a broad range of sectors, including the NHS, education, and justice, to better understand the challenges affecting people with ADHD, including timely access to services and support. The ADHD taskforce will also work closely with the Department for Education’s neurodivergence task and finish group.