Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure there is a clear referral pathway for (a) autism and (b) ADHD assessments for children around the age of five.

It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including autism and attention deficit hyperactivity disorder (ADHD) assessment services and referral pathways, in line with relevant National Institute for Health and Care Excellence (NICE) 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. This includes guidance on identification and referral for autism assessments. Since publication, NHS England has been supporting systems and services to use this guidance to support the delivery of autism assessment pathways.

In respect of ADHD, NHS England has established an ADHD taskforce which is working to bring together those with lived experience with experts from the NHS, education, charity, and justice sectors. The taskforce is working to get a better understanding of the challenges affecting those with ADHD, including timely and equitable access to services and support, and to make recommendations for improvement. The interim report was published on 20 June 2025, with the final report expected in the summer.

If an individual suspects their child is autistic or has ADHD, they should speak to a general practitioner (GP) or a health visitor, for children under five years old, and after the appointment the GP may decide to refer them for an assessment. Further information can be found on the NHS website.