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NHS sets two-year minimum wait for ADHD and autism assessments

scienceSep 25, 2026221,793

Four NHS integrated care boards in England have imposed a minimum two-year wait for people referred for ADHD and autism assessments because they cannot afford the volume of assessments demanded. In total 15 ICBs covering 19 million people have introduced rationing measures including caps on the number of assessments funded each year and clinical prioritisation that restricts assessments to those with the most severe signs. Patient groups warned the policies are "scandalous" and said the delays could harm children’s school outcomes, deny people support to manage daily life, and increase suicide risk; ADHD UK called the minimum waits "heartless and dangerous". The disclosures come ahead of a 700-page government-commissioned review led by Prof Peter Fonagy, which was due to publish this week but has been postponed until early next month. Fonagy’s review reportedly documents large rises in diagnoses and raises concerns about consistency and quality of private-sector assessments and financial incentives tied to assessment activity. The report cites up to 24-fold increases in neurodiversity prevalence among boys since 2000, with autism in seven- to 18-year-old boys rising from 0.2 percent in 2000 to 4.7 percent in 2025, and ADHD in the same age group rising from 0.4 percent to 5.1 percent. "Minimum waits" after GP referral also bar people in affected areas from seeking a private provider for an earlier assessment.

elia ayoub
@ayoub.bsky.social

As someone with AuDHD, this can mean the difference between life or suicide. And they just decided people can wait *at least* 2 years. www.theguardian.com/society/2026...

64715d ago
Quoting this
Kati Knitt132

Trans girl with ADHD here, this is what it's like for trans people waiting on HRT, too. Our dystopian capitalism is consistent in how it's killing the vulnerable. The irony, that The Guardian - one of the newspapers that has spread a lot of transphobia - is posting this, is not lost on me

Alyssa Long37

Getting a diagnosis means getting *help*, dubious as that may be under the systems we have to operate within. It means access to counseling and ND affirming care and getting school resources in place. More barriers to care means we’re going to lose kids AND parents and both will suffer needlessly

chiller30

The NHS needs to either be properly funded and provisioned by this government, or we need a government that will do it.

Socks the Plushy ✡️25

..... why the fuck does there need to be a "minimum wait"? Like... what is that supposed to accomplish in their minds?

teddy 🗡️17

this fucking country hates neurodivergent people. it took me SIX YEARS TOTAL to be diagnosed audhd and that’s a short amount of time compared to ppl i know.

Gwendolyn Corvid15

They're going to take healthcare away from neurodivergent people next. Autistic and ADHD kids are in their sights.

Falling Outside the Normal Moral Constraints13

lol do you know what i was so close to doing before i finally got my adhd diagnosis and the medication. It saved my life! And I'd had to wait 20 years!

chiller10

@theguardian.com trotting out some real guff, here. Why are we only looking at boys, in 2026? And what are we comparing it to? The total population of boys (assessed and non assessed?) or the assessed population of boys? And how have assessment rates per population changed? Shit reporting.

floot the gender woo gerbil 🇵🇸10

And apparently it hasn't occurred to anyone that a better solution is to fucking tax the rich and fund healthcare properly *screaming*

Despoina [Commissions Open]7

Again Labour continues the attacks against minorities it considers undesireables. Under a "liberal" government no less we've seen a sharp increase of state bigotry, eugenics and cruelty far worse than even the US far right has achieved.

Lyra
@8bitblackmage.co.uk

"NHS Impose requirement to live in your desired neurotype for 2 years before being able to seek treatment"

Screenshot of Guardian Article headline reading: "NHS bodies in England impose two-year minimum wait for ADHD and Autism assessments"
28715d ago
Quoting this
Rose Schmits251

Whats imposed wait time before any healthcare but rationing healthcare Disgusting

Koffie Kobold - Gnollsome Adventures!63

Buddy I've been living it for almost 4 decades, just give me the fucking meds.

matt ratt HoL MBE BA(Hons) Swimming Certificate Cycle Awareness18

Gotta make sure those kids are totally fucked before giving them the solution to what’s fucking their life.

Ms. Deathwish #Exist2Resist15

The wait is already longer than that anyway

singular locus sarah14

such an insult to the intelligence of the british public to run the exact same playbook again

Miss Winters14

Absolutely sickening, what the actual fuck is this shit?? I hate this wanky fucking shit hole island. Just nuke it, it tries its best but now it’s time to put it down, it’s beyond saving.

Halcyon Ember12

Wow, they're literally treating them as trans

Shane Phillips 🏳️‍⚧️11

Chalk this up as another one of those situations where marginalised people warned you about this Labour government, and "centrists" talked over us like the smug morons that they are. Don't trust Labour. Don't trust centrists and liberals.

Mags Campbell11

Buying themselves a couple of years in which to find fake evidence that neurodivergence doesn't exist.

Dude Points (what do I do now)8

Complaint: People with ADHD are clogging up the benefits system Solution: Remove access to the treatment that helps people with ADHD get and retain jobs it is never about actually solving a policy problem. It is about punishing people.

Tim Clare
@timclare.bsky.social

This article opens by saying there's a 'surging demand' for 'diagnoses of neurodiversity'. I'm sorry to inform you the neurodiversity rate amongst the population is 100%. What you probably meant was 'neurodivergence'. This is not just me being pedantic... www.theguardian.com/society/2026...

14515d ago
Miles King
@milesking.bsky.social

NHS bodies in England impose two-year minimum wait for ADHD and autism assessments www.theguardian.com/society/2026...

1215d ago
Quoting this
András Forgács W55

Great, that means waiting times are now shorter

Jill Hayward18

Same playbook as with gender referrals... deny assessment/treatment in the hope the "problem" will go away. *YOU WILL BE NORMAL! YOU WILL, YOU WILL!"

Rose Judson14

Jesus CHRIST. If The Child had had to wait two years for her ASD diagnosis that would have meant two years of lost education. She was not able to access the primary school curriculum without extensive accommodations and an aide.

sophiacollins.bsky.social12

Is this like it used to be with gender recognition services? You have to live in your chosen neurotype for two years to demonstrate commitment, and then they’ll see you? Join a niche hobby and dye your hair blue?

PJ Coffey - They/Them @homebrewandhacking@mastodon.ie11

The idea is to make you give up. If you've made it this far, then they don't want to help you, they'd rather you just struggle and fail quietly.

TfL Barbie10

another interesting paragraph slipped in here - ICBs also introducing minimum waits for other conditions

Zee Zom9

Oh you have a lump in your boob? We’ll check that out in 2 years.

Zee Zom8

Lu was the youngest person in the NE when he was diagnosed. The support we got then is why despite Covid bringing the wheels off, we’ve been able to make this transition smoothly.

roterote7

I hate Wes Streeting. We all knew this was coming because he believes in pseudoscience bullshit. It was telegraphed for all of Starmer’s reign.

Big Natural Resources7

if i had to wait 2 years after the onset disabling burnout for help, I'd be toast.

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