ADHD Diagnosis

Valerie Vaz Excerpts

Tuesday 20th January 2026 Westminster Hall

[Several hon. Members rose—]

[Valerie Vaz (in the Chair)]

I ask hon. Members to remain standing. I will call the Front-Benchers at 5.23 pm. I am afraid I am going to impose a two-minute time limit, but you can do it as Olivia Dean says, by being “nice to each other”, or I can put impose a hard limit. We will start with the soft two-minute limit. I call Rachael Maskell.

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[Valerie Vaz (in the Chair)]

I now have to impose a hard two-minute limit.

[Andrew Cooper (Mid Cheshire) (Lab)]

It is a pleasure to serve under your chairmanship, Ms Vaz. I congratulate my hon. Friend the Member for Sefton Central (Bill Esterson) on securing this debate. He knows my links to his constituency, and I am certain that his moving tribute to Matt will be appreciated by Matt’s family, his Labour family and everybody that knew and loved him.

ADHD affects people of all ages, backgrounds and communities, yet too many are stuck on waiting lists for years, during which time their needs go unmet and their wellbeing deteriorates. In the limited time I have, I want to make three points. First, on barriers and gatekeeping, I have received so many cases of schools refusing or postponing referrals, adults reporting GPs minimising symptoms, and community paediatrics increasingly rejecting referrals even when evidence is clear or a private diagnosis exists. Such gatekeeping practices do not protect services; they merely protect delay and lead to wider mental health problems in the long term.

Secondly, on the right to choose, I am sure we all have cases in our mailbags where constituents have been forced to obtain a private diagnosis because of waiting list delays, only to find that the NHS rejects the assessment, will not provide the medication they need or will not play fair on the shared care agreement. That is wholly improper.

Thirdly, I assisted an individual whose referral to adult services was not made before community paediatrics stopped prescribing as he transitioned from childhood to adulthood. Due to excessive waiting lists, this person has been without ADHD medication since March 2025, which is indicative of a system that is not working properly. Will the Minister address the systemic barriers to the ADHD pathway?

[Valerie Vaz (in the Chair)]

Order. I am so sorry.

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[Several hon. Members rose—]

[Valerie Vaz (in the Chair)]

Getting in the two remaining speakers will squeeze the wind-ups. Mr Esterson, you had a fair bit to start with. Maybe the Front Benchers could not use their full time.

[Sarah Hall (Warrington South) (Lab/Co-op)]

Thank you, Ms Vaz, it is a pleasure to serve under your chairship. Too many people in Warrington South are being failed by the system that is meant to help them. Demand for ADHD assessments has risen sharply, with waits of up to six years. As someone whose ADHD was diagnosed when I was an adult, I know at first hand how difficult it can be to navigate a system that often does not join up or listen properly.

Ahead of this debate, I asked constituents to share their experiences of seeking an ADHD diagnosis. Adults told me that they waited years for assessment, only to be pushed through mental health pathways that did not fit and prescribed medication that made things worse. While waiting, some self-medicated with alcohol or drugs, not to escape but simply to cope. Years of masking, burnout and misdiagnosis have taken their toll. Parents told me that their children were identified early in nursery or reception, but support stalled because schools are restricted in what they can do without a diagnosis. By the time the referrals are finally made, children are already struggling, falling behind or believing they are lazy or stupid.

I heard from women diagnosed in their 40s, 50s and 60s, after a lifetime of being treated for anxiety or depression that never quite made sense. Teachers contacted me too—experienced, committed professionals who want to help but are trying to meet complex needs in classes of 30 or more children, with limited support and resources. They told me that diagnosis means very little if there is no capacity to act on it. In Warrington, concerns about waiting times came up again and again. Misdiagnosis, problems in education, workplace breakdowns, mental health crises and families forced into private care, if they can afford it, while others are simply forced to cope until they cannot cope any more.

When Ministers point to frameworks and data improvements, I say that those things matter but do not help the child struggling in school today or the adult in crisis being told to wait until the next decade. This is not about ADHD being over-diagnosed; it is about a system that consistently under-treats and under-supports those who have it. We desperately need more specialists, more appointments, more assessments, and waiting lists that are measured in months not years.

[Valerie Vaz (in the Chair)]

Order. I am sorry, but time is up.

[Jack Abbott (Ipswich) (Lab/Co-op)]

Thank you, Ms Vaz. I thank my hon. Friend the Member for Sefton Central (Bill Esterson) for securing this important debate. He spoke powerfully about the long and agonising waits that many people have to endure to get an ADHD diagnosis, but I want to focus on what happens next. For many people, receiving a diagnosis is not the end of the fight; in many cases, it is the start of a new one.

Time and again I hear from people who, after finally securing that elusive diagnosis, encounter a set of new barriers that prevent them from accessing the treatment they are entitled to. In January 2025, local medical committees in Suffolk and Essex advised GPs to stop delivering ADHD treatment under shared care agreements. A survey by Healthwatch Suffolk of people’s experience of the changes to shared care found that only 40% had received prescriptions or monitoring from their GP. Of those, 69% said that their GP had already stopped or would soon stop providing support.

Most received only two or three months’ notice that their shared care agreement was ending; some had no notice at all. Patients are left in limbo: they have been diagnosed, and maybe even stabilised on medication, and they are suddenly told that their shared care agreement is ending. In some instances, people are left with no access to medication whatsoever. I have received letters from terrified parents and families, panic-stricken at the prospect of being left without the medicine that they need to function every day.

I look forward to hearing the Goernment’s response to the ADHD taskforce recommendations and I welcome the launch of the independent review into the prevalence of and support for mental health conditions, ADHD and autism. Reducing waiting times for an assessment and diagnosis is critical, but that work will be rendered futile if we do not also address the crisis of timely access to medication and support. For too many of my constituents—and I am sure for the constituents of many Members across the room—the hardest part of their ADHD journey did not end with diagnosis; it simply began there.

[Valerie Vaz (in the Chair)]

Thank you. All colleagues got in. I call the Liberal Democrat spokesperson, Adam Dance.

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[Iqbal Mohamed]

Approximately a quarter of the prison population—22,000, give or take—have ADHD. Will the Government commit to an impact assessment of what savings the Government could make, and how many people’s lives could be improved, by assessing people either before they commit a crime or after?

[Valerie Vaz (in the Chair)]

Order. The Minister knows that he has two minutes.

[Dr Ahmed]

As the hon. Gentleman will know, I have a lot of things in my purview, but prisons are not one of them. However, his point is well made. We expect that such sub-groups would be investigated and interrogated during the prevalence review.

I do have only two minutes, Ms Vaz, so I will move on quickly and not test your patience. In the longer term, we recognise the need to understand the factors behind the rising demand for services. We recognise that ADHD and autism frequently co-occur, which is why it will be important for the prevalence review to look at the conditions holistically as well as individually.

I acknowledge the impact that delays in accessing assessments and diagnosis are having on people, and I thank my hon. Friend the Member for Sefton Central for tabling this important and timely debate. I hope that the actions I have set out today, including the prevalence review and how it will dovetail with other reviews and other Departments, will provide some reassurance to my hon. Friend and other colleagues that we are taking these matters extremely seriously, and with a parity of esteem with any physical health condition or issue. I hope that all hon. Members’ constituents start to feel that progress very soon.

[Valerie Vaz (in the Chair)]

Bill Esterson, you have a few seconds to wind up.

Unpaid Carers: Inequalities

Valerie Vaz Excerpts

Thursday 20th November 2025 Westminster Hall

[Several hon. Members rose—]

[Valerie Vaz (in the Chair)]

I suggest a very informal five-minute limit, so that, hopefully, everyone can get in.

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[Several hon. Members rose—]

[Valerie Vaz (in the Chair)]

Order. I have to impose a formal five-minute limit on speeches. We hope to start the winding-up speeches at 2.28 pm, and we want to get everyone in.

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[Douglas McAllister (West Dunbartonshire) (Lab)]

It is a pleasure to serve under your chairship, Ms Vaz. My contribution will be brief. I congratulate my hon. Friend the Member for Shipley (Anna Dixon) on securing this debate to consider inequalities faced by unpaid carers. It was also my great pleasure to attend the parliamentary reception last night organised by Carers UK on the eve of Carers Rights Day—which is, of course, today. It is the 25th anniversary, and I believe this year’s theme is, “Know your rights, use your rights”.

To mark the occasion, Carers UK prepared a report highlighting the inequalities faced by the UK’s invisible army—the 5.8 million unpaid carers across our nation. I was struck by the figures in that new report revealing that one third do not know where to go for financial guidance and 41% are unsure what benefits they are entitled to as carers.

I am incredibly fortunate to have Carers of West Dunbartonshire in my constituency. It is a wonderful organisation that provides outstanding help, support and guidance to our unpaid carers—from opportunities to rest, talk and recharge their batteries to essential advice on how to break down the barriers to obtaining financial help, housing and the tailored resources they so desperately need.

However, I want specifically to congratulate Carers of West Dunbartonshire on its book launch last month, which I was privileged to attend—all proceeds go to the charity. The book, “Above and Beyond” by author Lynn Jolly, is reasonably priced, at just £10 a copy, and available in all good bookshops this Christmas. It is a collection of real-life short stories from carers who attend the West Dunbartonshire organisation. There is no better way to recognise the daily struggles of our carers, their love for the people they care for and their contribution to our society.

I thank all our West Dunbartonshire carers, as well as all the unpaid carers across our nation.

[Valerie Vaz (in the Chair)]

Hon. Members have been very disciplined. We now go to the Liberal Democrat Front-Bench spokesperson.

World Stroke Day

Valerie Vaz Excerpts

Tuesday 28th October 2025 Westminster Hall

[Several hon. Members rose—]

[Valerie Vaz (in the Chair)]

Order. If Members stick to between three and four minutes, we should be able to get all the listed speakers in—there are a few more standing. There will be a Division at 5 pm.

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[Several hon. Members rose—]

[Valerie Vaz (in the Chair)]

Order. We have five more Back-Bench speakers and we expect the winding-up speeches to start at 5.23 pm.

Lobular Breast Cancer

Valerie Vaz Excerpts

Tuesday 10th December 2024 Westminster Hall

[Helen Hayes]

I thank all hon. Members who have contributed. They have brought their constituents’ stories and their own personal experiences to the debate. We have many issues to work on in this House, but there is a particular responsibility when an issue presents itself in a personal way through a devastating story, whether that is through a constituent, somebody we know or our own personal experience. When we see an opportunity for things to be done, it is imperative for us all to bring that to this place. I am grateful to hon. Members for the spirit in which the debate has been conducted, the high level of consensus and the high level of commitment to see change for patients with lobular cancer.

I am grateful to the Minister for her engagement with the debate. I know she is committed to this area. In closing, I ask that she looks in further detail at two issues. The first is the proportional allocation of the funding available through the NIHR for research into breast cancer. We have heard again and again today that lobular cancer accounts for 15% of all breast cancers, yet currently attracts only a tiny fraction of dedicated research. We know that the improvements we have seen in treatments and outcomes for different types of cancer diagnosis always hinge on the investment put into research to find the cures. There is a disproportionality there that can and must be changed.

The second area I ask the Minister to look at in a little more detail is the advice and guidance given to clinicians in primary care, to make sure that there is a consistent understanding of the symptoms of lobular cancer and its distinctiveness as a disease compared with ductal cancer, and to make sure that every woman presenting to her GP is able to access accurate advice and swift onward referral. It is important across the whole range of women’s health conditions that women are trusted and listened to when they present with symptoms to their GP, and this is an area where I believe primary care can do better, be more consistent and deliver better outcomes as a consequence.

I pay tribute once again to Dr Susan Michaelis and all those who campaign on this issue on the basis of their deeply difficult personal experiences. I give my commitment that for as long as I have a voice in this place, I will continue to work on this issue until we see the changes that are needed.

[Valerie Vaz (in the Chair)]

I thank everyone who took part in and attended this debate.

Question put and agreed to.

Resolved,

That this House has considered the treatment of lobular breast cancer.

NHS Performance: Darzi Investigation

Valerie Vaz Excerpts

Monday 7th October 2024 Commons Chamber

[Valerie Vaz (Walsall and Bloxwich) (Lab)]

It is a pleasure to follow the hon. Member for Hinckley and Bosworth (Dr Evans).

The report is a tour de force from Lord Darzi, and I thank him for his work. The Secretary of State rightly commissioned the report as a benchmark for future improvement. I was a member of the Health Committee from 2010 to 2015. Given the evidence we heard, there was no alternative but to pause the Bill—the Committee played an important role in that. Chapter 10 of the report sets out the structure. Lord Darzi points out that the 2012 Act was three times the size of the original Act setting up the NHS. The 2022 Act moved into integrated care, and in paragraph 15 on page 121, he raises some concerns about how the ICBs—integrated care boards—operate, and their accountability. Could there be a review into how they operate? Paragraph 37 highlights that trust chief executives’ pay is based on the turnover of the organisation, which encourages trusts to

“grow their revenue rather than to improve operational performance.”

Some are even paid more than the Prime Minister.

The flow of patients is important, which is where working with local authorities is so important. We can move planes around the world, but it seems we cannot move people out of hospital. The Select Committee visited Torbay, which was set up in 2009. We followed Mrs Smith from a single point of contact all the way through. As Lord Darzi said on page 77, collaboration is not the same as integration. On page 5, paragraph 13, he points out that too great a share of the money is spent in hospitals rather than in the community. On page 81, he said that “GP…contracts are complex” and doing the right thing for patients is the wrong thing for GP income. He said, “That cannot be right.”

Our mantra should be “prevention, prevention, prevention”. In our report, we said that public health should be moved into local authorities. As Lord Darzi said, health visitors are dropping. He also said that the NHS is missing an opportunity to intervene early. We had Sure Start, which is where health visitors were focused. He talked about clinical negligence. Some £2.9 billion— 1.7%—of the budget is spent on settling claims. Can the Secretary of State pursue the duty of candour and ask each trust to look at whether they can move cases into arbitration?

Sadly, disparities by ethnicity make very grim and sad reading. Paragraph 24 refers to the median age at death as 62 for white people, 40 for black people, 33 for Asian people and 30 for those from a mixed background. There was supposed to be a chart in the report, but it is not there. Will the Secretary of State look at producing it?

Lord Darzi’s report gives the Secretary of State and the health team an important opportunity to re-set the NHS. It is the envy of the world and free at the point of use. As Lord Darzi said, we cannot afford not to have an NHS.

[Madam Deputy Speaker]

I call Monica Harding to make her maiden speech.