Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 12 March to Question 114810, whether the underlying cost data from the Realist evaluation of Autism ServiCe Delivery (RE-ASCeD) paper referred to in the Answer was critically appraised; and whether NHS England, when interpreting the data from this research to inform guide prices, (a) took into account inflation since publication and (b) checked that the hourly rate for clinical time included appropriate adjustments for patient facing time.

The Realist evaluation of Autism ServiCe Delivery (RE-ASCeD) paper was considered as part of the development of guide prices for 2026/27. Specifically, the amount of professional time linked to an average assessment and the evidence of increased cost for children and young people over adult assessment.

During the process of determining guide prices, NHS England considered that the costs reported would have changed since publication of the NHS England commissioned RE-ASCeD evaluation, due to various reasons, including changes in practice. As a result, NHS England did not use these costs directly to inform the guide prices, but noted some of the helpful components such as the amount of professional time linked to an average assessment and the evidence of increased cost for children and young people over adult assessments.

We reflected that practices have changed over time and therefore not all elements of the RE-ASCeD evaluation remain relevant. Whilst we did not consider the hourly rates within the evaluation, we continued to be guided by optimal assessment pathway practice as outlined in the National Autism Framework and Operational Guidance from 2023 and current National Institute for Health and Care Excellence guidelines.