Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of changes to the NHS Payments Scheme on access to assessment for (a) autism and (b) ADHD.

The consultation on the Payment Scheme proposed requiring commissioners to set a payment limit for elective services, and all services paid for on an activity basis, based on the value of planned levels of activity. Providers would not be paid for activity above this limit.

Following consideration of consultation feedback, this proposal has not been implemented. As in previous years, providers will be paid prices for all activity delivered, subject to any activity management restrictions contractually applied by commissioners.

Activity management provisions in the Contract will be strengthened, subject to consultation, to allow commissioners to plan affordable activity levels to meet key standards and to manage provider activity in line with their plan. The provisions in the Contract would be much more collaborative than the proposed payment limit. Commissioners would be required to engage with providers to a much greater extent and undertake analysis and discussion before any limits are applied. The escalation route would also ensure that, where needed, impartial expertise will help ensure appropriate plans are put in place.

NHS England has allocated all elective funding to integrated care boards (ICBs) and there will be no additional funding available during the year. Local ICBs are responsible for planning service provision in their local area, including for attention deficit hyperactivity disorder and autism assessments. In doing so, ICBs should take account of waiting lists, considering how local funding can be deployed to best meet the needs of their local population.