Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the effectiveness of the framework governing private clinics offering ADHD diagnoses.

The Department has not made these assessments. Medical practitioners must demonstrate that they work in line with the principles and values set out in the General Medical Council’s (GMC) Good Medical Practice. This applies to all doctors, whether they work in the National Health Service, the independent sector, or undertake private work. The GMC is the regulator of all medical doctors, anaesthesia associates, and physician associates practising in the United Kingdom, and is directly accountable to Parliament.

Additionally, the National Institute for Health and Care Excellence (NICE) is an independent public body that provides national guidance and advice to improve health and social care. The guideline for attention deficit hyperactivity disorder (ADHD) aims to improve recognition and diagnosis, as well as the quality of care and support for people with ADHD. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences, and values of their patients or the people using their service. The NICE guideline recommends that an ADHD diagnosis should only be made by a licenced specialist psychiatrist, paediatrician, or other healthcare professional with specialist training in ADHD diagnosis. We expect integrated care boards and private providers to take the NICE’s guidelines fully into account when commissioning and providing services on behalf of the NHS.

Independent providers who offer diagnosis and treatment of ADHD are currently in scope of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, and are therefore regulated by the Care Quality Commission (CQC). However, independent providers who only offer diagnosis of ADHD, without any form of treatment, are not within scope of CQC registration, as the regulations currently stand. Further information on the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 is available at the following link:

https://www.legislation.gov.uk/ukdsi/2014/9780111117613/schedule/1