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 on children and families of local pauses to neurodevelopmental assessments under the NHS Right to Choose pathway; and what steps his Department is taking to ensure that interim support is available to families whose referrals have been affected.

The Government has recognised that, nationally, demand for assessments for neurodevelopmental conditions such as autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future and it recognises the need for early intervention and support.

It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including access to neurodevelopmental assessments.

Through the medium-term planning framework, published 24 October, NHS England has set clear expectations for local ICBs and trusts to improve access, experience, and outcomes for autism and ADHD services over the next three years, focusing on improving quality and productivity.

Patients’ right to choose is set out in legislation. Patients being referred to a mental health professional, including for neurodevelopmental assessments, have the right to be treated by any clinically appropriate provider who holds a contract for the provision of NHS services.

ICBs are responsible for ensuring that their processes comply with the legal right to choose. This includes any qualifying contract requirements and clinical appropriateness or eligibility criteria. ICBs also have a duty to publicise and promote choice and can provide local referral guidance to support referrers and ensure that referrals into any NHS funded service are appropriate.

There has been no change to the existing legal right patients have to choose the provider and team who will provide their elective care in certain cases. These rights extend to any provider in England who holds a contract with an ICB, or NHS England, for the service/s the patient requires, as per the NHS Choice Framework. This includes independent sector providers who deliver NHS funded care. Neurodivergent services are already in scope of this legislation.