Health Secretary Wes Streeting has ordered an independent review into the rising demand for mental health, Attention-deficit/hyperactivity disorder (ADHD) and autism services in England.
This comes amid concerns about over-diagnosis and overstretched NHS support. The review will be led by clinical psychologist Prof Peter Fonagy, will examine whether some referrals are unnecessary and identify gaps in early or alternative forms of support. Findings are expected in summer 2026.
The government says pressure on services has resulted in long waits, with NHS figures showing significant increases in mental health problems and ADHD over the last two decades.
Ministers believe growing numbers of people are being added to waiting lists who may instead benefit from practical assistance, short-term therapy, or social support rather than specialist treatment.
The move comes as ministers seek to address rising welfare costs, although the Department of Health and Social Care says the review is separate from welfare reforms.
Recall that earlier this year, the government backed down on proposed disability benefit cuts following internal Labour backlash.
Streeting said the review would take a strictly clinical lens to ensure accurate diagnosis and timely care. Prof Fonagy said it would test assumptions rigorously and focus on those most affected.
NHS data shows 22.6% of adults aged 16–64 reported mental health problems in 2023–24, up from 17.6% in 2007. Nearly four million working-age adults now claim disability or incapacity benefits.
Mental health bodies, including the Royal College of Psychiatrists, Mind, and the National Autistic Society, welcomed the review, calling it a critical opportunity to improve care as waiting times continue to rise.
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