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NHS bosses warn of chaos in ADHD and autism care

The NHS Alliance says some boards are paying up to 10 times more for autism and ADHD care as non-NHS providers multiply.

  • The NHS Alliance warned that the 'right to choose' policy for autism and ADHD services represents a "bad deal" for taxpayers, as rising costs and inconsistent care strain local budgets.
  • Designed to help patients bypass long waiting lists, the policy allows access to private providers; however, a lack of standardized tariffs has led to erratic billing and unmanaged service expansion.
  • Spending on adult ADHD in Cheshire and Merseyside is projected at £51 million this year, while NHS boards report billing variations where some services charge £300 to £3,000 for similar assessments.
  • The Parliamentary and Health Service Ombudsman warned of a "postcode lottery of care" after analyzing 3,000 complaints, with complaints rising from 410 in 2021/22 to 1,257 in 2025/26.
  • Professor Peter Fonagy is leading an independent review, and the Government has promised a "new national approach" to address service pressures and clarify patients' legal right to choose a provider.
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  • 67% of the sources lean Left
67% Left

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The Independent broke the news in London, United Kingdom on Tuesday, August 25, 2026.
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