Fonagy review calls for needs-led mental health and neurodevelopmental support

A government-backed review led by Prof Peter Fonagy has called for mental health and neurodevelopmental support in England to be based more on people’s needs, rather than diagnosis alone. The review says rising demand for mental health, ADHD and autism services is straining public services, while long waits leave people without help.

The BBC reported that the review sees a risk of ADHD and autism overdiagnosis, but says available figures do not establish that it is happening at scale. It reported that more than 4% of children aged six to 17 had an autism diagnosis, compared with the 1-2% that studies suggest is the true level. The review also raised concerns about the quality of private assessments.

The review recommends identifying needs early and reassessing waiting lists so people with the highest needs are prioritised. Health minister Alison McGovern said the government will bring all ADHD and autism assessments under CQC regulation and respond to the review in a cross-government mental health strategy.