We acknowledge the public interest and media coverage surrounding the review over the past few days. The National Network of Parent Carer Forums (NNPCF) attended a briefing hosted by the Department for Education and the Department of Health and Social Care, with Professor Gillian Baird, Vice-Chair of the review.
NNPCF welcomes the report’s ten key recommendations, particularly the move from a ‘diagnosis-dependent’ to a ‘needs-led plus diagnosis’ system. Children, young people and families should not have to wait for a diagnosis or reach crisis before receiving appropriate, evidence-based support. However, needs-led support must complement timely assessment and diagnosis. It must not become a substitute for diagnosis, a reason to delay or refuse assessment, or a barrier to treatment, specialist provision or existing rights.
Diagnosis has an important role in helping children, young people and families understand their needs and access appropriate care and treatment. Earlier help and shorter waiting lists are essential, but a diagnosis must also lead to meaningful support. Families’ concerns about poor or absent support after diagnosis must be addressed alongside improvements to assessment pathways.
The promise of earlier support must be clear about what families can expect, who will provide it and how it will be accessed. Support must be appropriate to the individual child or young person, informed by evidence and delivered by people with the right skills. Where evidence is limited, interventions must be robustly evaluated. Offering support is not enough: there must be evidence that it improves outcomes, with families able to seek a review when it is ineffective or their needs change.
These ambitions must translate into practical improvements for families, backed by sufficient funding, a skilled workforce and clear accountability. We welcome recommendations to strengthen commissioning, funding, oversight and regulation, with integrated neurodevelopmental and mental health services commissioned around meaningful outcomes. Earlier support must strengthen specialist services and ensure those with complex and enduring needs can access the care they require.
Implementation must be joined up with SEND reforms, ensuring health, education and social care share responsibility for meeting needs. Children and young people need environments where they feel safe, included and a sense of belonging. Success must be measured by improvements in wellbeing, participation and quality of life, as well as timely access to assessment, diagnosis, treatment and effective support.
Children, young people and parent carers must remain at the heart of change. Parent Carer Forums must be involved from the outset in shaping, delivering and evaluating reforms through genuine co-production, including defining what effective support looks like and how its impact will be measured.
Press release: https://www.gov.uk/government/news/government-pledges-earlier-support-to-tackle-mental-health-crises
Report and executive summary: https://www.gov.uk/government/publications/independent-review-into-mental-health-conditions-adhd-and-autism-final-report
