To ask the Minister of Health to detail any (i) pilot schemes; and (ii) temporary trials that are (a) in place; and (b) planned involving adult ADHD diagnosis and treatment.

pilot schemes; and (ii) temporary trials that are (a) in place.

In relation to pilot schemes and temporary trials Northern Trust are currently the only Trust with a pilot in place. A number of factors prompted the Northern Trust to progress with a small, unfunded pilot that saw those who have been referred to the Trust for Adult ADHD diagnosis and treatment, being placed on a waiting list and then being offered an appointment with the Trust. Part of the Pilot process is detailed pre-screening to ensure assessments are offered, where there is a high likelihood of Adult ADHD. All patients on any waiting list remain under the care of their GP.

This pilot approach has taken time to establish given the preparatory work required. Communication with individuals on the register commenced in December 2023, in chronological order of date of original referral.

planned involving adult ADHD diagnosis and treatment.

Provision of service for Attention Deficit Hyperactivity Disorder (ADHD) assessment and diagnosis has grown organically across Trusts in response to population demand and available expertise within Health & Social Care teams. Whilst a level of provision is available for ADHD referrals, currently there are no specifically commissioned services. The Department is aware that this has led to inconsistencies in provision of services between Trusts and inconsistent pathways and service gaps. The limited capacity available in Trusts in terms of meeting demand and the prevalence of adult ADHD is leading to individuals having to wait longer for assessment and support than described in NICE guidelines.

The Health and Social Care Trusts are committed to work closely and collaboratively with commissioners to develop innovative, cost effective, co-produced, quality, and evidenced based services that can meet the needs of patients with ADHD within Trust areas. This work would include the development of clinical pathways.

Department of Health officials are regularly reviewing the situation regarding the commissioning of Adult ADHD services, recognising that the demand for ADHD diagnosis has risen in recent years. Any decision to commission Adult ADHD services in the future will be based on an assessment of the level of demand for services, and in the context of budget availability.

Department of Health officials are now considering how best to progress the issue, in discussion with relevant stakeholders. Subject to future budget availability, potential next steps include the commissioning of research/analysis of adult ADHD demand to inform options for future commissioning strategies, as well as a regional workshop to explore potential ways forward.