Review Launched into Mental Health, ADHD and Autism Services

The government has launched an independent review examining how mental health, ADHD and autism services are currently delivered, amid rising demand and growing pressures across the system.

The review, led by clinical psychologist Professor Peter Fonagy, will investigate what is driving increased demand for support, how people access services, and whether current interventions are appropriate. It will also look at inequalities in access and the role of diagnosis in securing help.

The initiative follows findings from Lord Darzi’s investigation into the NHS, which reported that demand has risen significantly. The proportion of 16–64-year-olds with a common mental health condition increased from 15.5% in 1993 to 22.6% in 2023–24. Waiting lists for autism assessments have also grown, with 13 times more people waiting in September 2025 compared with April 2019.

The review forms part of the government’s wider commitments under its 10 Year Health Plan and sits alongside new funding of £688 million, which will support the recruitment of 8,500 mental health workers, expand NHS Talking Therapies, and increase the number of mental health emergency departments. Additional programmes include expanded mental health support teams in schools and neighbourhood mental health centres open 24/7.

Professor Fonagy will be supported by an advisory group of academics, clinicians, charities and people with lived experience. The review will examine evidence from research and frontline practice, and explore factors shaping rising demand, including social and economic pressures. Findings are expected in summer 2026 and will inform future policy on prevention, early intervention and service design.

A number of mental health and autism sector organisations have welcomed the review’s focus on evidence, access and system pressures. Many highlighted the importance of understanding unmet need, tackling long waits and ensuring that future support is appropriate and accessible for children, young people and adults.

Further details, including the full terms of reference and next steps, are available via the Department of Health and Social Care.