Children, young people and adults experiencing mental distress will be able to access support earlier, without having to wait for a clinical diagnosis, under reforms announced by the Government.
The commitment follows an independent review into the prevalence of mental health conditions, ADHD and autism, published on 9 October. The findings will inform the Government’s forthcoming Mental Health Strategy, which will prioritise prevention, early intervention and access to support based on individual needs.
The review, chaired by clinical psychologist Professor Peter Fonagy, with Professor Sir Simon Wessely and Professor Gillian Baird as vice chairs, found found a substantial rise in anxiety, depression and eating disorders, while the overall prevalence of ADHD and autism appears broadly stable despite increasing referrals and diagnoses.
People often experience overlapping mental health needs, developmental differences and challenging life circumstances that cannot be addressed through a single diagnosis. Long assessment waiting times frequently prevent access to wider support, while concerns remain about the quality and consistency of some assessments.
More than one million children had open mental health referrals, with over 60,000 waiting more than two years. People with severe mental illness continue to face the poorest outcomes and inconsistent care.
Under the proposed reforms, schools, colleges and community services will offer greater support to people experiencing mental distress, reducing reliance on diagnosis as a gateway to help. Clinical assessment and treatment will remain available when appropriate, including where medication may be needed.
The Government will also strengthen oversight of ADHD and autism assessments, working with NHS England and the Care Quality Commission (CQC) towards bringing all diagnostic assessments under CQC regulation. The Secretary of State will write to the Advertising Standards Authority about advertising practices to ensure people receive accurate information and are protected from potentially misleading promotions.
NHS England will consult on a national pricing system for NHS-funded ADHD and autism services, covering assessments, post-diagnostic support and follow-ups. New payment arrangements are intended to take effect from April 2027. The Government will also work with the National Institute for Health and Care Excellence to review relevant clinical guidance.
Additional measures include expanding Mental Health Support Teams to every school and college by 2029, reaching nearly 800,000 more children and young people this year, and investing £7 million in Early Support Hubs in 2026/27.
A £4 billion package for children with special educational needs will support inclusive education, teacher training and access to specialist professionals. The Government is also expanding early-years support for families, NHS Talking Therapies and community mental health services.
