Improving ADHD and autism services: commissioning with confidence (PHSO, 25 August 2026)

Summary

ADHD (attention deficit hyperactivity disorder) and autism affect how people think, learn and experience the world. Getting a diagnosis and the right support can make a huge difference to someone's education, work and wellbeing. Many people trying to access ADHD and autism services face long waits, unclear information about their choices, and inconsistent care depending on where they live. This can leave people without the diagnosis or support they need for months or even years, affecting their education, work and mental health.

In this report, the Parliamentary and Health Service Ombudsman (PHSO) look at the complaints people have brought to them about ADHD and autism services, to understand what is going wrong and why. They have seen a sharp rise in the number of people contacting us about these issues, more than 200% over the past four years. They share case summaries showing the impact these problems have had on people's lives, and set out what needs to change so services work better for everyone.

Content

Alongside the publication of this report, PHSO have shared the below diagram which shows the system challenges and long-term shifts in ADHD and autism care.