The below Parliamentary question was asked by Derek Twigg on 2015-12-09.
To ask the Secretary of State for Health, what steps his Department is taking to promote compliance by clinical commissioning groups with the NICE Quality Standard on Autism.
Alistair Burt
The Department issued new statutory guidance in March this year for local authorities and National Health Service organisations to support the continued implementation of the 2010 Autism Strategy, as refreshed by its 2014 Think Autism update. This sets out what people seeking an autism diagnosis can expect from local authorities and NHS bodies.
The Department has also discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups (CCGs) to discuss good practice in meeting the National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism, and those that do not, with the aim of supporting more consistent provision. The Quality Standard, which applies to children, young people and adults, recommends that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the NHS to be working towards meeting the recommendations.
We understand that NHS Halton CCG is working on improvements to the paediatric neurological pathway which incorporates children with autism. This will see the Child Development Centre (CDC) in Halton become a single access point of assessment for the most complex children. It is expected that the CDC will ensure that the first appointment for a child referred to them is well within the three months recommended by NICE.
The service commissioned by Halton CCG will also comply with NICE guidelines by ensuring that the appropriate mix of clinicians is available for a multi-disciplinary assessment, which also includes Child and Adolescent Mental Health Services.
In regard to adults, NHS Halton CCG is currently meeting its statutory requirements with autism by purchasing a diagnostic service on a cost per case basis from our provider of mental health services, 5 Boroughs Partnership NHS Foundation Trust. The CCG is working with other partners who receive the same service from the same provider with a view to pooling resources to commission a diagnostic and post diagnostic service.