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Chamber and committees

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 1 November 2025
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Displaying 569 contributions

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Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

I do not know whether any colleagues wish to ask a supplementary question before I—

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

No, but I mean that medication needs to be prescribed.

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

Forgive me, but I am going to pick up again on the difference between those wider support services and diagnosis and treatment. Do you see a role for the third sector or other parts of the non-NHS sector—

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

Can I just tease out what you are saying a little bit? You say that you want people to be able to access the support that they need through the NHS without having to resort to going private, but previously you made a distinction between support and diagnosis. Diagnosis might lead to treatment—to a prescription—but support is something different. Support is valuable, but diagnosis and support are two different things. Are you saying that you want everyone to be able to access not only support in the broadest sense, but also diagnosis and, if appropriate, treatment through the NHS?

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

Given the scale of the demand that you have described, can that be delivered? Or should the Government be looking to provide, for example, more sustainable funding for third sector services that are run on a not-for-profit basis, which could help to expand capacity in a way that is specialised and perhaps more relatable?

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

Absolutely.

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

Okay. I beg your pardon.

I wish to move on to discuss the role of the private sector—and a few other members have questions on this theme, too. There are quite a few dimensions to discuss. We have heard concerns from some of the professional bodies about quality, about whether services are being provided to a recognised and agreed standard, and about whether there is too much emphasis on single-condition assessments, which could miss other aspects of a person’s situation.

From the point of view of individuals looking to access services, we have heard about the unfairness in the fact that private sector services will often be very much available to people who are well resourced, while others cannot access them or, in some cases, find themselves going into debt in order to access them. People may also have a frustration that, even if they have accessed a private diagnosis, it does not necessarily lead to access to the treatment that they want through the NHS.

There are also concerns from the third sector’s point of view about “private” being thought of as covering everything that is non-NHS. Although the third sector may be in a position to provide services on a not-for-profit basis—which, ethically, most of us would be more comfortable with—and although third sector organisations may often work in a way that is rooted within the lived experience of people who have greater familiarity with the issues, that does not necessarily come with stable funding, which can leave organisations feeling taken advantage of in terms of what they can deliver.

Thinking about all of those aspects, what, in short, do you think should be the role of the private sector or of non-NHS provision? Do you want that to be expanded? Do you want such provision to be brought into the NHS, so that the NHS is providing for people’s needs and people do not have to resort to the private sector? Where should things be going?

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

I am not seeking to take away from the value and importance of that at all. However, we have heard a significant number of voices say that diagnosis is hugely important for a range of reasons, including access to prescription medication in certain circumstances. I am not yet hearing from the Government how it intends to meet what you, yourself, are describing as a substantial demand that is currently unmet.

09:45  

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

—in meeting the need for diagnosis and treatment, as opposed to wider support?

Health, Social Care and Sport Committee [Draft]

ADHD and Autism Pathways and Support

Meeting date: 28 October 2025

Patrick Harvie

I know that other members want to come in on this theme. My last question is this: by what time—what date—do you think that moving to the different model that you have described is going to make a substantial difference to people who are currently left waiting or feeling forced to go to private providers if they have the money to do so?