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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 2 November 2025
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Displaying 1516 contributions

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Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

Good morning, everyone. I want to explore the concept of a multidisciplinary team approach to neurodevelopmental assessments. Mention has already been made of the fact that, at the moment, we have a medical model, which creates bottlenecks everywhere in the system. What are the barriers to implementing multidisciplinary teams to undertake neurodevelopmental assessments and to the creation of pathways in that respect? What is stopping all those who are involved in the care of an individual coming together to do such assessments? What are the big barriers in that respect?

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

My final question in this area is about the role that the private sector and the third sector play in relation to neurodevelopmental assessment. We know that there are pockets of good practice across the country, where the third sector is heavily involved in the process. We know, too, that some health boards involve the private sector in the assessment process and allow trusted companies to do some of that work for them. Is there a role for those sectors in multidisciplinary teams?

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

I will be brief. Several times, mention was made of the fact that online assessments are maybe not robust. I just want to explore and challenge that a little bit, considering that a lot of people use Near Me to access psychological support services for addictions, and that some of the trusted partners that the NHS uses do online assessments that take five or six hours at a time or that take place over several periods. I would like to hear your response to that, because I heard that comment several times.

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

The last part that Louise Bussell mentioned segues into the questions that I have about resources and information when people are awaiting assessment, or even when they are awaiting the triage that might happen at that point. All of us as parliamentarians get a lot of inquiries from constituents who say that they need a co-occurring mental health concern even to get access to some of the lists at the moment. How do we ensure that people can wait well during that period and that they have access to all the information that they need? How do we ensure that, when you are on the waiting pathway, you are informed of what will happen at every single stage of the journey? Sometimes things land out of the blue—we heard that in last week’s session—and you are given a couple of days to fill in massive questionnaires that you need to get back and then you do not hear anything for a year. That can feel quite isolating.

How do we ensure that resources are up to date and that the information is up to date, clear and helpful? If we look at NHS Inform now, we see that ADHD is under mental health and autism is under brain conditions, but you really would not think to look there if you were trying to find information.

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

It is helpful to have that specific example on the record, because co-occurring issues with diet or sleep that can arise for someone who is neurodivergent are significant for the individuals concerned and their families. Such team working could make a massive difference, as it would mean that individuals and families would not to have to figure out where to go, and the GP would not have to figure out where to point them.

Does anyone else have any thoughts on that?

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

The thrust of my question was more about the trusted private sector providers and third sector partners that have been working hand in glove with local health boards. However, I hear loud and clear your point about the difficulties with shared care and the difficulties with assessment in the private sector, where there is not the same safeguarding with regard to the robustness of the services that are offered, and the difficulties that that can present for general practice.

Would anyone else like to say anything before I hand back to the convener?

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

Thank you very much for that. That is helpful.

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

To get information to people at a time that they want to access it and in an easy format.

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

What is concerning us and why this inquiry has come forward is the fact that people tend to tip into mental ill health while they are waiting. They cannot get access to services, or they are perhaps in the criminal justice system, or they are dealing with substance use issues. There has been a clear gap in understanding what is happening for that person. Absolutely it is about the whole-systems approach and whole-systems change. I am glad that we heard the third sector mentioned, because this is a key area where we need to figure out how we empower and resource it to do a lot of the scaffolding that is needed underneath families and individuals in that circumstance.

11:30  

Health, Social Care and Sport Committee [Draft]

ADHD and ASD Pathways and Support

Meeting date: 7 October 2025

Elena Whitham

I suppose, in all that, there is a question about how the new world that we work in aids and abets masking and how those different things affect individuals who might previously have lived their whole lives without developing an issue.