Review of streeting orders for mental health and ADHD diagnosis

Health Secretary Wes Streeting has announced the launch of an independent review to examine the growing demand for mental health, ADHD, and autism services across England. Streeting has previously raised concerns about potential overdiagnosis of mental health conditions, while the government has highlighted that increasing strain on the healthcare system has resulted in lengthy waits for urgent care.

Speaking on the review, Streeting emphasized the importance of an evidence-based approach: "We need to assess this strictly through a clinical perspective to understand the reality. Only then can we guarantee timely access to accurate diagnoses and effective support."

The Department of Health and Social Care (DHSC) confirmed the review will coincide with an additional 688 million in funding, even as ministers address the rising cost of welfare. Earlier this year, the government reversed proposed cuts to disability benefits, including support for those with mental health conditions, following opposition from over 100 Labour backbenchers. On Monday, the Prime Minister reiterated plans to reform the welfare system, describing it as having "trapped people in poverty" and "written off young people as too unwell to work."

Clinical psychologist Professor Peter Fonagy will lead the review, with findings expected in Summer 2026. Prof Fonagy stated that the process aims "to rigorously test assumptions and listen to those directly affected, ensuring our recommendations are both honest and practical."

Research from the Institute for Fiscal Studies (IFS) shows that, as of March this year, nearly four million working-age adults in England and Wales were receiving disability or incapacity benefits, up from almost three million in 2019. The DHSC highlighted that increased pressure on the NHS has left many with urgent needs waiting too long, navigating overstretched services, encountering inequalities in care, and feeling unsupported during critical moments.

Mental health charity Mind welcomed the announcement and expressed readiness to contribute to the review. Chief executive Dr Sarah Hughes said: "This is an important chance to understand what is driving rising levels of mental illness, particularly among young people."

Dr Lade Smith, President of the Royal College of Psychiatrists, called for the review to "thoroughly identify gaps in care" while considering the "complex factors" influencing why people seek help. The National Autistic Society stressed the urgency of action, noting that although demand for assessments is stabilizing, waiting times continue to increase sharply.

Analysis: Rising Demand for Mental Health Services Under Scrutiny

The launch of an independent review led by Professor Peter Fonagy represents a critical step in addressing the escalating demand for mental health, ADHD, and autism services in England. Health Secretary Wes Streeting's emphasis on evidence-based assessment highlights the government's recognition of potential overdiagnosis and the pressing strain on NHS services.

The review coincides with an additional £688 million in funding for mental health services, signaling a commitment to improving access despite broader welfare reforms. With nearly four million working-age adults currently receiving disability or incapacity benefits, the scope of demand underscores systemic pressures affecting timely care.

Stakeholders from across healthcare and advocacy sectors have voiced support. Organizations including Mind, the Royal College of Psychiatrists, and the National Autistic Society stress the need to identify gaps, understand underlying causes, and ensure practical solutions that improve outcomes for patients navigating overstretched services.

While findings are expected in Summer 2026, the review presents an opportunity to align funding, policy, and clinical practice with the realities of growing mental health needs, aiming to reduce inequalities and improve timely access to diagnosis and care.

Sources:

• Streeting orders review into mental health and ADHD diagnosis