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World Autism Acceptance Week 2024 - “NHS patients face ‘harmful’ four-year wait for autism diagnosis”

For World Autism Acceptance Week 2024, our CEO, Billy Alexander, shares his thoughts on the news that children have faced as much as a four-year waiting time for their autism diagnosis in some cases. 


World Autism Acceptance Week is more than just a trending topic or a hashtag; it's a critical opportunity to highlight the challenges that our autistic (and neurodiverse) individuals face.  


This week, several reports have highlighted the concerning waiting times that many children and young people have faced - and are still facing - for an accurate autism diagnosis across the UK, including within Scotland.  


Figures from the Scottish Liberal Democrats point to waiting times as long as four years. In Ayrshire and Arran, one patient waited 1,518 days, and another waited 1,293 days. Meanwhile, in England, a Tayside-based patient faced a 1,323-day wait. Clearly, this is not an isolated issue; this is a nationwide emergency.  


Simply put, this cannot go on. 


For many, these waiting times are a monumental barrier to overcome. Without the diagnosis, too many families cannot access the support or resources their children need both in their personal home life and in school. Whilst these reports won't be breaking news to the families in these positions and those who have gone through unimaginable difficulties, the hope is that by sharing the reality, more people will understand the severity of the challenge at hand.  


Allocation of funding and resources to help children is critical. We cannot keep sleepwalking into disaster by making harsh budget cuts to the support that children, young people, and families rely on. Reports from the Scottish Children’s Services Coalition (SCSC) found that spending per pupil for additional learning support had experienced a drastic fall off of over a third - from £5,698 in 2012-13 to £3,764 in 2022-23. If we want to create a better and more inclusive future for all, a framework of efficient and consistent support is required.  


Although an official diagnosis may be a starting point for many families and individuals, the journey doesn't end there. Ongoing support is just as vital, and that is where organisations such as us come in.  


If we want to ensure the best quality of life possible for all neurodiverse and autistic individuals, we need synergy between every step of that journey. Justifiable waiting times are the necessary first step. 



Further Solutions


  1. Increase Specialist Training and Staffing: Expand training programs for healthcare, social care and education professionals in autism diagnosis to increase the number of qualified diagnosticians. This could involve incentives for professionals to specialise in this area. 

  2. Telehealth and Remote Assessments: Leverage telehealth technologies to conduct preliminary assessments, reducing the need for in-person visits and potentially speeding up the diagnosis process. This can be especially beneficial in remote or underserved areas.

  3. Community-Based Support Networks: Develop and fund community-based support networks that can provide resources, education, and interim support for families waiting for a diagnosis. This can help mitigate the impact of waiting and provide immediate access to some forms of support.

  4. Early Detection Programs: Third-sector organisations can collaborate with childcare centres and schools to implement early detection programs. By training educators and childcare professionals to recognise early signs of autism, these programs can help families seek timely help and support.

  5. Parent and Caregiver Workshops: Non-profits could offer workshops and training sessions for parents and caregivers on understanding autism spectrum conditions (ASCs) and strategies for home-based support. These initiatives can empower families to provide supportive environments, reducing the immediate pressure for formal diagnoses.

  6. Diagnostic Clinics Partnership: Charities specialising in autism can partner with healthcare providers to fund or staff pop-up diagnostic clinics, especially in areas with the longest wait times. These clinics can offer preliminary assessments, reducing the backlog in the healthcare system. 

  7. Awareness Campaigns: Launching awareness campaigns to educate the public and policymakers about the challenges related to autism diagnosis and the importance of early intervention. Increased awareness can lead to better funding, policy support, and community involvement. 

  8. Integration and Inclusion Programs: Programs aimed at integrating autistic children into educational and social settings can be critical. These might include specialised training for educators, inclusive classroom resources, and social inclusion activities that foster understanding and acceptance among peers.

  9. Digital Platforms for Support and Education: Developing digital platforms that offer resources, tutorials, and online support groups can provide accessible help for families across geographic locations. These platforms can also facilitate remote preliminary assessments by healthcare professionals. 


Through these solutions, the third sector can significantly contribute to addressing the waiting times for autism diagnoses, providing vital support to families and individuals affected by these delays. The flexibility, community focus, and innovative approaches of third-sector organisations make them invaluable partners in creating a more responsive and supportive ecosystem for neurodiverse individuals. 

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