英国研究发现，自疫情以来，英格兰最富裕地区中针对ADHD和自闭症的个人独立支付金（Pip）申请增长最快。1约20.5万名16至24岁的青年在今年4月因ADHD或自闭症获得Pip，较2019年增长超过三倍。1其中，萨里郡Heath地区自2019年以来Pip申请增长630%，而曼斯菲尔德和大雅茅斯仅分别增长30%和50%。1这一差异表明，不同社会经济地区的申请增长速度存在显著差距。
研究认为这一趋势反映了富裕家庭通过支付私人诊疗绕过NHS长队等候名单、获得临床诊断更快的能力。1研究人员Sally Gainsbury指出，研究结果反映了"获得私人和NHS诊断服务的实质性不平等"。1
随着申请数增加，相关支出也在急速上升。12025-26年度该人群Pip支出成本预计达13.6亿英镑，人均年度申请额为8,800英镑。1工作年龄段残疾人福利支出预计从2019年的140亿英镑增至2030年的340亿英镑。1此外，研究还发现Pip申请率在白人中高于其他族裔群体。1
Research has found that Personal Independence Payment (PIP) applications from young people with ADHD and autism are increasing most rapidly in England's wealthiest areas since the pandemic, revealing a significant shift in the pattern of welfare support claims 1. The number of 16 to 24-year-olds receiving PIP for these conditions reached approximately 205,000 in April of this year, representing growth of over three times the 2019 figure 1. In the affluent Surrey Heath area, applications have surged by 630% since 2019, far outpacing growth in traditionally higher-claiming disadvantaged regions such as Mansfield and Great Yarmouth, which saw increases of 30% and 50% respectively 1.
The financial implications are substantial, with projected spending on PIP for this age group reaching 1.36 billion pounds in 2025-26, translating to an average annual claim of 8,800 pounds per person 1. Broader disability support expenditure for working-age adults is expected to climb from 14 billion pounds in 2019 to 34 billion pounds by 2030 1. Researchers attribute this geographic disparity to affluent families' ability to bypass lengthy NHS waiting lists by accessing private diagnosis services, thereby securing clinical diagnoses more quickly than their lower-income counterparts 1. Sally Gainsbury noted that the findings reflect "substantial inequality in accessing private and NHS diagnostic services" 1. Additionally, research identified higher PIP application rates among white populations compared to other ethnic groups 1.
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