英国国家医疗服务体系（NHS）的整合护理委员会因无法承担诊疗成本，正在严格限制ADHD和自闭症评估的获取渠道。1其中4个委员会已引入两年最低等待时间政策。1覆盖1900万人口的15个整合护理委员会共同采取了不同形式的评估限制措施。1
这一政策引发了患者倡导机构的强烈批评。1ADHD UK首席执行官Henry Shelford将这些措施形容为"无情且危险的"。1批评者指出，这些限制可能对患者造成严重危害，包括损害儿童的教育前景和增加自杀风险。1
目前英格兰面临的诊疗需求压力巨大。1有96万人正在等待ADHD评估，29.5万人在等待自闭症评估。1成本飙升是推动这一政策的主要因素，西约克郡整合护理委员会的评估费用从2023-24年度的700万英镑激增至次年度的2100万英镑。1
此外，英格兰近年来ADHD和自闭症的诊断率大幅上升。1自2000年以来，男孩自闭症患病率从0.2%上升至4.7%，同期ADHD诊断率从0.4%上升至5.1%。1针对这一危机的政府审查报告由Peter Fonagy教授撰写，共700页，原定周四发布，但已突然推迟至下月初。1
Fifteen integrated care boards (ICBs) across the National Health Service in England have implemented restrictions on diagnostic assessments for attention-deficit/hyperactivity disorder and autism, citing financial constraints 1. Four of these ICBs have introduced a two-year minimum waiting period for such evaluations 1. Together, these 15 organizations serve a population of 19 million people 1.
The financial burden has become acute in some regions, with West Yorkshire's ICB seeing assessment costs surge from £7 million in 2023–24 to £21 million in the following year 1. Currently, 960,000 people in England are awaiting ADHD assessment, while 295,000 await autism assessment 1. Patient advocacy groups have strongly criticized the restrictions. ADHD UK's chief executive, Henry Shelford, described the policies as "callous and dangerous," warning they could damage children's educational prospects and increase suicide risk 1.
The prevalence of these conditions has risen significantly over two decades; autism diagnoses among boys increased from 0.2 percent in 2000 to 4.7 percent, while ADHD diagnosis rates rose from 0.4 percent to 5.1 percent during the same period 1. A 700-page government review by Professor Peter Fonagy, originally scheduled for release this week, has been postponed to early next month 1.
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