慈善机构ADHD UK对西约克郡NHS整合医疗委员会提出法律威胁,反对其今年实施的ADHD和自闭症评估最少两年等待期政策。1该政策影响利兹、布拉德福德、柯克利斯、卡尔德谷和韦克菲尔德等地数千名患者。1ADHD UK已发送正式法律信函,首席执行官Henry Shelford表示:"除非西约克郡废除该规则,否则我们准备上诉法庭。"1
ADHD UK指控该委员会的决策流程存在严重缺陷,缺乏"已发布的决策记录、平等影响评估、公众参与、需求与容量分析、临床安全评估或具体理由"。1该机构声称这一政策违反平等法律和患者选择权,若委员会拒不撤销相关规定,ADHD UK将寻求司法审查。1
包括德文郡、萨默塞特郡以及东北和北库姆布里亚在内的共4个NHS委员会实施了最少等待期政策。1另有11个委员会采取其他方式限制评估数量。1政府委托的心理健康、ADHD和自闭症患病率评审由Peter Fonagy教授主导,预计将推荐基于需求的系统。1
ADHD UK has issued a formal legal warning to West Yorkshire NHS Integrated Care Board over a policy implemented this year that imposes a minimum two-year waiting period for ADHD and autism assessments 1. The charity claims the decision violates equality law and patient choice rights, and has sent a formal legal letter stating it will seek judicial review unless the board rescinds the policy 1.
The minimum waiting period affects thousands of patients across Leeds, Bradford, Kirklees, Calderdale, and Wakefield 1. ADHD UK's chief executive, Henry Shelford, stated: "Unless West Yorkshire scraps this rule, we are prepared to appeal to court" 1. The charity contends that the board lacks "published decision records, equality impact assessments, public engagement, needs and capacity analysis, clinical safety assessments, or specific rationale" for the policy 1. West Yorkshire is one of four NHS boards implementing such minimum waiting periods, while eleven other boards have adopted alternative measures to restrict the number of assessments 1. A government-commissioned review on mental health, ADHD, and autism prevalence rates, led by Professor Peter Fonagy, is expected to recommend a needs-based system 1.
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