Freedom of Information Request – Ref: FOI 169-2025
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
Please provide the following information you have pertaining to ADHD and Autism assessments and post-diagnostic services within your Trust / Health Board.
1. Please provide your total annual spend and total number of patients (for each of the last three financial years) on ADHD and Autism assessments, broken down by age categories.
Our response:
| April 2022-March 2023 | April 2023-March 2024 | April 2024-March 2025 | ||
| ADHD assessments – patients 18 years old and over | Total number of patients | 60 | 99 | 167 |
| Total annual spend | £237,039.10 | £208,748.05 | £608,982.29 | |
| ADHD assessments – patients <18 years old | Total number of patients | 79 | 161 | 264 |
| Total annual spend | £65,843.24 | £304,796.46 | £606,874.16 | |
| Autism assessments – patients 18 years old and over | Total number of patients | 126 | 124 | 168 |
| Total annual spend | £512,919.45 | £554,944.42 | £641,549.37 | |
| Autism assessments – patients <18 years old | Total number of patients | 255 | 285 | 434 |
| Total annual spend | £404,776.44 | £678,085.13 | £825,206.63 |
You asked:
2. For April 2024 – March 2025, please split out the total number of patients / annual spend from question 1 by those delivered in-house vs those delivered by third party private providers* (for April 2024 – March 2025). Please use one row for each third party private provider and please also include the pathway / contract type for each third party private provider (e.g. block contract, right to choose).
Our response:
| Provider | Pathway | April 2024 – March 2025 | April 2024 – March 2025 | April 2024 – March 2025 | April 2024 – March 2025 | |
| ADHD – 18 years old and over patient numbers | ADHD – <18 years old patient numbers | Autism – 18 years old and over patient numbers | Autism – <18 years old patient numbers | Total annual spend | ||
| Example: Provider A | Right to Choose | Not applicable | Not applicable | Not applicable | Not applicable | Not applicable |
| Example: Provider B | Block contract | 167 | 264 | 168 | 434 | £2,682,612.46 |
| Example: In-house delivery | Not applicable | Not applicable | Not applicable | Not applicable | Not applicable | Not applicable |
| Total | 167 | 264 | 168 | 434 | 2,682,612.46 |
You asked:
3. For April 2024 – March 2025, please provide your total annual spend on the following post-diagnostic services. Please include volumes where your Trust / Health Board has commissioned third party provider(s) to deliver the service.
Our response:
April 2024 – March 2025
| Annual spend | Prescriptions | Medication | Therapies | Psychoeducation | Other support services |
| ADHD – patients 18 years old and over | Not applicable | 9,652 | 33,381 | 69,004 | Not applicable |
| ADHD – patients <18 years old | Not applicable | 305 | 44,443 | 188,894 | Not applicable |
| Autism – patients 18 years old and over | Not applicable | 24,707 | 147,828 | 110,786 | Not applicable |
| Autism – patients <18 years old | Not applicable | 212 | 205,568 | 206,936 | Not applicable |
You asked:
4. What is the FTE of employed clinicians in the Trust / Health Board who can conduct ADHD / Autism assessments, or prescribe ADHD medications? If possible, please split by role type. Please provide answers based on FTE (rather than headcount). Please exclude vacancies.
Our response:
| ADHD assessments | Autism assessments | ADHD prescriptions | |
| Psychiatrists | 0.2 | 0.4 | 0.6 |
| Paediatricians | o | o | o |
| Specialist nurses | 7 | 2.6 | 7 |
| Speech and language therapists | 0 | 0.6 | 0 |
| Clinical psychologists | 0 | 0 | 0 |
| Social workers | 0 | 0 | 0 |
| Other | 1 – RNA | OT – 0.6 | 0 |
| Total (FTE) | 8.2 | 4.2 | 7.6 |
You asked:
5. Please provide the current number of patients, that are currently waiting for an ADHD or Autism assessment at your Trust / Health Board. Please also provide the average (mean) time spent on the wait list before receiving an assessment at your Trust / Health Board. Please include the date which your figures are based on.
Our response:
Please see the link below:
Next steps:
Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:
Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk
If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.