Independent review

Independent review into mental health conditions, ADHD and autism

10 recommendations

Chaired by Professor Peter Fonagy OBE · Published 9 Oct 2026 · Commissioned by Department of Health and Social Care

Government response

No government response is recorded for this review.

About this review

Summary written by this site
Independent review commissioned by the Department of Health and Social Care in December 2025 and led by Professor Peter Fonagy OBE, with Professor Sir Simon Wessely and Professor Gillian Baird as vice-chairs. The interim report was published on 31 March 2026 and the final report on 9 October 2026.

Recommendations 10

Recommendation 1
Tackle the drivers of mental distress and ill health through an ambitious approach to prevention, early intervention and improving public mental health and wellbeing.

Link to recommendation 1

Recommendation 2
Move from a ‘diagnosis-dependent’ to a ‘needs-led plus diagnosis’ system by developing a digitally and AI-enabled shared needs assessment and prioritisation framework for people with mental health and neurodevelopmental needs.

Link to recommendation 2

Recommendation 3
Commission and deliver integrated digitally-enabled mental health and neurodevelopmental assessment and support that is age-appropriate and responds to the needs of local communities.

Link to recommendation 3

Recommendation 4
Close treatment gaps while protecting, strengthening and investing in specialist services to improve access and outcomes for those with the most severe, complex and enduring needs, including specialist support delivered in the community, and crisis and inpatient services.

Link to recommendation 4

Recommendation 5
Overhaul the commissioning, funding, oversight and regulation of mental health and neurodevelopmental services, including making all diagnostic assessments for ADHD and autism Care Quality Commission (CQC) regulated activity and banning direct-to-public advertising of NHS-funded ADHD and autism assessments.

Link to recommendation 5

Recommendation 6
Build capacity and capability across the multidisciplinary workforce to deliver more integrated mental health and neurodevelopmental support, backed by investment in training, supervision and career development.

Link to recommendation 6

Recommendation 7
Take an ambitious approach to scaling up safe digital and AI-enabled tools within a digitally enabled and integrated care pathway, while sharing and using data to improve quality of care, efficiency and productivity.

Link to recommendation 7

Recommendation 8
Improve data collection and evaluation for mental disorders, ADHD and autism, including through regular population prevalence studies, and update NICE guidelines to strengthen the evidence-base for policy development and implementation.

Link to recommendation 8

Recommendation 9
Commission a national public information and education campaign to help people better understand, support and accommodate neurodevelopmental conditions and manage their mental health, supported by a trusted digital platform providing evidence-based information, tools and support without requiring diagnosis.

Link to recommendation 9

Recommendation 10
Publish a cross-government mental health strategy this year setting out how this report’s recommendations will be implemented through immediate actions in the next 12 to 24 months and a 10-year reform plan.

Link to recommendation 10

All text above is the review's.