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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Autism assessment waiting list. Should I just go private?

37 replies

Burritobowl84 · 29/08/2021 19:47

So my 2 year old son seems to be displaying a lot of the classic signs of autism. He is the sweetest, loveliest little boy, and although he obviously struggles with communication he is so affectionate and loving and a pleasure to be around 🥰

He seemed to be developing normally for the first year of his life, was saying a few simple words and following along to actions to nursery rhymes by his first birthday. But then his speech and general communication seemed to grind to a halt, in fact I’d say he seems to have gone backwards.

He is exactly 2 years and 6 months old now. He doesn’t speak at all, he just babbles. He doesn’t make any attempt to communicate with us, no pointing to things or gesturing in general. He looks at our face if he’s sat on our lap and we’re singing or playing peekaboo with him, and he will laugh and squeal and seems to enjoy it. However at any other time it is very difficult to get his attention, if he’s playing with his toys he is so focused! He likes to order his bricks/figures etc and gets very upset if we pick him up and take him away from his toys when he’s in the middle of ordering them, and gets very upset if we move a toy from the place he has put it in. He doesn’t respond to his name, we have had him checked out by an audiologist who had confirmed his hearing is fine, which we did kinda think anyway as her seems to enjoy music. He just doesn’t respond to his name or any other attempts to communicate with him.

There’s a few other little habits he has and behaviour that he displays that would suggest that he may have autism, but it’s hard to know as some of this stuff could also just be normal 2 year old stuff???

Anyway, he was seeing a speech therapist for a period of time. The speech therapist he was seeing also worked in a school for children with additional/special needs. I voiced my concern to her about my son potentially having autism, she said she would refer him to an autism specialist to get the ball rolling, however she didn’t want me to worry too much as at two years old it can be difficult to tell, and her referring him didn’t indefinitely mean he was autistic, however she wouldn’t have referred him if she didn’t think he was displaying signs of autism in her opinion.

So I had some paperwork in the post, questionnaires to fill out etc, sent them off. So we are on the waiting list with the NHS, however both my health visitor and the speech therapist had both advised me it could take years for my son to be seen on the NHS. I was also told the earlier the diagnosis the better the outcome for children with autism.

So is it worthwhile going private? My SIL paid for her son who has recently been diagnosed with autism to be seen privately. My nephew was seen within a couple of months. He was diagnosed very quickly, however he is 7 years old, so I’d imagine it’s far easier to diagnose a 7 year old as opposed to a 2 year old. SIL also paid £1000.

We can’t really afford to go private, we have a lot of existing debt already, and although a £1000 isn’t a lot to some people it’s a fortune to us, however obviously for our son we would find the money if it’s gonna make a huge difference. However if we spend a grand we don’t have only to be told ‘well he’s only 2, he probably does have autism but we can’t say indefinitely’ then it’s a waste of time and money we don’t have. Anyone else gone down the private route with a child as young as ours? Are they able to diagnose a child so young? And if so what treatment options are available?

OP posts:
Nayday · 03/09/2021 18:41

As an example of how slowly the wheels turn on this as follows:

  • Request to assess for EHCP - May
  • Request declined (standard) - July
  • Appeal lodged - August
  • Appeal date given - December

That's just the very first step to ask please can you assess, not even the EHCP itself.

It will likely take about 2 years to get an EHCP in place that's in any way fit for purpose.

PicaK · 03/09/2021 18:56

The thing is that any methods, approaches etc designed for autism do absolutely no harm to NT kids.
So start those, save your money.
Your goal is to get him into a preschool/nursery who are switched on about this kind of thing and have form for involving the relevant council authorities and possibly getting an EHCP in place just before or as he starts school.
Some councils don't accept private diagnoses.
Engage and fight.
Nothing will be handed to you with a diagnosis you just get the benefit of not feeling like you were making it up.

Nat6999 · 03/09/2021 19:00

My friend has just gone private for autism & ADHD assessments for her 5 & 13 year old children because they have both been on the waiting list over 2 years & are nowhere near the top of the list.

Slowestjog · 03/09/2021 19:01

Didn't want to read and run however check out the Toby Henderson Trust. It is based in the NE. However I am sure they can help signpost you and give some advice on early intervention. They do a lot of play therapy and work with a big range of age kids.

forinborin · 03/09/2021 19:04

Many state services won't accept a private diagnosis and would make you wait for an NHS one.

Nayday · 03/09/2021 19:14

@forinborin and @PicaK this is a myth and Often touted on here. Often said by a school themselves to parents.

If a diagnosis is given and adheres to NICE guidelines - it can't be 'refused' by the LA. If an LA tries that tack it can be appealed. So much smoke and mirrors in the system to deter parents from getting what they need for their children - but it's simply not true.
You don't just 'get' an EHCP, you'll fight for it.
Mumsnet is ok for Sen, but Facebook has some awesome groups on EHCP support etc. Look at Send Family Instincts for spot on legal advice and lots of free resources (I'm not affiliated to them at all by the way)

forinborin · 03/09/2021 21:17

[quote Nayday]**@forinborin* and @PicaK* this is a myth and Often touted on here. Often said by a school themselves to parents.

If a diagnosis is given and adheres to NICE guidelines - it can't be 'refused' by the LA. If an LA tries that tack it can be appealed. So much smoke and mirrors in the system to deter parents from getting what they need for their children - but it's simply not true.
You don't just 'get' an EHCP, you'll fight for it.
Mumsnet is ok for Sen, but Facebook has some awesome groups on EHCP support etc. Look at Send Family Instincts for spot on legal advice and lots of free resources (I'm not affiliated to them at all by the way)[/quote]
I am speaking from own experience. Private diagnosis at 5, not accepted. NHS at 7 (with large chunks just lifted from the private report, at least reads like that in my unprofessional opinion), accepted.

To be fair, I didn't explore the legal appeal route at that time. It looked like an option that would cost 1000s in legal fees - or alternatively like a full-time job if diy'ed.

Nayday · 03/09/2021 21:37

I'm so sorry that happened to you, the system is broken.

There is much more free and accessible help to appeal now without needing solicitors etc - parents are pushing back on unlawful action by LA's. Often SEND advocates offering (affordable) paid support for tribunals etc are parents that have gone through this and become unexpected legal experts.
It's unlawful for a LA to reject a private diagnosis that has been performed within NICE guidelines.
Shocking system.

AntiSocialDistancer · 03/09/2021 21:43

Yabu, purely because of their age and SALT involvement already. It will probably tick along in the NHS in time for early primary school. Additional nursery needs should be covered without a diagnosis - all his peers will be in the same boat.

I did get a private ASC for an older child though.

AntiSocialDistancer · 03/09/2021 21:46

To add, early intervention is supposed to be quite important. I wouls use any assessment money and spend it on other therapies like OT or private SALT. Sensory equipment.

Valkyriee · 09/09/2021 19:25

Yes some LEAs may not accept any private diagnosis but I think the key thing here is who carries out the assessment. It seems you are deciding on a private diagnosis anyway. I would just make sure it was a Multi Assessment (different specialists who look at different areas of development) and that they follow NICE guidelines as Nayday mentioned above. There are a few that have been mentioned a lot on here Dr Daphne Keen (who we spoke to recently but isn’t currently taking on new patients) and also Dr Stefan Studnik (we are in contact with him). Both also currently work for the NHS. Others have received a diagnosis from them that has been accepted without question from their LEA.

almightyfroggie · 01/11/2021 19:19

Is there any way of finding out where you actually are on the waiting list with NHS?

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