A 300% increase in the number of referrals for autism assessment has not been accompanied by any increased funding for staff. And even if it could be staffed, there are no extra clinic rooms for the appointments.
There are a great many reasons for this increase. The sorry state of CAMHS means that people are referring to paediatrics because there’s no hope of being seen by CAMHS, or because they’ve waited so long that the mental Heath issues have worsened so that it may look like a neurodevelopmental condition when it’s actually untreated MH.
Also, a combination of increased screen use and decreased social interaction has led to greater prevalence of social communication difficulties, again that can look like autism and is indeed one of features of the condition.
Parents are ‘internet savvy’ and ‘know their rights.’ They get their children referred in, and when they are found not to have a diagnosis, parents go down lengthy complaint routes to say that they disagree with the clinicians who made the decision. And rather than being able to turn around and nip that in the bud with ‘we are qualified to make that decision, and you are not’ the clinical teams are instead forced to spend untold numbers of hours dealing with their complaint, to the detriment of the children who need their turn to be assessed.
The ‘second opinion’ then agrees with the findings of the original team, which proves what a stupendous waste of time the whole ‘respond to this complaint’ charade was. And so the waiting list grows.
Lastly, the huge increase in immigration has an effect.