I'd just like to haul back to ADHD. I work in a sector of the NHS which, among other things, provides ADHD services in secondary care. I don't think people know just how horrifically hard it is to get an assessment and medication for ADHD.
Our team's current waiting list for assessment is currently 7 YEARS. That is just for assessment. So a lot of people go to private providers. Problem is, the private providers overdiagnose because they hope their new patients will also carry on getting their medications titrated and monitored through them. Only the majority of people cannot afford that, so they end up on our waiting list anyway.
Because of the nature of ADHD meds, these must be properly reviewed every year. The side effects can be substantial; this is not low risk medication. Problem is, our service has this 7000 long waiting list to deal with, as well as initial medication titration and those pesky reviews. Would you like to know how many staff the team has?
One.
Yes, that's right. We currently have one Band 7 doing all that work. She has a few consultant sessions and as of last week, a few GP sessions. That's it. The rest of the posts in the team are vacant (there are 3, including the team lead and a Non-Medical Prescriber). We cannot recruit to them because people don't want the job - and who can blame them? It eats people alive.
We have been screaming to the ICB about this for 3 YEARS. We are finally being listened to, but in the meanwhile, hundreds if not thousands of people have been failed. Vulnerable ND people coming out of prison have had no support or medication and guess what? They bounce straight back into prison again, at a huge cost to the taxpayer.
Our situation is replicated in ADHD services across the whole of the UK. Not one is doing well.
Years of criminal underinvestment in the NHS is behind all this. Nobody is saying reform is not needed - but the Lansley reforms were an unmitigated disaster and exclusively focused on cost cutting.
My foster son has ADHD. He gets medication and is able to work. He is one of the lucky ones. Running the NHS better could equip so, so many people for work.
That's just one aspect of the whole sorry mess. Stop blaming disabled people. Start blaming pretty much every government since the 1970s for this.