The number of children referred to mental health services for neurodevelopmental conditions such as autism and ADHD has risen by nearly 30%, despite these not being classed as mental health conditions. A new report from the Children’s Commissioner reveals growing pressure on services and significant delays in care.

As of March 2024, more than 958,000 children in England had active referrals to Children and Young People’s Mental Health Services (CYPMHS), up by 10,000 from the previous year. Children with suspected autism are facing some of the longest delays, with 64% still waiting for treatment and average waiting times reaching 223 days.

The most common referral reason was anxiety (16%), followed by neurodevelopmental issues excluding autism (11%), suspected autism (6.8%), and children in crisis (6.2%). The report also found stark regional inequalities, with average waits ranging from six days in Leicester to over 100 days in Hampshire.

Children’s Commissioner Dame Rachel de Souza has called for urgent action, including an independent review of autism services and greater investment in community-based support, particularly for children from marginalised groups. Without meaningful reform, many children risk missing out on education and vital developmental support.