18 year wait for adult assessment in Oxfordshire, England
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Eighteen-year wait for adult autism assessments
The Oxfordshire Adult Autism Diagnostic and Support Service (OAADSS) stopped taking on new patients at the end of November due to the the size of its current waiting list.
In documents seen by the BBC, the OAADSS has told patients that those referred after July of this year will not be assessed until 2041 at the earliest.
Buckinghamshire, Oxfordshire, Berkshire West Integrated Care Board (BOB ICB), who oversee adult autism diagnoses in the county, said it was working to "find a solution" to the delays.
Sarah's 19-year-old son was recently referred to OAADSS, before being told that their waiting list was closed.
"Unfortunately, we've met a bit of a dead end with the process already - as soon as it started, it stopped," she told the BBC.
Sarah's son was warned by his GP that a test may take up to a year after being forwarded on to the assessment service.
"A few days later, we received a letter from the surgery to say that they've just been informed that the clinic in Oxfordshire that performs the adult autism assessments has closed their books and has such a huge backlog that it's going to take them 18 years to clear it."
"That's almost his [Sarah's son's] age over again - he would be 37 by the time he could even pursue that option," she said.
’Knowledge is power'
Hayley, from Oxford, said her brother is currently on the waiting list, and will be assessed in 2030 - which she labelled as "just nuts".
"That's a really long time in an adult's life who's already been struggling for many many years, to then have to wait even further," she said.
Having seen the waiting times for adults in Oxfordshire, Hayley decided to pursue a private assessment through the NHS' Right To Choose Policy.
It enables GP's to refer you patients for specialist treatment, such as an ADHD or autism assessment, at an appropriate private healthcare provider.
The costs are covered by the NHS.
In a statement, BOB ICB said: "As commissioners of this service for adult patients we are aware of the organisation's situation and are working with them to find a solution."
The care board added that demand for autism assesments in the UK had "significantly increased" in recent years.
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Professionally Identified and joined WP August 26, 2013
DSM 5: Autism Spectrum Disorder, DSM IV: Aspergers Moderate Severity
“My autism is not a superpower. It also isn’t some kind of god-forsaken, endless fountain of suffering inflicted on my family. It’s just part of who I am as a person”. - Sara Luterman
Wow, at which point anybody being evaluated will have little hope for a fair assessment as they'd be roughly 36 at the youngest and there'd be a very real chance that any of the people and documents needed to establish that it is a developmental condition might well be gone. Medical systems just flat out need to do better, but at least there's probably other services to cover some of this stuff with a much shorter wait time.
Is this because there is a shortage of psychiatrists? Or is it because there are far too many people being referred?
I've long since thought that autism is very overdiagnosed, but we do seem to have a shortage or psychiatrists in this country as well, so it could well be both.
I seem to recall that the ADHD waiting list in my nearby Sheffield was also stupidly long.
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