OUR AUTISM & ADHD SERVICES

Combined ADHD & Autism assessment for children & young people (6-18)

Some children and young people show characteristics of both ADHD and Autism. A combined assessment allows clinical teams to consider both areas together, helping to build an understanding of a child or young person’s strengths, needs, and support options.

At Provide Wellbeing, combined ADHD & Autism assessments are delivered by appropriately qualified clinical teams, following NICE guidance and recognised diagnostic standards.

By looking at ADHD and Autism together, we provide a more complete and compassionate understanding of your child’s unique profile. 

Who this assessment is for

This assessment is for children and young people aged 6-18.

A combined ADHD & Autism assessment may be recommended if a child or young person:

  • experiences difficulties with attention, impulsivity, or activity levels, and
  • shows differences in social communication, interaction, sensory processing, or flexibility
  • has overlapping traits where it is not clear whether ADHD, Autism, or both may be present

 

How this assessment can be accessed

Combined ADHD & Autism assessments may be available through different pathways. 

  • NHS local pathways
    Available only in areas where your GP is based and where you reside within an area covered by an active NHS contract. We currently offer combined assessments through our Mid & South Essex local NHS pathway 
  • Self-pay assessments
    Available without a GP referral.
  • NHS Right to Choose
    Available only when a qualifying NHS contract is live. We do not currently offer Right to Choose assessments. 

If you’re not sure which pathway is right for you, you can find out more information by visiting the following pages: 

Mid & South Essex pathway

Self-pay Assessments

Our NHS combined ADHD and autism pathway

PW CYA Pathways GP Appointments
GP Appointment
Speak to your GP to request a referral for an assessment.
PW CYA Pathways Referral Received
Referral Received
GP referral is received by our team.
PW CYA Pathways Process Started
Process Started
Once the referral is received, our team will be in touch to begin the process.
PW CYA Pathways Questionnaire
Questionnaires
You and your child/young person’s school share important information.
PW Virtual Pathway Clinical Review my
Clinical Review
Our clinical team review all the information to confirm an assessment is appropriate.
PW CYA Pathways Assessment Child
ADOS Observation
A supportive, age-appropriate session using structured activities to explore communication, interaction and play.
PW CYA Pathways Parent Discussion
Discussion With Parents/Carers
We talk about your child’s development, early experiences and day-to-day behaviour.
PW CYA Pathways Outcome Diagnosis
Outcome and Diagnosis
We explain the diagnosis and the next steps, including discussion of ADHD treatment if appropriate.
PW CYA Pathways Report
Written Report
Receive a detailed report and recommendations for home and school.
PW CYA Pathways Psychoed
Psychoeducation
Practical guidance to support your child at home and in school.

Before the assessment

Referral and questionnaires

Once a referral is accepted (or a self-pay registration is confirmed), we will ask you to complete questionnaires to help us understand the child or young person’s development and everyday experiences.

Please note that we cannot progress with an assessment until all questionnaires and forms have been completed, returned to us and triaged.

These may include:

  • Parent or carer questionnaires
  • Self report questionnaires
  • Questionnaires from school or an education setting
  • Developmental and background information

Returning these promptly helps avoid delays.

Clinical triage

Our clinical team reviews the information to:

  • confirm that a combined assessment is appropriate
  • plan the assessment in a way that best meets the child or young person’s needs

You will be contacted to confirm the next stage.

Referral and questionnaires

Once a referral is accepted, we will ask you to complete questionnaires to help us understand the child or young person’s development and everyday experiences.

Please note that we cannot progress with an assessment until all questionnaires and forms have been completed, returned to us, and triaged.

These may include:

  • Parent or carer questionnaires
  • Self-report questionnaires
  • Questionnaires from a school or an education setting
  • Developmental and background information

Returning these promptly helps avoid delays.

Clinical triage

Our clinical team reviews the information to:

  • Confirm that a combined assessment is appropriate
  • Plan the assessment in a way that best meets the child or young person’s needs

You will be contacted to confirm the next stage.

Who you’ll see

Combined assessments are delivered by a multidisciplinary clinical team, which may include:

  • psychiatrists
  • paediatricians
  • psychologists
  • occupational therapist
  • speech and language therapists

Assessments are designed to be child and family-centred, with reasonable adjustments made where needed.

What the assessment involves

A combined assessment brings together elements of both ADHD and Autism assessments and may include:

  • a detailed developmental and medical history
  • review of questionnaires and school information
  • observation of communication, social interaction, attention, and behaviour
  • structured assessment tools, such as:
    • ADHD rating scales
    • Autism observation tools (e.g. ADOS)
  • in-person observations, including school observations where required

Not every child needs every tool. Clinical teams tailor the assessment to the individual.

Outcome and diagnosis

After the assessment:

  • The clinical team will discuss their findings
  • You will receive the assessment outcome or diagnosis, explained clearly and sensitively
  • This may include:
    • ADHD
    • Autism
    • Both ADHD and Autism
    • or neither, with guidance provided

You will have time to ask questions and discuss next steps.

Written report

Following the assessment, you will receive a comprehensive written report.

The report includes:

  • What was assessed and how
  • Any diagnoses given
  • How conclusions were reached
  • Recommendations and next steps

Reports are written in clear, accessible language and can be shared with GPs, schools, or other professionals (with consent).

Every combined assessment includes post-assessment guidance, regardless of outcome.

Information, advice, and signposting

All families are offered:

  • clear explanation of the assessment findings
  • advice and strategies to support home and education settings
  • signposting to appropriate services and resources

 

Psychoeducation & Medication

Our psychoeducation programme is only available on our NHS pathway. 

Support related to Autism focuses on:

  • understanding individual strengths and needs
  • reasonable adjustments
  • practical strategies, structure, and planning

There is no medication treatment for Autism itself. Support is practical, person-centred, and focused on understanding and adjustment.

Support related to ADHD includes:

Psychoeducation programme:

  • Session 1: Delivered at the conclusion of the diagnostic assessment, following confirmation of diagnosis
  • Session 2: A virtual appointment with a clinician approximately two weeks after diagnosis
  • Session 3: A further virtual psychoeducation appointment approximately six weeks after the second session

Each session typically lasts around 30 minutes.

Families are also provided with an information pack containing relevant resources.

A decision about medication is only considered:

  • after completion of the psychoeducation programme and where non-medication strategies have been discussed and implemented
  • where ADHD is diagnosed
  • where medication is clinically appropriate
  • where the pathway includes medication support

Where medication is commissioned, treatment follows NICE guidance and includes careful monitoring and review.

The combined assessment appointment

Who you’ll see

Combined assessments are delivered by a multidisciplinary clinical team, which may include:

  • psychiatrists
  • paediatricians
  • psychologists
  • occupational therapist
  • speech and language therapists

Assessments are designed to be child and family centred, with reasonable adjustments made where needed.

What the assessment involves

A combined assessment brings together elements of both ADHD and Autism assessments and may include:

  • a detailed developmental and medical history
  • review of questionnaires and school information
  • observation of communication, social interaction, attention, and behaviour
  • structured assessment tools, such as:
    • ADHD rating scales
    • Autism observation tools (e.g. ADOS), where appropriate
  • in-person observations, including school observations where required

Not every child needs every tool — clinical teams tailor the assessment to the individual.

Outcome and diagnosis

After the assessment:

  • the clinical team will discuss their findings
  • you will receive the assessment outcome or diagnosis, explained clearly and sensitively
  • this may include:
    • ADHD
    • Autism
    • both ADHD and Autism
    • or neither, with guidance provided

You will have time to ask questions and discuss next steps.

Written report

Following the assessment, you will receive a comprehensive written report.

The report includes:

  • what was assessed and how
  • any diagnoses given
  • how conclusions were reached
  • recommendations and next steps

Reports are written in clear, accessible language and can be shared with GPs, schools, or other professionals (with consent).

What happens after a combined ADHD & Autism assessment

Every combined assessment includes post-assessment guidance, regardless of outcome.

Information, advice, and signposting

All families are offered:

  • clear explanation of the assessment findings
  • advice and strategies to support home and education settings
  • signposting to appropriate services and resources

Psychoeducation (ADHD)
NHS diagnosis only

If ADHD is diagnosed, psychoeducation is a required part of the ADHD pathway.

For children and young people:

  • psychoeducation is delivered as a 10 week structured programme following diagnosis
  • the first psychoeducation session is provided at the conclusion of the assessment
  • further sessions are delivered over the following weeks

A decision about medication is only considered:

  • after completion of the psychoeducation programme
  • where ADHD is diagnosed
  • where medication is clinically appropriate
  • where non-medication strategies have been discussed
  • where the pathway includes medication support

Medication cannot be considered until the psychoeducation programme has been completed and reviewed.

Where medication is commissioned, treatment follows NICE guidance and includes careful monitoring and review.

Our self-pay combined assessment pathway 

Under our self-pay service, the pathway for a combined assessment will follow the same pathway as with the NHS, but with a few exceptions:

  • We do not require a GP referral. Contact our service directly to register your child or young person for a self-pay ADHD assessment. 
  • Psychoeducation is not required as part of our self-pay service. You will still receive feedback, signposting, and guidance to support your child.

Please note that we cannot progress with an assessment until all questionnaires and forms have been completed, returned to us, and triaged. 

Quality and clinical standards

All combined ADHD & Autism assessments at Provide Wellbeing:

  • follow NICE guidance (NG87 for ADHD, CG128 for Autism)
  • use recognised diagnostic criteria (DSM-5 / ICD-11)
  • are delivered by experienced, appropriately trained clinical teams
  • Inclusive, respectful, and person-centred

Not sure if a combined assessment is right for you or your child?

If you’re unsure whether a combined assessment is appropriate, or which pathway applies, you may find it helpful to visit:

How to Access Our Services  
Our Assessment Pathways
What Happens After an Assessment

You can also discuss concerns with your GP or contact our team for general guidance.

TALK TO US TODAY ABOUT

Neurodevelopmental Services

Call 0300 303 9966, email
provide.wellbeing@nhs.net
or complete the form below…

Support you can trust

Our team provides actionable insights, no matter where you are on your journey, and offers expert advice to help you or a family member on your road to a diagnosis. Our ASD and ADHD services are suitable for children and young people seeking a diagnosis.

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