Health
NHS ADHD services struggle to meet demand, closing to new patients
An investigation by the BBC has revealed that numerous regions in England are shutting down waiting lists, while others are implementing measures to limit patient care.
An investigation by the BBC has revealed that specialist ADHD services for adults in England are no longer accepting new patients due to overwhelming demand, highlighting the strain on these services.

The BBC's research has identified 15 areas where waiting lists have been closed and 31 areas that have implemented stricter eligibility criteria, further limiting access to support for those in need.
In response to the investigation, Prof Anita Thapar, chair of NHS England's ADHD taskforce, expressed concern over the findings, citing the significant risks associated with inadequate support for patients.
This comes as Prof Thapar prepares to release a report on Thursday that proposes a comprehensive overhaul of ADHD services, aiming to improve the support system for those affected.
ADHD, or attention deficit hyperactivity disorder, is a condition that affects brain function, leading to impulsive behavior and difficulties with focus and concentration.
The taskforce report highlights the under-diagnosis and under-treatment of ADHD, emphasizing the need for increased collaboration between healthcare, education, and the criminal justice system to identify and support individuals with the condition.
To achieve this, the report recommends that healthcare staff receive training and that community-based NHS staff, such as GPs and pharmacists, take on a more active role in supporting ADHD patients, rather than relying solely on specialist services.
It is estimated that ADHD affects approximately 5% of children and 3-4% of adults, underscoring the need for effective support systems.
Receiving a diagnosis and subsequent treatment, which may include medication and therapy, can have a profound impact on an individual's life, according to experts.
However, NHS data indicates that adults face average waiting times of eight years for treatment after being placed on a waiting list, further highlighting the challenges faced by those seeking support.
A BBC investigation has found that a significant number of areas are now restricting access to these waiting lists, exacerbating the existing challenges.
The BBC obtained information from 59 services, representing the majority of ADHD support providers in England, through freedom of information requests.
The responses revealed a concerning trend, with many areas struggling to cope with demand.
In some regions, individuals referred for support by their GPs can exercise their 'right to choose' and opt for alternative NHS services or private support, providing a potential alternative if their local NHS is no longer accepting new referrals.
The BBC investigation also uncovered examples of innovation, such as in Surrey, where a local service with an 11,000-strong waiting list is piloting a scheme to train private GPs to conduct assessments and provide treatment.
Louise Nichols, who suspects she has ADHD, is one of many individuals affected by the rationing of services, having struggled with daily life and finding it difficult to maintain employment.

Her experiences date back to primary school, where she was diagnosed with school phobia and temporarily home-schooled, highlighting the long-term impact of undiagnosed ADHD.
As an adult, Louise finds it frustrating to see others managing their daily lives with ease, while she struggles to cope.
"I need support to function at my best, whether that's through medication or other means," she explains, emphasizing her desire for help.
Louise aspires to secure part-time employment and integrate into her community, but her struggles with ADHD have hindered her progress.
Residing in Derbyshire, Louise was previously on the waiting list with the neighboring Sheffield trust for two years, but was removed in October last year due to the trust's decision to cease assessments for out-of-area patients.
This decision has left over 3,700 individuals in the county without access to services, including Louise, who expresses disappointment and frustration at the lack of national consistency in NHS services.
"It's disappointing that a national health service doesn't provide equal access across the country," she remarks.
Prof Thapar acknowledges the unacceptable nature of the challenges faced by individuals like Louise, attributing them to the historic neglect of ADHD by the NHS.
She describes the BBC's findings as "disturbing," highlighting the significant risks associated with inadequate support for ADHD patients.
With proper support, individuals with ADHD can thrive, but Prof Thapar warns of the high risks of complicated conditions, including mental health issues, substance misuse, and unemployment, if left unsupported.
These risks can also lead to involvement with the criminal justice system, further emphasizing the need for effective support services.
Dr Jessica Eccles of the Royal College of Psychiatrists notes that services are being forced to make difficult decisions due to rising demand outstripping capacity in many areas.
"The waiting lists are unacceptably long," she adds, highlighting the urgency of the situation.
Individuals who have received support for ADHD often report a significant improvement in their quality of life.

Sam Stone is an example of this, although his journey to receiving support was complicated and required persistence.
After paying for a private diagnosis through his health insurance, Sam's GP refused to accept the results, forcing him to rejoin the NHS waiting list for confirmation.
He expresses frustration at the complexity of the system, describing it as a "cacophony of routes" that requires constant navigation.
Sam's diagnosis has been life-changing, allowing him to transition from anti-depressants to medication specifically for ADHD.
He describes the experience as having a "cloud lifted" from his life, emphasizing the profound impact of receiving proper support.
"It's huge," Sam remarks, highlighting the significance of his diagnosis and treatment.
Additional reporting for this story was provided by Elena Bailey, with data analysis by Rob England.
For support and advice on ADHD-related issues, please visit the BBC Action Line.
The NHS also offers guidance and advice on ADHD, which can be accessed through their website.
Health
Study Explores if Brain Stimulation Can Reduce Selfish Behavior
Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.
Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.
The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.
According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.
Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.
The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.
Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.
However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.
Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.
This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.
These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.
When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.
The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.
One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.
The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.
The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.
Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.
Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.
By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.
Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.
The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.
Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.
Health
NHS Workers to Receive 3.3% Pay Increase
Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.
The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.
Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.
However, several health unions have expressed disappointment with the announced pay award.
Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.
Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."
She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."
Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.
The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".
Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."
Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."
"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.
In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.
A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."
The pay increase is expected to be implemented by the start of April.
However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.
The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.
Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.
Health
NHS Waiting List Hits Three-Year Low
In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.
England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.
However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.
In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.
This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.
According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.
Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.
Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.
Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.
Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.
Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".
Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.
Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.
A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.
Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.
According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.
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