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1
Adult ADHD diagnostic pathways in England face challenges including increased demand, longer waiting times, and fragmented service models.
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2
The review synthesized evidence from 26 sources, highlighting significant variation in access routes, referral quality, and assessment delivery.
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3
Clinical standards for ADHD diagnosis are stable across major guidelines, but operational delivery varies widely across different regions.
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4
A national commissioning and quality framework is proposed to establish minimum diagnostic standards and improve pathway consistency.
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5
The framework aims to address systemic issues in adult ADHD services, focusing on equitable access and quality across localities.
