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Parents & carers

NHS assessments

What an NHS autism assessment involves and typical timelines.

6 min read

What an autism assessment involves

An autism assessment is carried out by autism specialists — usually a multi-disciplinary team that may include a paediatrician, psychologist, speech and language therapist, and occupational therapist.

What typically happens

  • Information gathering: detailed history from parents, school reports, and sometimes a home or school observation.
  • Developmental history: questions about early childhood, milestones, communication, play and sensory responses.
  • Direct assessment: standardised tools such as the ADOS-2 (an interactive assessment with the child) and/or the ADI-R (a parent interview).
  • Multi-disciplinary discussion: the team meets to discuss the evidence and reach a conclusion.
  • Feedback meeting: you are told the outcome, with a written report.

How long it takes

This depends on local services. Waits of many months — sometimes longer — are common. Ask your local pathway for current waiting times.

What an assessment cannot do

An assessment is not a school-support plan. Even if your child is diagnosed, you will still need to work with school on day-to-day support, and may need to request an needs assessment separately if needs are significant.

After the assessment

You should be offered a written report, post-diagnosis information, and signposting to local services. Ask what is available — it varies by area.

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