Health secretary has asked experts to investigate whether normal feelings have become ‘over-pathologised’ The health secretary, Wes Streeting, has ordered a clinical review of the diagnosis of mental health conditions, according to reports. Streeting is understood to be concerned about a sharp rise in the number of people making sickness benefits claims because of diagnoses for mental illness, autism and attention deficit hyperactivity disorder (ADHD), the Times reported. He has asked leading experts to investigate whether normal feelings have become “over-pathologised”, the newspaper said, as he seeks to grapple with the 4.4 million working-age people now claiming sickness or incapacity benefit. The figure has risen by 1.2 million since 2019, while the number of 16 to 34-year-olds off work with long-term sickness because of a mental health condition is said to have grown rapidly in the same period. Streeting told the Times he knew from “personal experience how devastating it can be for people who face poor mental health, have ADHD or autism and can’t get a diagnosis or the right support”. He added: “I also know, from speaking to clinicians, how the diagnosis of these conditions is sharply rising. “We must look at this through a strictly clinical lens to get an evidence-based understanding of what we know, what we don’t know, and what these patterns tell us about our mental health system, autism and ADHD services. “That’s the only way we can ensure everyone gets timely access to accurate diagnosis and effective support.” The review, which is expected to be launched on Thursday, is set to be led by Prof Peter Fonagy, a clinical psychologist at University College London specialising in child mental health, with Sir Simon Wessely, a former president of the Royal College of Psychiatry, acting as vice-chair. Continue reading...

Policy analysis of a debate I was privileged enough to be involved in last year