What does an NHS autism assessment involve?
NHS autism assessments for children are typically carried out by a multidisciplinary team, often involving Community Paediatrics, alongside CAMHS and Speech and Language Therapy services. The process usually includes a referral (often from a GP or school), a period on a waiting list, assessment appointments, and a feedback session.
NHS assessments follow NICE guidelines and use recognised diagnostic tools. The clinical standard of assessment is generally high. The main difficulty for many families is the length of time waiting, and the limited support available during that period.
What does a private autism assessment involve?
A private autism assessment covers the same core elements as an NHS assessment - structured observation, standardised diagnostic tools, developmental history and a multidisciplinary discussion — but without the wait. At Speech Stuff, our assessment uses gold-standard tools including the ADOS-2 and ADI-R, in line with NICE guidance.
The key differences are: no waiting list, a more personalised experience, and an assessment that’s embedded within a service that can provide ongoing SLT and sensory support immediately afterwards.
Will a private assessment be accepted by schools and the NHS?
Yes — in almost all cases. Schools and local authorities are required to consider all relevant professional evidence when making decisions about a child’s support needs, including privately commissioned assessments. Our reports follow NICE guidance and are written specifically to be useful for EHCP applications, Annual Reviews and school SEND processes.
Can a private assessment be used for an EHCP?
Yes — private assessment reports can be used as part of an EHCP process. Schools and local authorities have a legal duty to consider all relevant professional evidence, including privately commissioned assessments.
Families sometimes choose a private assessment to gain a clearer understanding of their child’s needs, which can then help inform discussions with school and support planning.
Our reports follow NICE guidance and provide a detailed, strengths-based profile of your child. They can be helpful as part of SEND processes, including EHCP applications and Annual Reviews.
What are the advantages of a private assessment?
The most obvious advantage is speed — no waiting list means your child can be assessed, supported and understood now rather than in two years’ time. Early understanding of a child’s needs makes a significant difference to their experience at school and at home. Other advantages include a more personalised process and a joined-up service where assessment links directly to ongoing therapy
So which should you choose?
f your child is already on the NHS waiting list and things feel manageable for now, it can make sense to wait.
But if your child is finding things difficult, school is concerned, or the length of the wait feels overwhelming, a private assessment may feel like a more supportive next step.
If you’re not sure, you’re very welcome to get in touch — we’re happy to talk things through and help you decide what feels right for your family.