The DHSC has published its plan for an all-age neurodivergent support and diagnosis pathway, with an estimated cost of £2.8m over three years.
The report, presented to Tynwald, responds to a June 2025 resolution calling for pathways for ADHD and autism. It proposes a phased approach to be fully implemented by 2029.
Currently, diagnostic services focus primarily on children and young people.
The report says: “Adult ADHD and ASC provision is limited and there is no dedicated pathway for either condition. Adults who did not receive support in CAMHS cannot currently access diagnosis or treatment.”
The department estimates that about 7% of the population, one in 18 residents, is affected by neurodivergent conditions.
The plan prioritises establishing an adult diagnostic service first, saying: “Adults with the highest levels of need are able to access assessment, diagnosis and treatment, while the wider integrated neurodevelopmental pathway is developed.”
Indicative costs show £265,000 for 2026-27, rising to £1.3 million in 2028-29. Implementation is contingent on Treasury approval for a three-year funding arrangement.


