CQC regulation · ADHD and autism diagnostics

CQC will regulate ADHD diagnostic assessments.
Will your reports stand up?

On 9 October 2026 the Department of Health and Social Care asked CQC to regulate every ADHD and autism diagnostic assessment, including diagnosis-only services. ND Lens checks each signed-off report against the UKAAN quality standard and your clinic's own rules, then exports an inspection-ready compliance pack.

AI report review · sample
UKAAN AQAS (2023), Theme 2
7/8
criteria met
  • Conclusions supported by recorded detail
    essential
    Met
  • Symptoms not better explained by another disorder
    essential
    Met
  • Detailed account of specific symptoms
    essential
    Met
  • Summary of mental and physical comorbidities
    essential
    Met
  • Formulation and documented diagnostic outcome
    essential
    Met
  • DSM-5-TR criterion evidence (A and B to E)
    essential
    Met
  • Clinical presentation subtype stated
    essential
    Met
  • Driving safety / DVLA consideration
    highly recommended
    Not evidenced

Driving is mentioned, but the report does not reference DVLA guidance or record any driving-safety action as the standard recommends.

NHS CompliantDSM-5 & ICD-11GDPR ReadyAccessibility First
What changed on 9 October 2026

Diagnosis-only clinics are coming under CQC

The announcement follows the independent review into mental health conditions, ADHD and autism chaired by Professor Peter Fonagy. Private clinics that assess and diagnose without treating have grown quickly to meet NHS overflow and Right to Choose demand, and until now sat outside CQC's remit.

All diagnostic assessments in scope

DHSC has asked CQC to regulate every ADHD and autism diagnostic assessment, not only services that also offer treatment.

Diagnosis-only services were outside CQC

Current legislation lets CQC regulate services that diagnose and treat, but not those that only diagnose. New regulations will close that gap.

Details still being worked out

Regulation begins once the new rules are in place, and CQC says it will develop the approach with stakeholders. That makes now the window to get documentation in order.

“It will close a significant gap in our oversight, meaning that people receiving these diagnoses can have far greater confidence in the service they're receiving.”
Adrian James, interim Chief Inspector of Mental Health Care, CQC. Read the announcement
AI report review

Every report checked against the standard before an inspector sees it

ND Lens reads each signed-off diagnostic report and checks it against Theme 2 of the UK Adult ADHD Network's Assessment Quality Assurance Standard (AQAS, 2023): the published benchmark for what an adult ADHD report must document.

The standard is the starting point, not the limit. Your clinic defines its own rules on top, and every report is checked against both. An inspector will ask whether your diagnoses are supported by recorded evidence; this answers that question for every report, not a sampled few.

Eight criteria, one verdict each: Met, Partial or Not evidenced, with a one-sentence rationale pointing to the report text.
Add your clinic's own rules alongside the standard: required sections, local policies, commissioner requirements, house style. Each is checked the same way.
Judges documentation, never diagnosis. It asks whether the report evidences its conclusions, not whether they are right.
Runs after sign-off, so it is governance feedback on a finished report rather than advice during assessment.
Gaps surface at the clinic, in minutes, instead of at inspection.
What the review checks
  1. 01
    Conclusions supported by recorded detail
    essential
  2. 02
    Symptoms not better explained by another disorder
    essential
  3. 03
    Detailed account of specific symptoms
    essential
  4. 04
    Summary of mental and physical comorbidities
    essential
  5. 05
    Formulation and documented diagnostic outcome
    essential
  6. 06
    DSM-5-TR criterion evidence (A and B to E)
    essential
  7. 07
    Clinical presentation subtype stated
    essential
  8. 08
    Driving safety / DVLA consideration
    highly recommended
+
Your clinic's own rules
Add the checks that matter to you: a required consent statement, a named medication-review pathway, a commissioner's reporting template. They sit alongside the standard and get the same verdict and rationale.
Compliance pack

One export per assessment. Everything an inspector asks for.

Generated on demand for any completed assessment, dated and attributed to the clinician who produced it. Generating and downloading a pack is itself recorded in the audit trail.

01

Signed-off report

The clinician's final diagnostic report, with filename, upload time and size recorded.

02

Full response record

Every patient and informant answer, exactly as given, so each conclusion can be traced to its source.

03

Append-only audit trail

Every action on the assessment, timestamped. Clinicians are named; patients and informants appear by role.

04

AI report review

Verdicts and rationale against the AQAS standard and your clinic's own rules, so any gap is visible before anyone else looks.

How it works

Nothing changes about how you diagnose

01

Patient and informants complete the assessment

An accessible, mobile-friendly questionnaire with save and resume. Every answer is captured in a structured record.

02

Clinician signs off and uploads the report

The report is written and finalised by the clinician as it is today. ND Lens stores it against the assessment.

03

ND Lens reviews it and exports the pack

The report is checked against the AQAS criteria and your clinic's own rules, then bundled with the responses and audit trail, ready to print or share.

Governance feedback, not clinical advice

The review only ever assesses documentation quality: whether the report records what the standard says it should. It does not offer a diagnostic opinion, a second opinion or treatment advice, and it runs only on reports that have already been signed off. The clinical decision stays with the clinician.

Book a demo

See the review run on a real ADHD report

We'll show you exactly what an inspector would see, and where a typical report falls short of the standard.

What to expect

  • A walkthrough of the AI report review and the compliance pack
  • The review run on a sample ADHD report, criterion by criterion
  • How to add your clinic's own rules to the review
  • A conversation about what CQC regulation is likely to mean for your clinic

Prefer email? hello@ndlens.com

Request your demo

We'll reply within one working day to find a time.