My Department has made no such assessment. The matter in question is for the relevant local authority.

In April 2023, NHS England published a national framework and operational guidance for autism assessment services. This guidance intends to help the National Health Service improve autism assessment services and improve the experience for those referred to an autism assessment service. The guidance also set out what support should be available before an assessment and what support should follow a recent diagnosis of autism.

Since publication, NHS England has been supporting systems and services to identify where there are challenges for implementation and how they might overcome these.

NHS England established an attention deficit hyperactivity disorder (ADHD) taskforce which brought together those with lived experience with experts from the NHS, education, charity, and justice sectors to get a better understanding of the challenges affecting those with ADHD, including timely and equitable access to services and support. The final report was published on 6 November 2025, and we are carefully considering its recommendations.

Building on the work of the Independent ADHD Taskforce, my Rt Hon. Friend, the Secretary of State for Health and Social Care, announced on the 4 December 2025 the launch of an Independent Review into Prevalence and Support for Mental Health Conditions, ADHD and Autism. The review will inform our approach so that people with ADHD and autistic people have the right support in place to enable them to live well in their communities.

My Rt Hon. Friend, the Secretary of State for Health and Social Care, has regular discussions on a wide range of matters, including with trusts and integrated care boards (ICBs).

The Government has recognised that, nationally, demand for assessments for neurodevelopmental conditions such as autism and attention deficit hyperactivity disorder (ADHD) has grown significantly in recent years and that people are experiencing severe delays for accessing such assessments. The Government’s 10-Year Health Plan will make the National Health Service fit for the future and recognises the need for early intervention and support.

It is the responsibility of ICBs to make available appropriate provision to meet the health and care needs of their local population, including access to neurodevelopmental assessments.

Through the Medium-term planning framework, published 24 October, NHS England has set clear expectations for local ICBs and trusts to improve access, experience, and outcomes for autism and ADHD services over the next three years, focusing on improving quality and productivity.

My Rt Hon. Friend, the Secretary of State for Health and Social Care has had no such discussion with the Surrey Heartlands Integrated Care Board (ICB).

The National Institute for Health and Care Excellence’s (NICE) guidelines are developed by experts based on a thorough assessment of the available evidence and through extensive engagement with stakeholders. They are not mandatory, but National Health Service commissioners are expected to take them fully into account in designing services to meet the needs of their local populations.

The NHS Surrey Heartlands ICB advises that additional investment has been secured by the local system to increase capacity within the assessment pathway, and it is working to increase the earlier support available. The ICB is also continuing delivery of the Partnerships for the Inclusion of Neurodiversity in Schools programme, which brings together ICBs, local authorities, and schools, working in partnership with parents and carers to support schools to better meet the needs of neurodivergent children and their families.

Local outdoor air quality is the responsibility of local authorities who should prepare local air quality strategies to ensure that air quality in their area is improved.

The department takes the health, safety, and wellbeing of school users very seriously and publishes a range of guidance documents, such as the Building Bulletins, which support the provision of healthy school environments.

Where the department is centrally delivering school building projects, such as through the School Rebuilding Programme, all relevant and necessary surveys will be undertaken on the projects to inform the scheme proposals, and this list of surveys will be informed by local context and guidance from the Local Planning Authority and Statutory Consultees.

Highways England understands noise is a concern for residents living close to the M25 between junctions 10 and 11 and it is actively looking for ways to reduce noise from the carriageways.

In April 2020, Highways England started carrying out repairs to the failed joints on this section of the M25 and the work will be completed this summer. The work will concentrate on those joints which are in the poorest condition. Replacing joints which have not failed, or have already been repaired, would not reduce the noise from this concrete section or improve safety.

Highways England carried out extensive joint repairs last year. Like all road surfaces, the concrete carriageway between junctions 10 and 11 is regularly monitored for safety and condition, and repairs are carried out when needed.