Also in this section:
Government policy says that local areas are responsible for providing FASD services.
National FASD’s report The Time is Now: The National Perspective on Ramping Up FASD Prevention, Diagnosis and Support Services has information on how to think about increasing service provision based on best practice. More information about that report is available here.
National FASD’s report A Crisis of Commissioning: CCGs Are Failing Government Policy on FASD (2019) was based on Freedom of Information research. This report had a big impact. Its finding showed not one CCG said they have a policy on commissioning services for Foetal Alcohol Spectrum Disorders.
Nearly 80% said they do not provide diagnosis for children with FASD
92% said they do not provide diagnosis for adults.
Only 19% of Trusts and Health Boards said that they provide post-diagnostic services for those with FASD.
The report was based on Freedom of Information Act requests that were sent to all NHS Trusts, CCGs, Health Boards and other bodies in England, Scotland and Wales and Northern Ireland – more than 450 bodies in total. Replies were received from 166 CCGs and 167 Trusts.
The report highlights best practices in some areas, such as Scotland, the North East, Blackpool, and Manchester. Yet it also states, “In no case that NOFAS-UK is aware of is any CCG providing diagnostic services for the full number of people likely to have an FASD in their area. Even where best practices exist, the structures are not yet adequate to meet the need.”
The report was presented at a meeting in the House of Commons of the All Party Parliamentary Group on FASD, chaired by Bill Esterson MP, on 9 May 2019.
NO: 100% (166)
Does the CCG have a policy for commissioning services for FASD?
NO: 91.57% (152)
YES: 8.43% (14)
Does the CCG provide services for diagnosing FASD in adults?
NO: 86.14% (143)
YES: 13.86% (23)
Is there a lead person in the CCG on FASD?
NO: 78.31% (130)
YES: 21.69% (36)
Does the CCG provide services for diagnosing FASD in children?
NO: 89.76% (149)
YES: 10.24% (17)
Is the CCG involving individuals with FASD or their caregivers in planning or developing proposals?
NO: 81.33% (135)
YES: 18.67% (31)
Is the NHS Trusts/Health Board providing post-diagnostic care for FASD?
Based on 9 roundtables with more than 60 practitioners, commissioners, experts, people with lived experience and leaders from the Third Sector, this report has practical suggestions on how to ramp up FASD services based on best practice and in line with the NICE Quality Standard.
This explains the main points of the Time is Now report and why it matters.
Based on Freedom of Information requests to all Clinical Commissioning Groups and NHS Trusts and Health Boards, this report highlights the mismatch between government policy and actual practice. The vast majority of CCGs are not commissioning services for FASD prevention, diagnosis or post-diagnostic care for those with FASD.
This explains the main points of the CCG report and why it matters.
“A quality standard on fetal alcohol disorders is set to be developed by the National Institute for Health and Care Excellence (NICE). The announcement came as a charity’s report showed that clinical commissioning groups are failing to commission services for people with neurodevelopmental disorders arising from exposure to alcohol in the womb.”