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Mon – Fri 18.00 – 20.00

Saturday 9.00 – 16.00

Sunday 9.00 – 13.00

Neurodevelopmental Services Spire Bushey Hospital, Heathbourne Road, Bushey, Hertfordshire, WD23 1RD

020 8901 5505


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Do local authorities recognise your assessment/diagnosis?

Our diagnosis is made on recommended international standards such as Diagnostic and Statistical Manual (DSM)-5 or ICD-11 which are followed worldwide. We follow robust assessment guidelines which are NICE (National Institute of clinical Excellence) compliant and or meet the gold standard guidelines. There is no reason why our diagnosis would not be accepted not only in UK but also worldwide. 

We get requests for assessments from all parts of UK. We have undertaken assessments for children resident in Bedfordshire, Buckinghamshire, Derbyshire, East Sussex and Lincolnshire in addition to Hertfordshire without any problems. Some of our clinicians have worked across many counties in UK.

Which guidelines/diagnostic tools do you use? 

All our assessments are based on recommended standard or national guidelines such as National Institute of Clinical Excellence (NICE) guidelines.


For Autism assessments we may use a combination of assessment tools depending on the presentation of the child or young person. These include use of:


For Autism some of the following assessment tools may be used


  • Social Communication Questionnaire (SCQ)

  • 3-Di

  • ADI-R 

  • ADOS-2

  • Children’s Communication Checklist-2

  • Neurodevelopmental School Observation Report by School

  • Specialist assessment and observations by clinical psychologist and SALT


For ADHD some of the following assessment tools may be used


  • SNAP-IV questionnaire

  • Neurodevelopmental School Observation

Do your clinicians have NHS experience? 

Most clinicians working for Autism Doctor have experience of working in the NHS. Our lead clinician Dr Deepshikha Thakur works for the NHS at Peace Children's Centre in Watford. She is the lead doctor for Autism and principal Investigator of KASPAR research project related to interventions in Autism. In addition she is the DesignatedMedical Officer (DMO) In West Hertfordshire and has strategic role in supporting children and young people with Special Education Needs and Disability (SEND).

Do you offer a multi-disciplinary assessment?

Yes we offer assessments by different clinicians such as speech and language therapist, clinical psychologist, education psychologist, occupational therapist, physiotherapist etc. as required for the child.

How long is your wait list?

We can offer an appointment fairly quickly and flexibly. Typically initial assessment is offered within two weeks of referral.

How many appointments would be needed? How long until diagnosis?

For most children and young people being referred for Autism Assessment, we suggest an initial followed by two more sessions with relevant clinicians. Based on user feedback, we can undertake certain assessments on phone to save travel time and to fit standardised assessment flexibly in the evening so that both parents can participate.

ADOS-2 is a face to face assessment using standardised toys/activities/ questions that are suitable to child’s language levels. For many children all of this assessment may be possible to complete within a week or two provided all relevant information is available. Some assessments such as school visits depend on mutual availability.

What information do you need for an assessment?

We need information from other sources for a comprehensive assessment. For most children who are in an educational setting, we will request school information via parents.  We also request parents to send all relevant assessments and reports e.g. Speech and Language therapist (SALT) or clinical psychologist assessments or Education Psychologist report ideally prior to assessment.

What are your rates/charges?

Our rates for initial assessment is fixed

Following cost applies to self-paying parents/carers

Initial Assessment for up to 60 minutes: £350

Initial Assessment for up to 90 minutes: £400

Initial Assessment for up to 120 minutes: £500

Follow up to 30 minutes: £150 to £250 dependent on complexity


Any additional time spent over the set limit for assessment, when available, may incur cost of £200 per 30 minutes or part thereof.


Depending on the complexity, a full Autism assessments can cost approximately between £1250/-to £2500/- . This includes standardised assessments and school visit etc.


Typical cost of ADHD assessment is £750 to £850/-


Please note specialist assessments by other professionals such as Speech and Language Therapist, Occupational Therapist and Clinical or Education Psychologist, investigations etc. may incur additional cost.


All investigations requested are not included in the assessment cost.


There is a small charge for medication prescriptions outside of consultation appointment for example repeat prescriptions.


We request parents to contact Autism Doctor for specific cost relevant to their child.


Cancellation charges:  Any cancellation without a prior notice of at least 48 hrs will be subject to administrative charge of £100/- to cover admin/ room hire fees etc.

Can you help in Education Health and Care Plan (EHCP)?

A lot of parents often want support in Education Health and Care Plan (EHCP) process. At a small additional cost we can also help with completing the medical information on the EHCP form when requested by the local following our assessment.

Can Autism present differently in home and at school?

Yes indeed! A majority of children who have autism present at secondary school age have different behaviours at home and at school. Girls are particularly good at masking symptoms in social settings.

What is the role of Paediatricians in Autism Assessment?

Paediatricians are best suited to establish a good developmental history which is essential for a diagnosis of Autism. Paediatricians can also consider other possible diagnosis including serious condition like epilepsy, like Developmental Delay, Dyspraxia, Medical Syndromes, and other medical diagnosis.


Paediatricians are specifically trained for medical examination of children and young people.