CY P03 26 01 – Investigating the association between the early years foundation stage profile and later Autism

SDE_YH_PROJ_205

There has been increased focus on neurodivergence and mental health in recent years, with the number of individuals on CAMHS waiting lists rapidly accelerating over the last decade. One path forward is to use earlier signals to identify those at greater risk of being diagnosed with, for example, autism later in life so that individuals can be picked up earlier and receive the support they need. One paper focussed on whether the Early Years Foundation Stage Profile (EYFSP), conducted statutorily in England across all Reception year pupils, could predict those at greater risk of later being diagnosed with autism (Wright et al, 2019, 10.1136/bmjpo-2019-000483). We also recently showed that there are structural inequalities in who receives a diagnosis of ADHD, with individuals who are White British and male most likely to receive a diagnosis (Warburton et al., 2025, 10.1136/archdischild-2025-329285). We want to understand whether similar trends in diagnoses exist for Autism, and whether these are related to school readiness across time.

12 January 2026

In progress

This evaluation aims to leverage linked patient-level data to characterise complete patient journeys from primary care presentation through secondary care treatment or pathway removal. The study aims to enable identification of demand drivers and assessment of patient outcomes for those on an RTT pathway and patients diverted through Advice & Guidance, which has not been possible using aggregate national-level data. By tracking all healthcare touchpoints throughout elective pathways, this work will provide evidence on referral appropriateness, service utilisation patterns, and clinical outcomes to inform service design and policy decisions.

No

Yes

Yorkshire and Humber Secure Data Environment