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Putting patient experience at the heart of policy change 

Date Published: 01/12/2025

Earlier this month, as part of our ongoing efforts to improve care and support for the UK PANS and PANDAS community, we submitted a report to NHS England, the PANS PANDAS All-Party Parliamentary Group (APPG) and the PANS PANDAS Steering Group.

The report focusses on current experiences of healthcare for children, young people and adults with PANS and PANDAS; painting a stark picture of the current reality for families.

 

Key themes

Our report draws out the key themes reported by patients and families, highlighting in particular:

 

    • Limited awareness in Primary Care
      Many GPs still lack understanding of PANS and PANDAS, leading to reluctance in initiating diagnostic tests or treatments.
       
    • Lack of NHS pathway
      Families are often passed from one service to another without coordinated care or a lead clinician.
       
    • Postcode lottery
      Access to diagnosis and treatment varies dramatically across the UK.
       
    • Financial and emotional burden
      Families unable to access NHS care face devastating costs and stress.
       
    • Avoidable harm 

This report highlights what isn’t currently working and the resulting devastating consequences for families, while making a compelling case for why policymakers’ support is essential to drive meaningful change.

– Katy, our Health and Policy Lead

Why now?

Despite growing awareness, families continue to experience disbelief, dismissal, and systemic barriers. This is not a new problem; it reflects longstanding gaps that families have faced for years. However, as publication of clinical guidelines draws closer, it is imperative that we lay the groundwork for prompt, widespread implementation of the guidelines across the country. This report highlights what isn’t currently working and the resulting devastating consequences for families, while making a compelling case for why policymakers’ support is essential to drive meaningful change.

Our commitment

We will continue to advocate for everyone affected by PANS and PANDAS, working with the people in Government, in the NHS and beyond, to make it clear that people with PANS and PANDAS and their families deserve better.  

As part of this work, we look forward to launching a Community Survey in January 2026 which will allow us to capture a more detailed picture of the experiences of families living with PANS PANDAS across all four nations of the UK. 

Thank you to the parents who kindly gave permission for their words to be used in this report.   

NB: Please be aware that the themes in this report may be difficult or triggering for people affected by PANS or PANDAS and refers to self-harm and suicide.

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Glossary

  • ADHD
    Attention Deficit Hyperactivity Disorder
  • AE
    Auto-immune Encephalitis
  • ARFID
    Avoidant Restrictive Food Intake Disorder
  • ASD
    Autism Spectrum Disorder
  • CAMHS
    Child and Adolescent Mental Health Service
  • CBT
    Cognitive Behavioural Therapy
  • Dysgraphia
    difficulty writing by hand
  • EHCP
    Education, Health and Care Plan
  • Emotional Lability
    Rapid, and dramatic changes in mood (for example uncontrollable laughter to crying)
  • Enuresis
    wetting
  • GAS
    Group A Streptococcal infection
  • NHSE
    NHS England
  • NICE
    National Institute for Health and Care Excellence
  • OCD
    Obsessive Compulsive Disorder
  • PP
    PANS PANDAS
  • PPUK
    PANS PANDAS UK
  • PPN
    PANS Physicians Network
  • PPSG
    PANS PANDAS Steering Group
  • SENCo
    Special Educational Needs Coordinator
  • SIGN
    Scottish Intercollegiate Guidelines Network to the glossary
  • Tic
    Sudden repetitive movement (motor tic) or sound (vocal tic) which is difficult or impossible to control