Health
Locked up for Autism: Thousands detained under mental health law
“He didn’t break the law. He just needed help. Now he’s locked in a hospital hundreds of miles away.” — Alun, father of a detained 19-year-old
IN SECURE hospitals across England and Wales, more than 2,000 people with autism or learning disabilities remain locked away under mental health laws — despite never committing a crime.
Many are detained under the Mental Health Act 1983, often after being taken by police during a mental health crisis. The vast majority have no mental illness diagnosis. Some are teenagers. A few have been there for decades.
“It’s a human rights scandal,” said Dan Scorer of Mencap. “They’re being institutionalised because society hasn’t built the support they need.”
Autism is not a mental illness. It is widely recognised that for most autistic people, care in an inpatient unit is rarely helpful – in fact, it can be deeply damaging.
The average length of stay is around 4.6 years.
The overwhelming majority (92%) of autistic people and people with a learning disability who are detained in hospitals are put there using the Mental Health Act of 1983.
A NEED FOR URGENT REFORM
For years, the National Autistic Society and tens of thousands of campaigners have called for changes to mental health law.
Reform has been promised, and a bill is making its way through Parliament. However, the government will not commit to funding the reforms the legislation will enact. Even then, campaigners say the law change will not end the scandal of detention.
In April, Denise Cavanagh from Hook, a founder of the Stolen Lives campaign, told BBC Wales that she believed people would still be detained via other laws, including the Mental Capacity Act.
She added: “People with learning disabilities often end up in hospitals because there’s a breakdown in housing and community care, and it’s the only place they can go.
“So, if that community care isn’t there, there is nowhere for them to go and they’ll still be detained.”
And even though health is devolved to Wales, the Welsh Government is relying on a Westminster bill to improve how people with learning disabilities and autism are supported during a crisis.
“THEY CAME WITH HANDCUFFS”
Michelle, from Wiltshire, recounts the day her autistic daughter was detained after a meltdown in a supermarket.
“She was 23. She was overwhelmed. She panicked. That’s all. But the police came and took her away. That was three years ago. She hasn’t been home since.”
Michelle’s story is one of many. Some families describe wards where patients are sedated, isolated, and cut off from loved ones.
Bethany – whose surname cannot be published – was locked in a hospital room in Northampton as a teenager. Her only access to the outside world was through a tiny hatch in the door.
Her father, Jeremy, said he could only see his daughter through a plastic screen or through the six-inch hatch.
“It was cruel. It was torture for my daughter,” he said.
“It broke her human rights, her right to family life, her right to freedom from degrading treatment.”
Even now, several years on from Jeremy’s interview on Radio Four regarding Bethany’s treatment, little has changed. In fact, the data shows a worrying trend towards increased detention of those with mental illness or specific learning difficulties.
NO WAY OUT
Official NHS data reveals the extent of the crisis:
Over 52,000 people were detained under the Mental Health Act in April 2024 — the highest figure in five years.
Over 2,000 of those are autistic or have a learning disability.
As of May 2025, 2,025 autistic people and people with a learning disability are in mental health hospitals in England. Of these, 1,455 (72%) are autistic.
There are 240 under-18s in inpatient units who are autistic or have a learning disability. Of these, 230 (96%) are autistic.
The number of autistic people without a learning disability detained in mental health hospitals has increased by 141% since 2015.
This is the most up-to-date record of how many autistic people and people with a learning disability are currently in mental health hospitals in England.
Despite some progress moving people with a learning disability out of hospitals and into the community, the number of autistic people detained has increased. In 2015, autistic people made up 38% of the total number in hospitals, now it is 72%.
Around 60% of learning disability or autism inpatients have no mental illness diagnosis.
Detained patients are often placed in “out-of-area” units, sometimes hundreds of miles from home.
Toni Dymond, an autistic woman, was detained for over 20 years in psychiatric care without a criminal charge.
“She was isolated, broken,” said her brother in a statement. “It wasn’t treatment. It was abandonment.”
34,685 people were detained by police under Section 136 of the Mental Health Act in 2022–23.
Over 60% were transported in police vehicles, not ambulances.
Autistic woman and author of the memoir Unbroken, Alexis Quinn, spent three years “locked inside” various mental health hospitals, including Assessment and Treatment Units (ATU).
She says: “I was detained under the Mental Health Act and remained so for most of my stay. The Mental Health Act is a piece of legislation which provides a legal framework to detain people when they are mentally ill and require treatment to get better. The interesting thing about a treatment order for an autistic person is that autism is not a mental health condition.
“Whilst mental illnesses, such as depression and anxiety, can be treated, for autistic people, this has to be done in a way that reflects their needs and understands autism.
“When I was detained under the Mental Health Act, I felt like this was because of behaviour relating to my autism, not because I was mentally ill; the whole process lacked any understanding of the difference between autism and mental illness.”
CHANGE PROMISED, BUT NO MONEY ON THE TABLE
The Mental Health Bill, which is currently going through Parliament, will stop people with a learning disability and autistic people from being detained for treatment. However, the government have said that this change to the law will not be enforced until there is sufficient community support. That means the law will not come into effect until there are enough resources to support its operation. There is no commitment to provide that funding.
The Challenging Behaviour Foundation, a national charity, wants a clear plan, co-produced with people with lived experience, families, and those working within the different parts of the system, setting out what steps will be taken to develop this support and accompanied by the resources to make it happen.
The National Autistic Society says: “We are calling on the government to urgently publish a comprehensive and fully-costed plan for how it intends to build this support.”
So far, that call has been met with silence.
Health
NHS Trust CEO ‘forced out’ after raising concerns — Welsh Govt denies wrongdoing
A CONSERVATIVE MS has pressed the Welsh Government for answers after the sudden departure of the Velindre University NHS Trust’s chief executive, amid media reports that he raised concerns about alleged governance failures within NHS Wales Shared Services.
During Health Questions in the Senedd today, James Evans MS asked Health Secretary Jeremy Miles to explain why former CEO David Donegan left his post after just a year. Reports circulating in recent weeks suggest Mr Donegan had raised issues relating to governance, and in some accounts, possible criminality. These claims have not been substantiated publicly.
Velindre’s own 2024/25 annual report notes that the Trust “escalated concerns to Audit Wales and Welsh Government about the current governance of Shared Services, which hadn’t been reviewed since 2012.” No details of the concerns have been published.
Welsh Government response
Jeremy Miles MS confirmed in the chamber that correspondence relating to the issues does exist, but said it would not be appropriate to release sensitive material while internal processes are ongoing. He did not comment on the circumstances of Mr Donegan’s departure, citing employment confidentiality rules which are standard across the NHS and public sector.
A Welsh Government spokesperson has previously said that they expect all NHS bodies to follow “proper governance and HR procedures,” and that they “do not comment on individual employment matters.”
Velindre NHS Trust position
Velindre has not publicly stated that Mr Donegan was removed because of whistleblowing activity. The Trust has described his departure simply as a “change in leadership” and says it continues to engage with Audit Wales and the Welsh Government on governance matters.
Opposition criticism
After the exchange, James Evans MS — the Welsh Conservative Shadow Cabinet Secretary for Health — criticised the Health Secretary’s “lack of transparency”.
He said:
“I am extremely disappointed with the Health Secretary’s refusal to provide clarity on the circumstances surrounding Mr Donegan’s departure, or to release the correspondence relating to governance concerns within Shared Services. The public must be able to trust that millions of pounds of NHS funds are being managed properly.”
Mr Evans said he will write to the First Minister and Cabinet Secretary formally requesting the publication of correspondence “in the interests of full accountability.”
Context: What is NHS Shared Services?
The NHS Wales Shared Services Partnership (NWSSP) manages national procurement, payroll, recruitment, estates services and other core functions for health boards and trusts. It sits within Velindre University NHS Trust but operates independently of its operational healthcare work. Governance arrangements for NWSSP were originally set a decade ago and are subject to periodic review by Audit Wales.
There is no evidence at present of wrongdoing by the Welsh Government or NWSSP, beyond the concerns referenced in Velindre’s annual report.
Health
Wales’ biggest hospital overrun by pigeons – even in operating theatres
Patients wheeled through tunnels “carpeted in bird faeces” as ministers accused of abandoning the NHS
CARDIFF’S University Hospital of Wales – the largest hospital serving South and West Wales – has been branded a national disgrace after whistle-blowers revealed a chronic pigeon infestation, including birds nesting inside areas used to prepare sterile operating theatres.

Tunnels ‘carpeted in droppings’
Patients, including those critically ill, are being pushed along underground corridors described as “ankle-deep in water and carpeted with bird faeces”, with buckets placed along walkways to catch rain leaking through failing roofs. Staff say the stench is overwhelming and that vulnerable patients are being traumatised by the conditions.
One frontline worker, speaking anonymously to The Pembrokeshire Herald, said the situation had become intolerable: “The place is full of pigeons. You see them flapping around in trauma theatres while surgeons are trying to save lives. The smell is vile.”
Photographs passed to this newspaper show floor surfaces coated in pigeon droppings and staff weaving around flocks of birds to reach wards.

Consultants warn hospital is now a risk
The revelations come just weeks after nearly three hundred senior consultants at the Heath signed an unprecedented letter warning morale was “at an all-time low” and stating the physical condition of the hospital now poses a serious infection risk. Pigeon droppings can carry cryptococcus, a fungus potentially fatal to those with weakened immune systems.
Despite this, ministers in Cardiff Bay have pressed ahead with hundreds of millions of pounds for expanding the Senedd by thirty-six new politicians and for major expenditure on the Welsh Government’s “Nation of Sanctuary” asylum policies.

Political row deepens
Welsh Conservative Senedd leader Andrew RT Davies said the state of the Heath symbolised years of neglect.
“Senedd ministers must take responsibility for the appalling condition of our hospitals. While Labour and Plaid spent money on vanity projects, they ignored the NHS. Patients in Pembrokeshire, Ceredigion and Swansea are paying the price.”
Built in the early 1970s, the Heath now requires more than £100 million in urgent repairs. Last winter entire wards were left freezing when heating systems failed, while engineers are said to be so overstretched that routine maintenance can take weeks.
In one instance, a seventy-seven-year-old emphysema patient from West Wales spent four days under blankets because radiators in his bay would not work. Another elderly man spent his final hours being wheeled through pigeon-infested tunnels because the lifts had broken again.

Health board ‘accepts’ poor conditions
Cardiff and Vale University Health Board acknowledged the conditions were “unacceptable” and said additional pest-control measures would be introduced, insisting patient safety had not been compromised. However, the hospital was placed at the highest level of Welsh Government intervention last month, and staff say the situation on the ground has barely changed.
A Welsh Government spokesperson said it was providing “targeted support” to address long-standing problems with the estate.
‘Ashamed to bring patients through’
For families in Pembrokeshire who rely on the Heath for major trauma, neurosurgery and cancer services, confidence in the system continues to erode.
A nurse from Tenby who trained at the hospital told The Herald: “We used to be proud to work there. Now we’re ashamed to bring patients through corridors that look like something from a horror film.”
The pigeons may be the most visible sign of decline – but staff say the deeper crisis begins in Cardiff Bay, where the decisions that shape Wales’s health service are made.
The people of Wales, they insist, deserve far better.
Health
Wales on brink of wiping out new HIV cases as infections plunge 20 percent
WALES is charging toward its ambitious 2030 target of zero new HIV transmissions after recording a dramatic 20 per cent drop in new cases during 2024, the Welsh Government revealed on World AIDS Day.
Cabinet Secretary for Health Jeremy Miles hailed the fall as proof that the HIV Action Plan for Wales 2023–26 is “delivering results at lightning speed”, with record numbers of tests, expanding PrEP access and every health board now signed up to the international Fast Track Cities initiative.
More than 33,000 free postal HIV test kits have been snapped up since the service launched, while a new long-acting injectable form of PrEP – given once every two months – is rolling out across every corner of the country for the first time.
Mr Miles said: “Thanks to highly-effective treatments, people with HIV in Wales are living long, healthy lives. Our focus now is stopping the virus in its tracks and stamping out the stigma that still lingers.”
The annual update, published this afternoon, shows testing and prevention efforts have never been higher, yet almost half of people newly diagnosed in 2024 were still identified at a late stage – prompting clinicians to scrutinise every case for missed opportunities.
A nationally funded peer-support programme, run by people living with HIV, is being commissioned to ensure no one faces the virus alone, while anti-stigma training reaches NHS staff, social care workers and secondary-school pupils.
Wales has also become one of the first nations in the world to have 100 per cent health-board commitment to the Fast Track Paris Declaration, with a new all-Wales coalition to be funded from January.
Work is also under way on a single sexual-health case-management IT system to give clinicians real-time data and allow ministers to track progress toward the 2030 goal.
Mr Miles warned, however, that global cuts in HIV funding could reverse hard-won gains in poorer countries.
“I will keep banging the drum internationally,” he pledged. “No one, anywhere, should be left behind.”
Campaigners welcomed the progress but urged the government to redouble efforts on late diagnosis and PrEP uptake among under-served groups.
Terrence Higgins Trust Cymru said: “These figures are genuinely exciting, but we can’t take our foot off the pedal. Zero transmissions by 2030 is within touching distance – let’s grab it.”
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