The Department and the HSE are working intensively to address delays in the provision of Assessments of Need to children and their families.
There has been significant increase in demand for Assessment of Need in recent years. Applications for Assessment of Need have risen from 4,700 in 2020 to over 13,000 in 2025, reflecting both the increase in population and the number of families exploring all options to access services for their child.
Unfortunately, demand has outpaced the capacity of the system to respond. The HSE reports that at the end of June, 23,282 children were overdue to receive an Assessment of Need report within the statutory timeframe set out in the Disability Act 2005.
While the HSE does not provide Assessment of Need data by county, data is provided by Regional Health Area and Local Health Office (LHO) area. The data requested by the Deputy is provided in the following table:
|
Cavan/Monaghan LHO
|
Total No of Assessment Reports completed
|
No of Assessment Reports completed within the timeline
|
|
2024
|
66
|
7
|
|
2025
|
21
|
0
|
|
2026 Q1 - Q2
|
18
|
1
|
The HSE does not report the wait times for individual applications – this is dependent on a number of factors including the complexity of each case and whether multi-disciplinary, single discipline input and/or clinical assessments are required. However, the most recent data for Q2 2026 reports the average duration of the process per report completed nationally was 24.3 months. As this is a national figure, there will be regional variations with some AONs being delivered within a shorter timeframe.
It is very clear that change is needed. There has been progress over the past two years with a noticeable increase nationally in the number of completed applications, albeit with certain localised decreases. Over 5,900 AON reports were completed in 2025 – a 43% increase compared to 2024. 3,043 assessment reports have been completed in the first six months of 2026. This improvement must continue and must be consistent in each Regional Health Area.
Significant legislative and operational work continues to improve the AON process and reduce waiting times. This includes continuation of the Targeted Waitlist Initiative, improved training and guidelines for Assessment Officers and targeted amendment of the Disability (Amendment) Bill to improve efficiency and effectiveness of the Assessment of Need process.
Of course, improving access to services and supports in the wider disability sector remains a priority. Supports can and do continue through Primary Care, Children’s Disability Services Teams, and CAMHs. Children do not need an Assessment of Need to access any of these services, nor does having an AON speed up access to services. Families can access and apply for services directly through the HSE.
The HSE continues actions to address the wider issue of access to services and supports for children with disabilities including:
• The Single Point of Access referral model is being introduced by the HSE and should make it easier for families to be referred to the right service as early as possible.
• The Autism Assessment and Intervention Protocol is being implemented by the HSE and will be the preferred assessment route for autism assessment.
• The creation of eleven new HSE IN-reach teams to support assessment processes, including AON, providing clinical guidance and administrative supports.
It is intended that these improvements to the AON process will result in a noticeable reduction in waiting times for children and their families across the country.
