Delivering person-centred perioperative care to autistic patients

Autism spectrum disorder (ASD) is a neurodivergent condition that varies widely in severity and presentation (National Autistic Society, 2025). Common traits include difficulty with social cues, repetitive behaviours, a need for routine, and sensory sensitivities (National Autistic Society, 2025). Individuals with ASD may vary significantly in their level of independence, with some requiring extensive support and others being highly self-sufficient (National Autistic Society, 2025). The perioperative experience can be distressing for any patient, but individuals with ASD may face heightened anxiety and stress due to unfamiliar environments, separation from caregivers, and disruptions to their routine (Nelson and Amplo, 2009). These stress-related responses can affect physical wellbeing, leading to increased postoperative pain, prolonged recovery times, and difficulties in managing perioperative care (Bailey, 2010). It is important to recognise that ASD is a protected characteristic under the Equality Act 2010. This means NHS staff have a legal obligation to make reasonable adjustments for autistic patients where needed.  In addition, the Equality Act 2010 includes the ‘Public Sector Equality Duty’, which requires public bodies to actively advance equality of opportunity and eliminate discrimination.  Further strengthening this, the Health and Care Act 2022 introduced a statutory requirement for all CQC-registered providers to ensure their staff members receive appropriate training in learning disability and autism (such as the Oliver McGowan Mandatory Training on Learning Disability and Autism) tailored to the needs of their role.