Just 18% of adult adoptees say there is an appropriate range of counselling or therapeutic services, despite 71% having sought help. 60% of adult adoptees feel they lack sufficient information about their early lives and adoption. Wales and Northern Ireland have begun work to improve access to records for adult adoptees, and support plan pilots are underway in parts of England. National guidance on contact with birth families and adoptee reference groups to inform government policy. Reliable support for adult adoptees to access personal records, connect with birth families and secure health treatment without reliance on family medical histories.