Health: Eating Disorders

Debate between Baroness Bull and Baroness Blackwood of North Oxford

Tuesday 7th January 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

My noble friend is right that schools are important if we are to deliver on our commitment to the earlier diagnosis and prevention of mental ill-health, particularly in the area of eating disorders. We are introducing new school and college-based mental health support teams, the first of which are now becoming operational. We are also piloting four-week waiting times in 12 areas to improve access to children’s and young people’s specialist mental health services, which link to those schools, and we will evaluate performance on that.

[Baroness Bull (CB)]

My Lords, can the Minister confirm that in addressing the rise in eating disorders, sufficient consideration will be given to the intersection with the anti-obesity agenda? Measures to tackle child- hood obesity such as calorie counting or compensatory exercise are also symptoms of eating disorders, the very behaviours that treatment seeks to address. Many patients report that their illness started as a result of weight-related teasing, healthy eating advice or being praised for dramatic weight loss. Does the Minister agree that the solutions for eating disorders and obesity need to be considered in parallel to avoid the risk of one impacting negatively on the other?

[Baroness Blackwood of North Oxford]

Obviously we cannot ignore the obesity challenges that we face in this nation, and it is right that we take strong action to address them. But we recognise that this must be done in a sensitive way that also takes into account the potential consequences for those with eating disorders. We must strike a careful balance between informing and educating people about healthier choices and not negatively impacting on those with eating disorders, those in recovery from eating disorders or those who have the potential to develop them.

Mental Health: Weight and Shape-related Bullying

Debate between Baroness Bull and Baroness Blackwood of North Oxford

Monday 22nd July 2019 Lords Chamber

[Baroness Bull]

To ask Her Majesty’s Government what assessment they have made of the impact of weight- and shape-related bullying, criticism and teasing on long-term mental health.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Baroness Blackwood of North Oxford) (Con)]

My Lords, bullying in all its forms can have a serious effect on mental health. Children who are exposed to frequent, persistent bullying are at a higher risk of developing mental health problems; exposure to bullying is also associated with elevated rates of anxiety, depression, self-harm and suicidal thoughts, which can last into adulthood. The Government are providing more than £2.8 million of funding up to 2020 to support schools in tackling bullying.

[Baroness Bull (CB)]

My Lords, weight-related teasing is a form of weight bias, the consequences of which can include depression, anxiety, low self-esteem, substance abuse, eating disorders, obesity and suicidality. Weight bias is on the increase and is prevalent across the population. Research shows that even health professionals are not immune to negative stereotypes that connect character and capability with weight. Is the Minister confident that adequate social policies are in place to address and reduce the incidence of weight bias? Does she believe that there is sufficient provision in the law to protect all of us, young and old, from discrimination on the basis of size and shape?

[Baroness Blackwood of North Oxford]

The noble Baroness has a record of raising this important issue. The Government recognise that poor body image is not only a common problem but is associated with mental ill health. Approximately 70% of adolescent girls and 45% of adolescent boys want to change their body, weight or shape. As she rightly points out, in the most extreme cases, that can lead to eating disorders, depression or even feeling suicidal. The Government have delivered a broad programme of body image work over the past six years. We believe that more work can be done but we are working hard to make sure that we expand our eating disorder community care work for children and young people over the next few years. I welcome continuing the debate to see what more can be done.

Childhood Obesity

Debate between Baroness Bull and Baroness Blackwood of North Oxford

Monday 15th July 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

We should all be incredibly proud of the sporting achievements over this weekend; we should not hesitate to do whatever we can to promote them throughout our schools and make the most of the moment. The noble Lord is absolutely right that regular physical activity has been linked not only to improved physical health but to improved mental health and academic achievement. That is why the Chief Medical Officer has recommended 60 minutes of physical activity every day. We know that only one in five achieve this; that is why the money from the sugar levy is going into schools activity. But we have more to do. We have announced the national plan and now need to implement that effectively, and I hope that the noble Lord will hold us up to the mark in delivering it.

[Baroness Bull (CB)]

My Lords, notwithstanding the importance of anti-obesity guidance in supporting the long-term health of the general population, is the Minister aware of the concerns of eating disorder specialists about its unintended consequences on those for whom “Eat less, exercise more” is not an appropriate message? Clinicians are reporting an increasing number of young people citing anti-obesity guidance to justify excessive behaviours in exercise and diet restriction. Does she agree that, while anti-obesity policy is vital, it needs to be sufficiently nuanced that it does not cause unintended collateral damage to these vulnerable groups?

[Baroness Blackwood of North Oxford]

The noble Baroness presents a sensitive and sophisticated point: the whole point of the obesity message is that children should be eating a healthy, balanced diet and exercising in an appropriate way.

Mental Health: Eating Disorders

Debate between Baroness Bull and Baroness Blackwood of North Oxford

Monday 25th February 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

I am grateful to the noble Baroness, Lady Thornton, for raising the issue of ensuring that we improve services across the country and do not have a postcode lottery. Since July, NHS England has opened up 126 beds for children and young people in areas of the greatest geographical challenge to ensure that we can address exactly that problem.

[Baroness Bull (CB)]

My Lords—

--- Later in debate ---

[Baroness Bull]

I thank the noble Lord for giving way. While access to treatment is vital, I hope the Minister will agree that it is equally important to address modifiable risk factors for eating disorders. There is good evidence that weight-related bullying, teasing and criticism increase the risk of eating disorders, and young people studying physical subjects such as dance or sport are particularly vulnerable to inappropriate comments from teachers and coaches. The Minister will be aware that size is not a protected characteristic under the Equality Act 2010. Given this, can she confirm that guidance is available to support teachers who are dealing with young people in using language that avoids triggering long-term issues around eating and body image?

[Baroness Blackwood of North Oxford]

The noble Baroness is absolutely right. It is very important we send the right messages to young people at exactly the right time. That is why we are implementing the children and young people’s Green Paper on the basis that early intervention and prevention are the priority in mental health. In December 2018, we announced 25 trailblazer sites that will provide school and college-based services to help children and young people with mild to moderate mental health issues, staffed by a new workforce. Twelve of these trailblazer areas will pilot a new waiting time standard for children and young people’s mental health services. This is to address exactly the issue that the noble Baroness raised.