Eating Disorder Services: Referrals

Debate between Baroness Parminter and Lord Bethell

Monday 17th May 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, my noble friend puts it extremely well. Young people have been under huge pressure during the pandemic. It is a huge tribute to the young people of Britain that they have borne it so well. I do not have to hand the statistics on waiting lists that she asked for, but I would be glad to write to her with the details. We are recruiting right across the NHS at the moment; it has been an extremely successful recruitment round, and those kinds of recruits will go to services such as those dealing with eating disorders.

[Baroness Parminter (LD) [V]]

My Lords, to return to calorie labelling on menus in restaurants, as raised by the noble Baroness, Lady Bull, there is limited evidence for its efficacy in reducing levels of obesity, but there is clear evidence from the Royal College of Psychiatrists eating disorders faculty—and anecdotal evidence from my daughter and others—that it can be responsible for triggering those with eating disorders. Can the Minister respond to what the noble Baroness, Lady Bull, asked for and confirm that, should the Government introduce this labelling on menus, they will review its impacts not just on reducing levels of obesity but on those suffering from eating disorders?

[Lord Bethell (Con)]

My Lords, the eating habits of the nation have changed considerably in recent years. The amount of food that people eat that has been prepared by others has risen dramatically, and many people have no idea what is in the food they are eating. That is why we have moved to bring in calorie labelling on food that is delivered and in restaurants. I am acutely aware of the concerns of the noble Baronesses, Lady Parminter and Lady Bull. We are committed to engaging with eating disorder charities, Beat and other key stakeholders, and to listening very carefully to their concerns on this.

Health: Eating Disorders

Debate between Baroness Parminter and Lord Bethell

Tuesday 19th January 2021 Lords Chamber

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)]

My Lords, eating disorders are serious, life-threatening conditions, and we are committed to ensuring that people have access to the right support when they need it. We are growing our investment in community healthcare for adults year on year—almost £1 billion extra by 2023—with specific funding to transform adult eating disorder care and, for young people aged 16 to 25, to accelerate provision beyond existing growth and to transform plans.

[Baroness Parminter (LD) [V]]

The NHS health survey suggests that the prevalence of eating disorders is significantly higher than previously assumed, so will the Government commission a national, population-based study to accurately identify the number of people with eating disorders, as the Public Administration and Constitutional Affairs Committee recommended, to inform research and service-level provision?

[Lord Bethell (Con)]

My Lords, the noble Baroness is right: the statistics on eating disorders are shocking. The Mental Health of Children and Young People in England Survey identified 0.4% of 5 to 19-year-olds and 1.6% of girls aged 17 to 19. The NHS Digital Adult Psychiatric Morbidity Survey showed 6.4% of adults displaying signs of an eating disorder. There is the survey by Beat, and I could go on. I do not think it is an issue of surveys; we have to address the underlying statistics with measures that make a difference.

Mental Health Services: Young People

Debate between Baroness Parminter and Lord Bethell

Thursday 24th September 2020 Lords Chamber

[Lord Bethell (Con)]

We are deeply concerned about suicide; any suicide is too many. The noble Lord will be aware that the increased numbers recently are in part due to the recategorisation of suicide among the coroners’ courts. Nonetheless, we take this issue very seriously. The programme to help people identify those who show the markers of suicidal thinking has provided a very important impact on this issue. We are deeply concerned about Covid, and we continue to support suicide charities.

[Baroness Parminter (LD) [V]]

My Lords, calls to the eating disorder charity Beat’s helpline nearly doubled during lockdown, and at the same time fewer children and young people started treatment for eating disorders compared to the previous year. What are the Government doing to ensure sufficient funding for children and young people’s eating disorder services so that young people can access the help they need?

Anti-obesity Strategies

Debate between Baroness Parminter and Lord Bethell

Monday 14th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I completely endorse my noble friend’s views. When it comes to mental health challenges and connections between obesity and mental health, the resources need to be put in place and the sensitivity she speaks of applied. I return to my earlier comments: 87% of the country is involved in this. Not all have mental health issues; some simply need to take responsibility for their weight.

[Baroness Parminter (LD) [V]]

The National Audit Office’s report last week on tackling obesity confirmed that there is limited evidence that calorie labelling in restaurants reduces total calories consumed. How will the success or otherwise of the Government’s proposed calorie labelling in restaurants be evaluated? Will it take into account the potential harm caused, given that the ability to track calories can be highly triggering for those with or vulnerable to developing an eating disorder?

[Lord Bethell (Con)]

My Lords, we are tracking the success of this obesity strategy, although it should be understood that this is generations in the making and may well take a while to work through. I come back to my previous comments: calorie labelling is a very important element of people’s education about the content of their food and often their drinks, including alcoholic drinks. We support that measure as an important part of our strategy.

Psychiatrists

Debate between Baroness Parminter and Lord Bethell

Monday 21st October 2019 Lords Chamber

[Baroness Parminter]

To ask Her Majesty’s Government what steps they are taking to tackle the shortage of psychiatrists in the United Kingdom.

[Lord Bethell (Con)]

Expanding the mental health workforce, including psychiatry consultants, is an important priority for this Government. We are not complacent about the scale of this historic challenge. In particular, we are focused on driving forward work to improve recruitment in psychiatry, including working with the Royal College of Psychiatrists on its excellent Choose Psychiatry campaign. Our NHS interim plan has also set out a wide range of actions that we will take to reduce the number of vacancies and secure the staff we need for the future.

[Baroness Parminter (LD)]

Vacancy rates for psychiatric posts have doubled in the past six years. Eating disorder services are particularly affected, contributing to lengthy waiting times for treatment, which can be life threatening given the mortality rates for anorexia. Will the Government agree to double the number of medical school places over the next 10 years to deliver more psychiatrists and better care for people suffering from eating disorders?

[Lord Bethell]

The Government recognise the issue with recruitment, in particular at the higher, consultant end, where it takes 14 years to train a consultant. There is undoubtedly an issue with filling all those places. The work of the noble Baroness on eating disorders is well known and the Government are very focused on that issue; in fact, we announced in 2014 that we would invest £150 million to expand community-based care for children and young people with eating disorders. Recruitment remains an issue that concerns us and we are focused on responding to it.