Eating Disorders

Debate between Wera Hobhouse and George Howarth

Tuesday 16th October 2018 Westminster Hall

[Wera Hobhouse]

I will come to that. The lack of proper training is really at the heart of what my hon. Friend describes.

[Mr George Howarth (Knowsley) (Lab)]

I congratulate the hon. Lady on giving us the opportunity to discuss this very serious issue. Does she agree that, in addition to dealing with the problems that are thrown up by having an eating disorder, the difficulty for people in that position and for their families is access to proper services? That varies from place to place, town to town and city to city. Does she believe that we need a more integrated service that is the same everywhere and that provides an effective service for young people—and older people, for that matter—who are in that situation?

[Wera Hobhouse]

I fully agree with the right hon. Gentleman: the services are too patchy, which is why families do not really know what to do. We need to ensure that there is not a postcode lottery—I will come to that later—and that services follow on from each other and are much more holistic and integrated. There is a lot to do.

Funding for eating disorders must be properly ring-fenced, because it is just too easy for trusts to use that money to plug other funding gaps. If we fail to do that, we end up with tragic deaths such as that of Averil Hart, which prompted a Parliamentary and Health Service Ombudsman report. She was completely failed by the system. The report not only called for parity of adult eating disorder services with child and adolescent services, but stated that:

“The General Medical Council (GMC) should conduct a review of training for all junior doctors on eating disorders”.

Research conducted by Dr Agnes Ayton in June 2018 shows that, on average,

“medical students receive less than two hours of teaching on eating disorders”

throughout the entirety of their undergraduate training. Some 20% of medical schools do not include eating disorders in their curriculum at all. Of the medical schools that do include eating disorders in their curriculum, 50% do not include in eating disorders in their examination.

In the end, it comes down to the priority that we and the medical profession place on mental health and its treatment. Making mental health a priority and giving it parity with physical health is more than a slogan; it requires understanding and some new thinking. If somebody breaks their arm, we do not sit around for a year and then put on a cast; we treat the broken arm immediately. We need to act quickly to treat eating disorders and mental health in general. If we wait too long, these illnesses can become severe and entrenched—they can last for many years and often have a massively debilitating effect on sufferers and their families. The earlier the intervention, the more likely it is that sufferers will make a full recovery.

In Bath, we have a not-for-profit social enterprise called Brighter Futures, which is funded by child and adolescent mental health services and which provides special services for children and young people. The 30-plus practitioners do an amazing job, but their funding has been cut in half. Such services are perfect opportunities for early intervention to treat eating disorders, but if they are not properly funded, young people will slip through the cracks. Charities are now trying to fill the gap. The Somerset and Wessex Eating Disorders Association is one such charity—the only charity between Cornwall and Norfolk that works in this field. It is based in Shepton Mallet and sees clients from a wide area: from Somerset to Bath, Bristol and Swindon. People self-refer to the service; they do not need a diagnosis. The association is very much pro-recovery and self-help.

There are people all over the country who do not have any access to such services. There should not be a difference in the level of service that people receive, depending on where they live—we cannot leave this to a postcode lottery. Clearly, we need to do better. It is obvious that services are patchy at best, and that people have to travel much too far for treatment and wait too long to be treated. Others really need help but fall under the threshold for treatment.

It is not the just the Government who should act to tackle eating disorders. The focus of this debate is stigma and how we can reduce it. Each and every one of us can help. Eating disorders are widespread, but they continue to be kept secret by so many sufferers, who fear being judged negatively by others. They see themselves as defective and as not meeting societal standards. They feel disgust and self-loathing about their appearance, eating or purging habits, or they worry that disclosure will result in their difficulties being trivialised. The stigma is perpetuated by general ignorance of what eating disorders are. The first step to challenging stigma is providing better education—it is not only our future doctors and health professionals who need to be better trained, but the general public. A successful strategy to reduce prejudice is for people to come forward and tell their stories. Such stories break the silence and the shame. That is why we so desperately need people such as Lorna and Hope, who are brave enough to come forward. I thank them for being here and telling their stories. Together, we can end the stigma.