Christmas Adjournment

Eric Joyce Excerpts

Thursday 19th December 2013 Commons Chamber

[Eric Joyce (Falkirk) (Ind)]

I want briefly to talk about eating disorders, a subject that I have become aware of in detail recently and which deserves a lot more time. I have done a wee bit of research, and although it might have been discussed at length in this place, I do not know that it has, so I think it deserves more time. I will briefly mention it now, and then perhaps go away, do a bit more research and come back to speak about it in the new year. It would not do for a Member to speak about something they did not know much about, would it? That would never happen.

[Jeremy Corbyn (Islington North) (Lab)]

It happens every day.

[Eric Joyce]

No way. I cannot believe that level of cynicism, to be perfectly honest. We all research our subjects well before speaking.

I recently became aware of several such cases in the UK, including in the English health system—I am not simply talking about my own constituency, in Scotland, where this is a devolved issue. The number of young people suffering from eating disorders, particularly anorexia, has grown considerably. They tend to be in their early teens and they tend to be girls, although not always. It becomes obvious to parents when their child loses a substantial amount of weight, which can happen quickly, and there are various patterns that are easily observed. In the first few stages, it will sometimes seem that the child is trying to lose weight, perhaps to fit into a dress, because of fashion imperatives or whatever. Some weight is lost quite quickly, and the parents will be watching, but not necessarily thinking it a medical issue.

Then it continues. Over a brief period of perhaps three or four months, I child can lose 25% of their body weight. A child who is, say, 8 stone or 8 stone 2 lbs can drop below 6 stone very quickly before the parents have grasped what is going on. Then, they will alert their local GP, who might, or might not, be completely switched on to the subject, and in due course, they might, or might not, get a referral to local services dealing with that kind of thing. The hon. Member for Southend West (Mr Amess) briefly referred to mental health services in his area. The configuration of those services is pretty much the same in most areas, as far as I can see, although they operate slightly differently in Scotland.

By the time it gets to the NHS, the problem will usually be quite advanced. Often, if the child continues to refuse to eat, they will be admitted to accident and emergency in a period of weeks because their vital organs will be starting to fail, and they will be going slightly mad—that is my non-clinical term. The essence of it is that once a child gets to that stage, it is very hard and takes a long time for them to recover, because people have to persuade them of the common sense of eating—that it is good for them, that they should treat food like they would medicine. It will take years and years to get that child back on track, if ever they do get back on track, so it is essential that the disorder is identified earlier.

It is clear from reading papers by excellent organisations such as Beat that there is a gap in provision. Beat is an organisation that works on this issue, and I urge Members to google it and look at its website. The gap in provision is no one’s fault, as such; it is simply that the NHS, despite a considerable increase in funding over the past 10 or 12 years, is hard pressed. It works its budget hard, but by the time people approach the local services for those with eating disorders, they do not have the resources.

This is a subject that should concern everyone in this place. Having spoken to a lot of people about this, I have noticed that if someone has a child heading towards being admitted to A and E, their best chance is to put them in a private hospital using private resources. There is a clear pattern. The NHS will do what it can, but if someone can afford private health care, the child will stand a much better chance. This is not just about jumping the queue or opting for minor elective surgery; it is about life and death—some 20% of sufferers actually die—and the well-being of young men and women over many years. If a parent can beg, borrow or steal the cash, my advice, unquestionably, would be to use private provision.

We should all be sitting up and paying attention to that, because it is clear that the relevant services in the NHS are overwhelmed. Hon. Members might have a few cases, but my instinct is that we will all have more of them in the relatively near future, because it is a growth area. People are still not terribly sure what eating disorders are, but I can assure hon. Members, from the cases I have looked at, that they are devastating for those involved, and it is clear—this is what worries me most—that private provision is people’s best chance. The NHS should look carefully at how it resources its relevant mental health services for eating disorders.

I will stop there, Mr Deputy Speaker, except to wish you and every Member of the House a wild and crazy, or quiet and pleasant, Christmas.