Eating Disorders

Jim Shannon Excerpts

Tuesday 16th October 2018 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Member for Bath (Wera Hobhouse) on securing the debate and on the compassionate way she introduced it. She clearly cares, and I thank her for that.

I have been involved with this subject with some of my constituents, and I want to talk about two examples. One was not successful, and one was—I use that term loosely. I am my party’s health spokesperson, and I have been directly involved in those two cases. I have knowledge of them, so I want to comment on them.

An estimated 360 adults and 90 children are referred to specialist community eating disorder services each year in Northern Ireland. Those truly monumental and horrendous figures indicate the health problem. The figures for the past five years have increased by 92%, which indicates that we need to focus on this issue through the Department of Health and Social Care. I look to the Minister to make a suitable response that will give us heart.

[Mr Gregory Campbell (East Londonderry) (DUP)]

Does my hon. Friend agree that the startling increase in the past five to 10 years indicates that we need even more research about the underlying reasons for the problem, so we can assess it? We must not have a superficial response to it.

[Jim Shannon]

I thank my hon. Friend and colleague for his intervention. He is absolutely right: we do need to raise awareness, and I think this debate will do that. We also need to raise awareness within health services so that they can give the correct diagnoses earlier for such conditions.

I will give some examples, if I may. During my research for the debate, I was distraught to learn that a young lady from Ballynahinch, whose family are from Killyleagh in my constituency, lost her fight against her eating disorder: in March, she died of a heart attack at age 21. She had been struggling with the eating disorder since 2009—that is horrendous. I will share her mum’s interpretation of it, which I read in an article that she wrote for the Belfast Telegraph; it outlined the problems with treatment in Northern Ireland. I know that that is not the Minister’s responsibility, but I just want to show that our problems are similar to those on the mainland—I do not think location matters much; problems are replicated across Northern Ireland, Scotland, Wales and England.

In the Belfast Telegraph article, we read that beautiful Sophie Bridges was 14 when she was referred to the NHS children and adolescent mental health service. The words of her mother are clear:

“Absolutely pathetic. It’s no reflection on anybody who works there, they try their best, but she was discharged on her 16th birthday. She was no better, she was just above the age for their service. She was still too young, though, for the adult service and had nowhere to go.”

That is one of the problems: moving from child to adult services. My examples will illustrate that very clearly.

[David Simpson (Upper Bann) (DUP)]

I am sorry that I came late to this debate. Does my hon. Friend agree that when we talk about early intervention, we are talking about young people? Schools and social media have a responsibility, as they can be such cruel places for young people who feel that they are not perfect and are forced down the route of eating disorders. More needs to be done in that regard.

[Jim Shannon]

I thank my hon. Friend for his intervention. He is absolutely right: social media have a lot to answer for in many respects, but especially on this issue.

In the Belfast Telegraph article, Mrs Bridges went on to say:

“We just had to deal with it at home. We felt there was only a focus on her physical health, there was absolutely no psychological service.”

We need early diagnoses to ensure that we can deal with the physical—yes—but also the psychological, because that is such a key factor. Sophie spent the first half of 2017 as a hospital patient in a mental health unit. Mrs Bridges said:

“They did their best, but the provision just isn’t there. There are just so many different issues in one unit. There are girls like Sophie in the same ward as elderly people with dementia and others with schizophrenia.”

We can see right away where the problems are. Those problems are not unique to Northern Ireland, but are replicated across the United Kingdom. It is clear that we are letting down people who need help and attention that could make a life-saving difference. That was just one example of a young girl who very tragically lost her life, and our thoughts are with her family—her parents, in particular.

Another example is that of one of my other constituents, whose mum and dad I knew quite well. They were both in the police service, and I knew them when I was a councillor and a Member of the Assembly, long before I came to this place in 2010. Their daughter, whose name I will not mention, had anorexia that was so extreme, as I was telling my hon. Friend the Member for East Londonderry (Mr Campbell), that I spoke to Edwin Poots, the then Northern Ireland Minister for Health, and explained the case to him.

We do not have the self-referrals that the hon. Member for Angus (Kirstene Hair) referred to; patients have to be referred by the Department of Health. I asked Edwin to look at the case because the young girl was very close to death. He referred her to St Thomas’ Hospital, just across Westminster bridge, where they were able to help her; I met her and her parents in the House back in 2010 or 2011. The fact of the matter is that the treatment she got—let us give the NHS some credit for its work—saved her life and turned her around. She is now married and has two children. For her, her parents and her family, that is good news.

Despite our best efforts at addressing nutrition in classrooms and through soaps and other TV programmes, the Eating Disorders Association NI said that the eating disorders most commonly seen in young people under 18 are becoming more common among children between the ages of eight and 14. Let us not underestimate just how early eating disorders can start and how that affects people; the hon. Member for Bath mentioned that in her introduction. Eating disorders in children are becoming more common within that age group, and research shows that boys are at as high a risk as girls. I will share some of the figures on that in a moment.

The society that we live in fixates on skinny living, which is a misguided approach to healthy living. At one stage, I weighed almost 18 stone and risked developing diabetes. I turned the situation around by reducing my weight, which I will hopefully keep down. I did that and stopped once my goal had been achieved. What about people who cannot stop?

Comments in programmes such as “Keeping Up with the Kardashians”—I do not watch it and could not say who any of the Kardashians are or where they are from, but my parliamentary aide does watch it, much to her shame, which she will not mind me saying—fixate on looking skinny; in one clip, being called “anorexic” is even a compliment. That must be addressed.

In fairness, the apology from the Kardashians is wonderful, and they should be commended for realising that their comments came across in an unhealthy way, but the words cannot be withdrawn: young women who want to be more like the Kardashians, who seem to have it all, have already been impacted. I am not saying that we should have censorship, but we must have the common sense to address and not worsen our eating disorder problems. My hon. Friend the Member for Upper Bann (David Simpson) referred to social media, which have a lot to answer for. They set trends and create peer pressure. Sometimes, I wonder whether some of society’s problems—not all, but some—are caused by social media.

Many of us have referred to raising awareness, and the health service ombudsman has also recommended measures to increase awareness of eating disorders among healthcare staff, who have to know what the tell-tale signs are to support early diagnosis. Maybe the Minister can give us an indication of what he can do on that.

I look at my own beautiful granddaughters and sincerely believe that they are perfect. The thought of their view of themselves being shaped by others is frightening. They are young girls—only nine and four—but for some eight-year-olds, eating disorders have already taken hold, so let us address the issue at the earliest opportunity. We must take steps to ensure that the difference between skinny and healthy is taught from a young age.

I have some figures here that indicate the magnitude of eating disorders. Some 725,000 people in the UK are affected. At the time I found the figures, 90% of those affected were female, but the latest figures indicate that 25% of those affected are male. While it is very much an issue for young girls—they make up the cases I am aware of in my constituency—we also have to recognise that there are young men out there with the same problems. Young men are becoming as likely as young women to suffer from an eating disorder, and we must ensure that the message is sent that this is not a teenage girls’ disorder. It affects men and women, old and young, rich and poor. The disorder is life-threatening and we must do more to address it. We must provide more help to beat it and keep beating it every day of sufferers’ lives.