Eating Disorders Awareness Week

Olivia Blake Excerpts

Tuesday 28th February 2023 Westminster Hall

[Olivia Blake (Sheffield, Hallam) (Lab)]

It is a pleasure to serve under your chairship, Ms Harris. I thank the hon. Member for Bath (Wera Hobhouse) for securing the debate and for all her work on the APPG, which I am proud to be a member of.

I want to start by recognising the amazing work carried out by eating disorder specialist NHS workers and campaigners in my city and around the country, who continue to provide life-saving care and vital early intervention under increasingly difficult circumstances. Recently, I spoke to frontline workers about the situation in Sheffield, and what they reported was extremely concerning. Numbers of referrals are still up, having increased every year since 2015. The South Yorkshire Eating Disorders Association—also known as SYEDA—has a four to five-month waiting list for its services, which it fears is deterring people from seeking help.

The tsunami of eating disorders that health workers warned the Government about during the pandemic is not going away; if anything, it is getting more severe. That is because this crisis is not new. In 2017, the Parliamentary and Health Service Ombudsman for England published a damning report, which concluded that

“NHS eating disorder services are failing patients”.

Yesterday, six years later, the same ombudsman concluded that urgent action is still needed if the Government are to prevent more people from dying—a stark condemnation.

What needs to change? First, services must no longer be forced to choose between investing in early intervention and emergency support. NHS figures show that hospital admissions for people with eating disorders have risen by 84% in the last five years. Meanwhile, more than 8,000 adults are waiting to be seen for therapy—the highest figures since records began. Early intervention is the most effective form of treatment, so it is no surprise that, as it becomes harder to access, the number of critical cases is increasing. Investing in early intervention would be transformative for patients and services.

Next, we must increase training for all healthcare professionals. On average, UK undergraduate medical students receive less than two hours on eating disorders. I welcome the fact that the ombudsman is now encouraging pharmacies to take part in training programmes, as they play a crucial role in preventing more harm.

Finally, we must be consistent in having a fully funded access and waiting time standard for adults seeking help, as we now have for children. We also need a treatment pathway specifically for avoidant/restrictive food intake disorder so that people are not left undiagnosed and untreated. That needs to be commissioned through the NHS.

But we cannot stop there. To truly address the crisis, we need a root-and-branch review of eating disorder provision. We need a holistic approach, with preventive, community-based, tailored support centred around the needs of each individual patient. We need to adopt innovative forms of treatment and to launch well-funded research programmes into the most effective treatment.

This crisis could, and should, be an opportunity to rebuild our approach to how we support and treat the 1.25 million people in the UK who suffer from an eating disorder. I therefore urge the Minister to look at the transformative work groups such as SYEDA are doing to help build an alternative framework for care nationally.

I want to turn now to an issue that has been raised with me and that I have written to the Department about. I have been hearing worrying reports from eating disorder specialists, researchers, medical staff and parents of young people about the rising use of restraints on children with eating disorders in general medical wards by staff with no training in mental health. I have heard harrowing stories of staff having to close the entire ward just for one patient because the use of restraints is so disruptive and distressing. In other cases, I have heard of security guards being brought in to restrain patients because the staff were not trained to provide this sort of care.

The use of restraints and restrictive interventions can have long-term consequences for the health and wellbeing of patients, as well as a negative impact on the staff involved. I have also heard that these interventions have been used far too early and without following guidance, such as that from NICE.

Under section 6 of the Mental Health Units (Use of Force) Act 2018, medical staff are required by law to record the use of restraint in all medical settings, but the Act does not apply to patients being treated for a mental health disorder in general medical settings. I am extremely concerned that that means that we do not know how prevalent the use of restraint is for children currently stuck in a medical ward awaiting a tier 4 bed. I hope the Minister will consider applying the recording requirements that apply to the use of restraints in mental health settings to patients who are currently in non-mental health settings. Will they meet me to discuss this further?

In my city, Sheffield Children’s Hospital has recognised this as an issue and has already started recording restraint, recognising the difference between the services it provides for mental health and non-mental health conditions. That is so important. It is a national scandal waiting to happen that people are being forcibly restrained when it is not needed.