Eating Disorders Awareness Week

Tim Farron Excerpts

Wednesday 27th February 2019 Westminster Hall

[Tim Farron (Westmorland and Lonsdale) (LD)]

It is a pleasure to serve under your chairmanship, Mr Bailey. I, too, pay tribute to the hon. Member for Angus (Kirstene Hair), who secured this debate and made an excellent speech, and to the other colleagues who have contributed to it so far.

Without doubt, eating disorders have acquired a greater profile in recent years, and there are two things that are apparent and that we can learn from. One is that, as a society, we are better at talking about these things, and organisations such as Beat, which has already been mentioned, do outstanding work in making people feel that the stigma around these issues is something that we, as a society, need to get over, and therefore people will feel more comfortable about coming forward, which is good.

The second lesson that we might learn is that we are a society that, for some of the reasons that have already been mentioned, increasingly breeds poor mental health. So, I will focus my remarks on the support—or lack of it—for young people living with mental health conditions and particularly for those with eating disorders in my constituency of Westmorland and Lonsdale.

Very often, it is the parents who come to me first. Parents come to me with two clear emotions: one is terror; and the other is guilt. It is absolutely essential that we are clear to people with eating disorders, and indeed to those who love and support them, that there is absolutely no need for guilt; there is no blame attached whatever. Likewise, we need to tackle the fear and the terror, which often stem from a lack of understanding or an absence of hope as to where to go next, by showing that there are things that we can do to help.

In my constituency, we estimate that three quarters of young people with eating disorders were not seen within the target time of one month, and that 100% of those with an urgent need were not seen within the target time of two weeks. That is not acceptable, but what is even more terrifying is that the numbers involved are ludicrous. In the year up to August 2018, a grand total of 13 young people in South Lakeland were registered as living with eating disorders, which is baloney: we all know that that is not true. I would comfortably say that the real number is 10 times higher. In my office, we deal with at least one new case of an eating disorder every single week. So what is happening, such that our young people with eating disorders are falling through the gaps? We need to look at a whole range of things, but I especially ask the Minister to investigate personally why this is happening, particularly in South Lakeland but—I suspect—around the country as well.

One GP got in touch with me about this issue. I will not name her, but she was very keen for me to share her experience with everyone here in Westminster Hall and everyone who is listening. She did not have any training at all in mental health while she was gaining her qualifications, but she has sought to bring herself up to speed on it in her job. She is a general practitioner. She does her best to help young people and indeed people of all ages presenting with mental health conditions, but she feeds people into the system, or refers people into it, and there is no triage.

There is no general triage once a young person has been referred for help: “Does this person have anxiety?”; “Does this person have an eating disorder?”; or, “Does this person have some other condition?” That person could be referred to the wrong silo and then sit there for months, undiagnosed or misdiagnosed. I am sure that is one window into why such pitifully low numbers of people are being diagnosed, against the backdrop of what I think are many hundreds of people living with a condition who are left in desperation and not even getting the beginnings of the support that they desperately need. We are failing to catch our children and our young people when they are at their most vulnerable, so how can we then go and help them?

Anorexia nervosa has the highest mortality rate of any psychiatric disorder in adolescence. The consequences for someone of not getting the right treatment are absolutely huge and extremely serious. However, even those who are diagnosed—this goes for younger people and for adults—may not get the help that they need. Colleagues have already referred to the fact that people will have experience—I have, with constituents of mine—of being told, “Frankly, you’re not thin enough yet. Come back when you are. You are not manifesting physical conditions to back up your mental health condition, therefore come back later on.”

Would somebody who had been fortunate enough to have been diagnosed with cancer at stage 1 be told, “Clear off till you’ve got stage 4. Come back when you’re at death’s door”? Come off it, but that is how we treat people with mental health conditions and in particular people living with eating disorders. There are people with eating disorders—I can think of some who I know myself—who may have experienced no appreciable or noticeable weight loss. They still have an eating disorder, which needs to be tackled, and tackled quickly.

In Cumbria, three years ago—to the week—we were promised a specialist one-to-one eating disorder service for young people. Three years on, it still does not exist. That is why so many people will be cynical about promises made at this time of year at events such as this. We want to see real delivery for all of our young people in every part of the country.

Finally, the Government—rightly—emphasised preventive care in the NHS long-term plan just a few weeks ago. However, just a few days before Christmas they had sneaked out the funding cuts for public health, which is genuinely preventive care. Those cuts included a £500,000 cut in preventive health care in Cumbria. At the moment in Cumbria, we spend 75p per child on preventive health care. If we want to support those people who may struggle with eating disorders in the future, it is vital that we invest early and invest now. That will be not only more efficient and more effective, but far, far kinder.