Eating Disorders: Prevention of Deaths

Wera Hobhouse Excerpts

Tuesday 2nd September 2025 Westminster Hall

[Wera Hobhouse (Bath) (LD)]

I have been the chair of the eating disorders all-party parliamentary group for six years and, frustratingly, things have become worse, not better. We set up the APPG six years ago to make eating disorder services better. I had hoped this Government would finally confront the crisis in eating disorder services after years of Conservative neglect, but in the entire 10-year health plan eating disorders were not mentioned once—not a single word. Other mental health disorders were rightly highlighted, but the one with the highest mortality rate was overlooked.

Screening data from England shows that the proportion of adults with a likely eating disorder rose from around 6% in 2007 to 16% in 2019. This is a national emergency hiding in plain sight. In the APPG’s most recent report, “The Right to Health”, we highlighted significant barriers to accessing treatment: insufficient training for healthcare providers, fragmented care pathways and a lack of standardised data for research.

Each death caused by an eating disorder must read like one, yet death certificates routinely list organ failure, cardiac arrest and other conditions rather than the disorder that primarily contributed to the person’s death. By masking the true cause, we underestimate the scale of the crisis and fail to target lifesaving resources.

In the debate here in April on eating disorder awareness, the Minister for Care said that he did care. I hope that this is the one thing that the Minister will look at.

--- Later in debate ---

[Stephen Kinnock]

I agree that Healthwatch did some important work, but what we are doing is changing the culture of how our NHS works. As the hon. Gentleman will have seen, we are abolishing NHS England. That is of a piece with our belief that proper leadership, proper accountability and proper management of a complex system such as our NHS, and particularly its interaction with ICBs and trusts, is about having a clear line of accountability from the Secretary of State through Ministers into the system and those operating at the coalface. We believe that if more layers are put between, and cut across, those lines of accountability, that does not actually drive better outcomes—it drives poorer performance. That is the approach we are taking to the entire system.

[Wera Hobhouse]

As I said, I have been the chair of the APPG for six years, and nothing has changed and got better. I really trust that this Government will make a difference—I hope they will. This is about culture change, but eating disorders are a very complex illness. The APPG has therefore called repeatedly for a dedicated strategy on eating disorders. Will the Minister please look at that?

[Stephen Kinnock]

I will come on to talk about the guidance that is being produced. There is a risk that we can end up with a proliferation of documents, strategies and plans. Our view is that the more streamlined we are and the clearer the lines of accountability, the better the performance becomes. We are committed to the guidance, and I will talk a bit about that, but we are not convinced that having strategies alongside guidance, plans and other documents will help the process.

Members here will be well aware of the increase in the prevalence of mental health conditions, including eating disorders, since the pandemic. The increase in demand has placed significant pressure on services, but the extra funding is making a difference. The latest quarterly figures from NHS mental health services monthly statistics show that, between April and June 2025, 3,138 children successfully entered treatment in community eating disorder services. That is the highest figure on record since NHS England began collecting this data in 2021.

At the same time, waiting lists to begin routine eating disorder treatment have shortened by 20% from the year before. NHS England has also commissioned the Royal College of Psychiatrists to carry out a national audit of eating disorders. That audit is collecting data on eating disorders across community and in-patient settings to drive improvements in the identification and treatment of eating disorders. The audit will monitor how services are performing against standards, and highlight any inequalities in access to care. That will help services to provide safe, effective, patient-centred, timely, efficient and equitable care.

In addition to improved services for the treatment of eating disorders, we are also working to tackle their underlying causes. In particular, we are deeply concerned about harmful online content that promotes negative body image, harmful eating behaviours, suicide or self-harm to those who are most vulnerable. The Online Safety Act 2023 has now come into force and delivers on our commitment to make the United Kingdom the safest place to be online. By now, all sites with a significant user base in this country are required to have conducted children’s access and risk assessments, and to follow the new children’s safety codes to prevent them from accessing harmful content, such as promotion of eating disorders. Ofcom now has the ability to investigate or carry out enforcement action against any site that will not abide by those codes.

Hon. Members today have raised the need for early intervention to lower the numbers of hospital admissions from eating disorders. We know that the earlier the treatment is provided, the better the chance of recovery, and we are committed to ensuring that everyone with an eating disorder can access specialist help. As part of our mission to build an NHS that is fit for the future, there is a critical need to shift the treatment of eating disorders from hospital to community, including children’s community eating disorder services, crisis care services and intensive day-hospital or home-treatment services. Improved care in the community will give young people early access to evidence-based treatment involving families and carers, thereby improving outcomes and preventing relapse. By preventing eating disorders from progressing into adulthood, we will build on our aim of raising the healthiest generation of children.

We have also committed to expanding mental health support teams to reach full coverage in England. To date, we have expanded MHSTs to 52% of pupils; they are working hard in schools to support staff and students alike in meeting the mental health needs of children.