Eating Disorders Awareness Week

Wera Hobhouse Excerpts

Thursday 26th February 2026 Westminster Hall

[Wera Hobhouse (Bath) (LD) [R]]

I beg to move,

That this House has considered Eating Disorders Awareness Week 2026.

It is a pleasure to serve with you in the Chair, Ms Vaz. This year, Eating Disorders Awareness Week is centred on the theme of community. Over the past six years, as chair of the eating disorders all-party parliamentary group, I have witnessed the power of community at first hand. Our APPG has grown into a determined group of MPs, campaigners, clinicians, researchers, families and, crucially, people with lived experience. I thank my colleagues across the House who continue to work constructively on this issue. I also pay tribute to Hope Virgo, our tireless secretariat, who has turned lived experience into sustained strategic campaigning. Of course, I also thank Beat, the eating disorder charity, without whose tireless campaigning Eating Disorder Awareness Week would not even come before this Parliament.

Despite the tireless campaigning and the greater awareness of this tragic illness, however, I must confess to deep frustration. Over those six years, things have not improved; they have worsened. The number of children and young people treated for eating disorders has risen by around two fifths since the pandemic. The 2019 health survey for England found that the proportion of adults with a likely eating disorder had risen from about 6% in 2007 to 16% in 2019.

Adults in England wait up to 700 days, almost two years, just to start treatment. Not only are we failing to treat people quickly enough; too often we fail to identify them at all. Of the estimated 360,000 children and young people affected, only about 55,000 were identified by GPs in 2020, and even fewer accessed specialist care. Only a fraction of adults receive a formal diagnosis. That is the devastating reality facing eating disorder sufferers across the country.

Our APPG is therefore calling on the Government to introduce a dedicated national eating disorder strategy. At the last debate on this issue in September, the Minister for Care expressed concern about a “proliferation” of documents and strategies. He said that he was “not convinced” that adding stand-alone strategies alongside guidance and plans would improve outcomes. Eating disorders are among the most complex and deadly mental health conditions. If ever there was a case for a dedicated cross-departmental strategy, this is it. Without a unified strategy, we are left with fragmented guidance and piecemeal reform that fail to match the scale and seriousness of the challenge. I repeat our call today: it is time for a dedicated national eating disorder strategy.

When we think of community, we often think of our friends, neighbours and colleagues, but for many young people, community is no longer primarily physical; it is digital, and the community that they encounter online often reinforces their problems rather than helping them to recover. Platforms are saturated with pro-eating disorder content. That includes misleading nutritional advice and distorted body image ideals. One alarming trend is in so-called recovery accounts: rather than providing helpful advice to sufferers, they often share tips on hiding behaviours from staff or how to minimise meals.

Research by the Centre for Countering Digital Hate reveals something deeply concerning. When researchers created simulated 13-year-old users on YouTube, the platform’s algorithm recommended harmful eating disorder content in one out of every four videos they watched—one in four. But it gets worse: when these harmful videos were reported, nearly three quarters of them were not removed. Even after being flagged, most of this dangerous content stayed online. This is not simply about individual users; it is about algorithms amplifying harm. A single pause on a video can trigger a stream of increasingly harmful material. Even when users block accounts or report content, similar posts rapidly reappear under a new hashtag.

In September, the Minister for Care rightly acknowledged that the Government must address the underlying drivers behind the rise in eating disorders, including the online environment. I welcome that recognition, but I am concerned that he pointed to the Online Safety Act 2023 as an example of how this can be addressed. After the global ban of #SkinnyTok, new hashtags emerged almost immediately, after which the same harmful content was posted. We must focus on the algorithms that amplify harmful content. Through Ofcom, the Government must hold social media giants to account when their platforms repeatedly allow harmful content to circulate. Relying on the victims of such content to report continuously and become the regulators cannot be right.

If there is one lesson that the APPG has learnt over six years, it is that eating disorders are profoundly misunderstood, and that misunderstanding costs lives. Early warning signs are often missed, leaving families to navigate complex and frightening conditions without guidance or support. That lack of training translates directly into delayed recognition, unsafe discharge decisions and prolonged suffering. In 2017, the Parliamentary and Health Service Ombudsman warned of avoidable death and systemic failings in NHS eating disorder services. It called for improved training, better co-ordination and cross-organisational learning. Nine years later, we are still seeing the same failures.

Across England, many of the specialist community eating disorder teams lack a consultant psychiatrist. Vacancy rates for consultant posts remain high. There is guidance available, such as the Royal College of Psychiatrists’ medical emergencies in eating disorders guidance, but it is inconsistently applied. Where training is offered, it is patchy, inconsistent and too often voluntary.

Last year, I was contacted by the family of Ruby Hamill, a young woman with a history of severe anorexia nervosa. While held on remand at HMP New Hall, she collapsed after being unable to eat for almost a month. Despite her known history of anorexia, she received no eating disorder treatment in prison. She was later treated for refeeding syndrome, a life-threatening complication, after being granted humanitarian bail. Thankfully, Ruby survived, but she nearly died in the care of the state due to an absence of clear, mandatory standards and properly trained staff.

Frontline staff need practical, evidence-based training. They must be able to recognise early warning signs and know how to ask sensitive questions, communicate without reinforcing harmful thinking and escalate concerns safely. Proper training saves lives. If we are serious about tackling this crisis, we must equip frontline staff with the skills and knowledge they need to help people effectively.

Training alone, however, is not enough. Even the most skilled professionals cannot protect patients within a system that lacks clear, enforceable standards on timely access to care. For children and young people, there is a waiting time standard—95% of urgent cases seen within one week, and routine cases within four weeks—yet that is not consistently met. For adults, there is no waiting time standard at all. Recent data shows that median waits are 42 days, with some waiting many months, even more than a year, for assessment or treatment. During that time, physical health deteriorates and hospital admissions become more likely.

Access to quality care is a postcode lottery. Only one in six integrated care systems currently provide sufficient intensive community or day treatment for both children and adults. I welcome the commitment to expand intensive community and day services, but we must not allow community care to be a pretext for the erosion of specialist in-patient units. Specialist in-patient services stabilise those who are critically unwell. They offer a range of expertise that community teams cannot always replicate. Yet we do not currently have enough specialist beds for the acute level of need that exists.

At the same time, our research has found some deeply concerning discharge practices. Recent freedom of information requests to all trusts across the UK found that people with eating disorders are often being discharged with a BMI of under 15, and in some cases far lower. I am concerned that we are discharging patients who are medically unsafe simply because beds are scarce. If community and day services are to succeed, they must be properly funded and able to intervene early, so that everyone can receive quality care closer to their home. When people receive timely and evidence-based support, the need for intensive in-patient or day treatment can fall by around a third. That reduces risks for patients and long-term pressures on NHS services.

We cannot solve this crisis by shifting care around the system. We must build capacity across the whole pathway—early intervention, community provision and specialist in-patient care—so that access is determined by need, not postcode.

In October last year, our APPG published a report on preventing deaths related to eating disorders. It made for harrowing reading. Although some areas of the UK showcased pockets of good practice, the evidence is clear that unsafe discharges are still far too common and that the system fails to prevent avoidable deaths. People with anorexia are five to six times more likely to die—through physical complications, or suicide—than the general population.

In many cases, deaths from eating disorders are misrecorded or omitted from death certificates, with death instead being attributed to organ failure or suicide. As a result, we do not even have exact statistics for eating disorder deaths, which means the true scale of the crisis remains unclear. If we cannot even accurately record how many people are dying from these illnesses—these eating disorders—how can we possibly begin to address the scale of the problem?

The APPG has repeatedly called for a confidential inquiry into eating disorder deaths, which would be similar to the inquiries into maternal deaths that already exist, so that patterns can be identified and lessons learned. We know what we need to do. We have a strategy planned and—through the APPG—we have experts who are willing to support this work.

In September last year, I asked for a follow-up on what the Department is doing to ensure that eating disorder deaths are recorded accurately on death certificates. I was promised an update from the Minister for Women’s Health and Mental Health on progress in this area. I waited for weeks. It was only after I raised the matter in the main Chamber that I eventually received a written response, which stated that the issue did not lie with the Department of Health and Social Care but with the Ministry of Justice, and that I would be contacted shortly. Why did it take weeks to give me that information? That was in November, and I am still waiting. I still have not heard from the Ministry of Justice.

I appreciate that Ministers face competing pressures, but this issue is about accurately recording avoidable deaths. It should not require repeated parliamentary interventions for an MP to finally receive an answer to their question. I ask the Minister in Westminster Hall today: when can I expect an answer and when will families receive the transparency they deserve?

In 2020, it was estimated that eating disorders cost the UK £9.4 billion annually. That is just the cost for the NHS. It is not the full cost of what eating disorders cost us as a society, including the cost to life and to family, and the stress caused by someone waiting years and years for treatment, or being finally treated successfully, if they are treated at all.

Between 2015 and 2019, however, research into eating disorders received only around 1% of UK mental health research funding. We are spending billions on managing the consequences of this problem, while investing only a fraction of that amount in understanding the causes and improving treatments. We cannot reduce long-term costs if we continue to under-invest in research. In line with the Government’s focus on early intervention and prevention, the current situation must change.

The eating disorder community is strong, passionate and determined. Our goal is to grow the community beyond those who are already engaged with it, to reach those who do not yet recognise the symptoms, and to engage those who think that eating disorders are “someone else’s issue”, because they are not. No one should be dying of an eating disorder in 2026. No parent should be forced to fight the system while fighting for their child’s life. No person should be told that they are “not ill enough” to deserve care.

We need a dedicated national eating disorder strategy. We need sustained and proportionate research funding. We need mandatory workforce training. We need a waiting time standard for adults. We need accurate death recording and a confidential inquiry into all eating disorder-related deaths. We also need stronger online regulations. We know what needs to change, and the APPG stands ready to work constructively with Ministers to deliver it. There is no time to waste.

--- Later in debate ---

[Dr Scott Arthur (Edinburgh South West) (Lab)]

You will not be surprised to hear that it is a pleasure to serve under you in the Chair, Ms Vaz.

I thank the hon. Member for Bath (Wera Hobhouse) for the way she introduced the debate and for her leadership of the APPG on eating disorders. I join her in thanking Hope Virgo for all the work that she does. In many ways, eating disorders can be a hidden condition—even a secretive condition—but Hope really does give the topic the publicity that otherwise it would not get. Hope has been through a lot, and I would not wish what she has been through on anyone, but we are lucky that she is the campaigner she is.

[Wera Hobhouse]

It is also worth mentioning the many people who have come forward to bravely tell their stories, raise awareness and take away the stigma. We know how much courage it takes to come forward. I want to collectively thank everybody who does that. We need more people to come forward and talk about their experiences, but I thank everybody who has come forward.

[Dr Arthur]

Absolutely. I do not attend the APPG as much as I should, but when I do people tell amazingly personal stories about what has happened to them, not only as survivors but as people who have lost loved ones. It can be very emotional for people, but it is important that we share the stories and experiences. I thank my hon. Friend the Member for Isle of Wight West (Mr Quigley), because he has been a fantastic champion in the House of Commons. I am surprised that he is not here, but I expect he has a good reason. Maybe he is watching.

I want to focus on the role of community. We are trying through the APPG to create a sense of community. We all accept that proper community support is hugely beneficial to those with mental health issues generally. Through my membership of the APPG, and my work as an MP more widely, I have become much better informed about what community looks like for those with eating disorders. The support of a community, whether it be family, friends, school or a support organisation, is a wonderful thing for anyone struggling with their mental health. It is so often the first support network that someone will reach out to, and families and friends are there to catch their loved ones in the most difficult times.

Community care is often the best approach to eating disorder care. Beat’s “There’s No Place Like Home” report highlights the importance of expanding access to intensive community and day treatment for eating disorders. In many cases, it could be a lifeline for those struggling, allowing them to access a support network nearby, rather than being sent to treatment facilities sometimes hundreds of miles from their homes. However, effective community care can seem a long way off when the existing services for eating disorder treatments are so stretched right across the UK.

I want to talk a little bit about Scotland, given that my hon. Friend the Member for Glasgow South West (Dr Ahmed) is the Minister. The crisis in young people’s mental healthcare in Scotland is acute. CAMHS in Scotland are overwhelmed, and constituents contact me every week about their difficulties accessing services. My staff have to tell me to be careful not to raise people’s expectations, because the service is so overwhelmed. I have met staff who work in CAMHS and they are working so hard. I pay absolute tribute to them. They just need more resources.

I spoke to the chief executive of NHS Lothian specifically about the support for people with eating disorders, and she was very frank. She had just come into post and said that she thought the service was at the absolute minimum acceptable level. Perhaps I should not have welcomed that, but I did, because the starting point for fixing a broken system is to accept that it is not working. I welcome the fact that she did not try to gloss over it.

[Wera Hobhouse]

Does the hon. Gentleman agree that another big consideration is the mental health toll on people who work in eating disorder services and know that they cannot provide an adequate service to the many people who suffer? What are we doing for the people who work in these services and who want to do the best they can but simply cannot because of a lack of resources?

[Dr Arthur]

The workforce plan is key to resolving that, although I do not know an area in the NHS that has too many staff and wants to redistribute them. It is a huge challenge and we have to address it. Again, the starting point is to acknowledge that there is an issue and offer staff support where we where we can.

I raised this issue with NHS Lothian’s chief executive because—this was partly me exploiting my position— I had a close family member who had been dealing with an eating disorder. She was given an appointment to meet the service, and I was so frustrated, because it was months and months into the future. I waited patiently— I am a patient person—and my hope built up and up as we got closer to that day, but when we reached it, and my loved one went to the appointment, it was merely an assessment of whether a person needed proper support. I felt completely deflated. Hopefully, people are not still going through that.

In these times of crisis, it is all too often communities and families who are left to step up to provide what care they can. I have met parents in my constituency who are doing their absolute best for their children. I met one woman—another anecdote, I am afraid, Ms Vaz—who told me that her daughter was so weak that she had to phone an ambulance to take her to hospital. When her daughter arrived at the hospital, the medics said she was too weak to be removed from the ambulance and had to treat her there. The nature of the condition can often be secretive and very hidden until it is—hopefully not—too late.

Parents doing their absolute best is not enough, and professional medical help is required. Both the UK Government and the Scottish Government must go further to ensure that treatment is more readily accessible for those who can no longer rely solely on the support of their loved ones—I will come back to that. However, when considering the idea of community around eating disorders, we must also consider the online world and its ability to create a space for more dangerous communities.

Pro-eating disorder content, as referred to by the hon. Member for Bath, exists across the internet, from independent forums to social media sites that we all use daily. Those groups or posts provide “thinspiration” and tips on how someone can starve themselves or make themselves throw up. They glamorise the awful illness that eating disorders are, introducing them to previously well children and young people who might not have considered them, exaggerating conditions and sometimes normalising them.

This became particularly concerning during the pandemic, where we also saw a massive growth in eating disorders among the male population, as many young people were left isolated from their peers, turning to online communities. Instead of support, all too often they found content that damaged their mental health and isolated them further from the people around them. It is hard to understand just how disturbingly common such content is. Figures from April 2025 show that more than a quarter of young people have been exposed to eating disorder content online, which is likely an underestimation. That sits alongside the one third of children who have seen self-harm and suicide content online.

Social media sites are feeding young people this content from a never-ending algorithm, which we also heard about from the hon. Member for Bath. More children are likely to consume the content because of social media and its algorithms. The more they continue to see such content, the more they consume it, and the more they consume it, the more they continue to see it, creating a greater relationship with those harmful online communities.

The proliferation of this content is the result of passivity from tech firms, and in part, their profit motives. One study shows that Meta derives an annual $2 million in profit from pro-eating disorder content on Instagram. With content creating such profits, it is hard to see why social media sites would have ever self-regulated to ensure that content was hidden from children.

I met Meta this week, not to talk explicitly about eating disorders but to talk about the proposed ban on social media for under-16s. I can see that it is something the company feels challenged by, because it is concerned about a loss of income—not from people under 16, but from losing them as users as they move into adulthood. I hope, perhaps blindly, that there is an opportunity to work with those companies to ensure that the ban works properly. I support a ban on under-16s’ access to social media, and I know that my constituents do as well. We must also work with charities in this sector to make sure that the ban works.

I welcome the Online Safety Act and its commitment to ensuring that children see less harmful online content. Many constituents have contacted me since the summer raising concerns about the Act and what it means for their use of the internet as adults—often men, as hon. Members may not be surprised to hear. I understand the wider flaws, which I think were raised by the hon. Member for Bath when she spoke about their impact. While it is not perfect for eating disorders and suicidal ideation content for children and young people, it adds quite a lot of friction and makes it harder for young people to access that content. The Act is not perfect, but it is definitely a step in the right direction, and is a key part of protecting young people and reducing their exposure to harmful content, including eating disorder content and other negative influences.

I have only one more anecdote, you will be glad to hear, Ms Vaz. When I googled content about eating disorders and the Government policy on the train this morning, I was pleased to see Google was good at putting a warning in place, telling me that I might want to phone a particular helpline or contact a particular service to talk about eating disorders if that was why I was googling them. I was impressed by that and it is a good example of how tech companies, while they are quite often the bad guys, can do good stuff in this space as well. We must continue to ensure that communities supporting those with eating disorders are supported by proper medical care where necessary, and do all we can to remove harmful content.

I am sure this is not the first time that the Minister has attended a debate in Westminster Hall, or even in the main Chamber, in which the Government have been asked for a strategy, more staff and greater clarity about what they do. I know that he cares about this subject and that the Government are doing work in this area, but the calls for a strategy make sense because it would help to pin that work together and give us clarity about the next steps. I look forward to hearing the Minister sum up.

[Olly Glover (Didcot and Wantage) (LD)]

It is a pleasure to serve under your chairship, Ms Vaz. I thank my hon. Friend the Member for Bath (Wera Hobhouse) for introducing the debate and for her enormous dedication and hard work on this vital issue over many years.

I would like to talk about the themes that have arisen from constituency cases that my team and I have encountered and supported. The key concern is not the clinical aspects of care but the delay and fragmentation of the ownership of care. Life-threatening conditions can drift. Gaining access to care, support and treatment often involves a Kafkaesque labyrinth of dysfunctional process and procedure, and referrals and re-referrals between a range of teams in the complicated organisation that the NHS is. We need independent specialist assessments, safe interim arrangements, and timely and accountable co-ordination of care.

Some people wait more than eight months for an answer either way regarding whether they are eligible for treatment under the current criteria. That can further compromise their confidence in coming forward and asking for support. It can have a huge personal cost, impacting people’s ability to drive or work, reducing life expectancy and creating long-term medical complications, which add to wider pressures on the NHS. As in other debates that we have about healthcare in this country, this issue highlights an area where, if we get the start of the process right with early, preventive interventions, we will be able to help individuals and alleviate some of the pressure on critical care services.

[Wera Hobhouse]

It is worth mentioning again that if a person with an eating disorder does not get treatment, it takes them three times as long as they have been suffering to recover. If they have suffered from an eating disorder for three years, it takes them nine years to fully recover. We know from other health services that early intervention is key, but it is particularly important for eating disorders because the longer they are left, the much longer the recovery process is. Some people never recover and it is a life sentence.

[Olly Glover]

My hon. Friend again shows her wealth of knowledge and experience of this topic. Some of the cases that my team and I have supported have involved people who have been living with eating disorders for decades. I have also seen cases where the transition from support services for children and young people into those for adults has been managed badly. That is not unique to eating disorders; it is a wider issue in mental health provision.

As we have heard, eating disorders can have a devastating impact. They rob people of years of life, wipe out adolescence, remove educational and social opportunities, and leave many isolated and unable to cope. Eating disorders are one of the deadliest mental health conditions and constitute a significant health crisis. Cases of eating disorders have surged, with hospital admissions doubling in a decade. It is a huge concern, in the face of that crisis, that eating disorder services are being cut in much of the country. Over half of the country’s integrated care boards have cut real-terms spending on children’s eating disorder services in the last financial year.

I am proud of the leadership that parliamentarians such as my hon. Friend the Member for Bath and Baroness Parminter in the other place have shown on this issue, including working with campaign groups such as Dump the Scales. The scandal of people being told that they are “not thin enough” for medical help must end. Far too many people cannot access the services they need.

I welcome recent guidance from NHS England on how to design eating disorder services to support children and young people better, but we need to do more than tinker around the edges with updated guidance. We need a meaningful national strategy to transform these services, with more specialist support, and we need to build a culture across the health service and beyond that recognises the complexities of eating disorders and the terrible dangers they pose.

Lending urgency to that is the fact that the target of 95% of urgent cases receiving treatment within a week, and routine cases receiving it within four weeks, is routinely being missed. From September to November last year, only 78% of urgent referrals and 82% of routine referrals started treatment within the target timeframe. That is why I am very happy to support a wider Liberal Democrat campaign for investment in community health services and prevention, including better specialist support for people with eating disorders. As we heard from my hon. Friend, early intervention can greatly reduce the number of people who are suffering.

We are also campaigning for regular mental health check-ups—the concept of a mental health MOT—at key points in people’s lives when they are most vulnerable to mental ill health. Like others who have spoken, I look forward to hearing the Minister’s response. So many people are suffering, and lots of people are trying to help—that is not the issue. We need to make the overall system work much better, with all its different component parts working towards the goal of supporting people.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health and Social Care (Dr Zubir Ahmed)]

It is an honour and a pleasure to serve under your chairmanship, Ms Vaz. I congratulate the hon. Member for Bath (Wera Hobhouse) on securing today’s debate and raising this important topic—as she always does. I also pay tribute to her for her long-standing advocacy on this topic and for all the work she does in the eating disorders all-party parliamentary group. She is joined today by a number of hon. Members from across the House, who have made thoughtful contributions.

One hon. Member who is conspicuous by his absence—he has already been mentioned, and I informed him in advance that I would mention him too, Ms Vaz—is my hon. Friend the Member for Isle of Wight West (Mr Quigley). He is my friend, and he is conspicuous because of the tireless work he does and the way he advocates for persons with eating disorders. I know that that is born out of personal interest and pain. We miss his presence here today and send him our good wishes from across the House.

It is important that we are having this debate today to note Eating Disorders Awareness Week. This year’s theme rightly places the focus on the power of community, which speaks to a simple but profound truth: no one should face an eating disorder alone. Recovery is not only about clinical treatment, vital though that is; it is also about the networks of support that surround that individual—not only health professionals, but mums, dads, grandparents, siblings, friends, teachers, colleagues and many others.

[Wera Hobhouse]

One of the most harrowing things that we hear again and again when taking evidence in the APPG is how families feel completely abandoned. People have to give up work, often over years, because they are meant to care for someone with a severe condition and they do not have the capacity to do so by themselves. It is only when that condition is finally so bad that the loved one is then readmitted to hospital. That revolving door must end. The human cost to that tragedy—apart from the cost to the NHS—must end. It is absolutely tragic and wrong.

[Dr Ahmed]

I wholeheartedly agree. The Government are committed to ending the revolving door for many conditions—this is an exemplar, in many ways—by joining up care and the streams of information that underpin it. One of our main commitments in our 10-year health plan is to have more joined-up care, to move it from sickness to prevention and to move from hospital into community, where that join-up can happen.

This community can thrive only when it is built on a foundation of timely, effective care. That is why we are focused on reforming eating disorder services so that people can access help when they need it, not after their condition has escalated. That approach underpins the new NHS guidance for children and young people’s eating disorder services, published last month, which is clear that care should be timely, joined up and delivered as close to home as possible.

As many here know, demand for mental health support, including eating disorder services, rose sharply during the pandemic, and the rise has been sustained thereafter. Although services remain under significant pressure, as a result of the additional investment there are some green shoots in system capacity and capability to better meet rising demand and reduce the waits that hon. Members have described.

In December 2025, 83.3% of routine referrals to children and young people’s community eating disorder services and 78.8% of urgent referrals started treatment within four weeks and one week respectively. That is a marked improvement in performance, compared with the situation six months earlier. In June last year, only 72.2% of routine referrals and 63.7% of urgent referrals were seen within four weeks and one week respectively. Although those are encouraging signs, I am under no illusion: too many children and young people are still waiting far too long for support. That is exactly why further reform and delivery are needed.

The Government’s long-term approach to mental health reform is set out in the 10-year health plan, which is clear in its direction. It shifts care from hospital to community, from sickness to prevention and, of course, from analogue to digital, which will be so important when it comes to having joined-up care. I assure hon. Members that those shifts are not abstract principles, but practical changes that are already being embedded. I know that they matter deeply for people living with eating disorders, and the families and loved ones who support them.

But I recognise that plans alone do not deliver care. Delivery depends on people and having the right workforce with the right skills in the right places. That is why, on top of the workforce plan that will come to fruition in late spring or early summer, we are investing in the workforce. We are committed to providing an additional 8,500 new mental health professionals across child and adult mental health services, to cutting waiting times and to ensuring that people access treatment and support earlier than ever before.

We are also working to strengthen skills and capability across the system. NHS England has introduced comprehensive training to ensure that staff across mental and physical health services can recognise eating disorders early and respond safely and effectively. That training supports clinicians working not only in the community but in primary and, crucially, acute care settings, where I used to work. I often saw such patients on my acute general surgical receiving ward rounds. The training includes specialist programmes, including the Royal College of Psychiatrists’ eating disorders credential, expanded access to family-based therapies, cognitive behavioural therapy for eating disorders, and dedicated training on ARFID, which the hon. Member for Sleaford and North Hykeham (Dr Johnson) mentioned. That work is about giving staff the skills, confidence and, crucially, clarity they need to deliver safe, high-quality care and reduce some of the avoidable harm that we have discussed today.

I am pleased to say that funding for children and young people’s eating disorder services has increased significantly, from £46.7 million in 2017-18 to an actual spend of £106.3 million in 2024-25. With that extra funding, we have focused on enhancing the capacity of community eating disorder teams across the country, because we know that timely, effective care leads to better outcomes, supports recovery and helps to prevent conditions escalating to the point at which hospital admission becomes inevitable.

When admission is necessary, stronger community care can reduce length of stay when it is safe. We recognise the concerns that in-patient capacity remains under pressure in some parts of our country. There are reports of individuals being discharged at very low body mass due to bed availability, as the hon. Member for Bath highlighted. Discharge decisions must always be about clinical judgment and patient safety, not capacity constraints. NHS England reassures me and continues to work with providers and integrated care boards to ensure that sufficient specialist provision and safe step-down pathways will be in place.

[Dr Ahmed]

As always, the hon. Lady reads too much into my words. I am a Scot, so for me, spring and summer sometimes mean the same thing—and indeed winter. I can reassure her that there was no subtext to that nuance earlier in my speech. We remain committed and are on track to deliver on the workforce plan.

We recognise concerns, of course, and NHS England is addressing them. Prevention must be central to how we respond to eating disorders, particularly for children and young people. That is why we are also providing £13 million to strengthen the role of mental health support teams in schools and colleges through enhancements, so that concerns about disordered eating and body image can be identified and addressed much earlier. Acting sooner improves outcomes, reduces the need for more intensive treatment later and helps to ensure that our young people get the support they need, at the right time.

We are encouraged by the progress being made, but I am under no illusions. I know that sustained improvement depends on clear, consistent expectations for high-quality care across the whole pathway. That is why, alongside the 10-year health plan, we are developing a modern service framework for severe mental illness, which I can reassure the House will include eating disorders, to help to reduce avoidable harm from them and improve outcomes for persons affected by them. However, to get it right, we need expert input across the system, so my noble Friend Baroness Merron, the Minister responsible for mental health, will be hosting a roundtable discussion with eating disorder charities, clinicians and those with lived experience, to ensure that the modern service framework delivers meaningful improvements for people with eating disorders, with lived experience at the heart of it.

We have spoken, rightly, about online safety issues as they intersect with mental illness and eating disorders. As a parent, I of course remain deeply concerned about the widespread availability online of harmful material promoting eating disorders, suicide and self-harm, which can be far too easily accessed by people, including young people, who may be vulnerable. The UK’s Online Safety Act 2023 makes platforms—including social media, search and pornography services—legally responsible for keeping people, especially children, safe online. All providers must mitigate the risks of illegal harm on their services, and all providers of services likely to be accessed by children must take steps to mitigate their risks to children, especially as regards content related to eating disorders.

[Wera Hobhouse]

The Minister is very generous with his time. I mentioned this issue in my speech and I see it across the board, not just with regard to eating disorders. The Online Safety Act provides that Ofcom can intervene, but only if the content is reported, so we are relying on often very vulnerable people to report something before Ofcom intervenes. That cannot be right. There has to be a stronger emphasis on the social media platforms actually taking down accounts very quickly and, as I have also said, ensuring that they do not just reappear under a different name.

[Dr Ahmed]

The hon. Lady makes a really valid point. She will know, as I do, that the regulation of these platforms in relation to children’s access is a live issue at the heart of Government at the moment. She is right: the current provisions are not strong enough to be adequate safeguards. We do need more proactive intervention from our technology partners. My right hon. Friend the Secretary of State for Science, Innovation and Technology takes that very seriously and is pushing very hard on it in relation to not only harm in this space, but harm in general, for children online.

Ofcom ensures that services uphold these duties, including for smaller online sites. Its small but risky services taskforce has assessed 20 services relating to this harm, over half of which have been at high risk for eating disorder content. I am happy to write to my colleagues in the Department for Science, Innovation and Technology, on the back of this debate, to learn from them what further action specific to eating disorders is coming down the pipeline, and I can relay that information to hon. Members assembled in this Chamber today.

I also share the deep concern about reports of people with eating disorders being offered end-of-life care.

--- Later in debate ---

[Wera Hobhouse]

I thank everybody who contributed to this debate in such a thoughtful way. First and foremost, my thanks go to the tireless campaigners—the people with lived experience and their families, who have shared their stories over so many years, and say to them, “Without you, Eating Disorder Awareness Week would not exist.” Awareness has definitely improved, but I repeat my frustration that even so, the outcomes for many people suffering from this tragic and devastating condition have not improved.

I know this now not-so-new Labour Government have a massive task in front of them to transform the NHS. If their 10-year health plan were to be meaningful at all, everything in it could absolutely be applied to eating disorder services: shifting from crisis treatment to prevention; shifting to community care; shifting to parity of mental and physical health. It is about all those things. If the Government want to show their strategy is working, they can show that through eating disorder services and the improvement of outcomes.

Currently, the tsunami of need is not met by the services that we have, and that needs to shift. Last year, I said I was hopeful that 2025 would be the year in which we changed something. I have not seen that. I will not make that same prediction for 2026, but I will say to the Government, “Please listen very carefully to our call for an eating disorder strategy.” I believe that joined-up thinking would make a real difference and that the Government could show, through the improvement of eating disorder services and final outcomes for those who are affected by this devastating condition, that their plan is working.

The Government must develop a strategy and implement the 10-year health plan for eating disorder services. If we see the outcomes and we can measure them properly, I believe that the Government will be turning a corner for the NHS as a whole.

Question put and agreed to.

Resolved,

That this House has considered Eating Disorders Awareness Week 2026.

Acquired Brain Injury Action Plan

Wera Hobhouse Excerpts

Thursday 4th December 2025 Westminster Hall

[Wera Hobhouse (Bath) (LD)]

It is a pleasure to serve with you in the Chair, Dame Siobhain. I congratulate the right hon. Member for South Holland and The Deepings (Sir John Hayes) on securing this important debate. Every 90 seconds, someone in the UK is admitted to hospital with an acquired brain injury. Participation in sport carries some of the highest risks. This is most evident in children, adolescents and young adults.

The University of Bath was recently named sports university of the year, and we are all very proud in my constituency. It is a national leader in making sports such as rugby safer while preserving the hugely positive health and community benefits of participation. Rugby is at the forefront of developing ways to identify and manage brain injuries and, crucially, to prevent these injuries in the first place.

It is about improving safety without losing what makes sports so valuable, exciting and enjoyable for players and communities. The University of Bath works directly with teams and governing bodies to research, trial and refine new safety protocols, ensuring that evidence rapidly translates into safer play at all levels. One such example is the Activate exercise programme, an evidence-based strategy to cut youth concussions by up to 60%, which has now been adopted internationally.

The University of Bath is also partnering with schools, including Beechen Cliff school in my constituency, to use instrumented mouthguards to monitor head impacts and guide approaches to preventing injuries in young players. I pay special tribute to Headway Bath, which provides specialist relief, cognitive rehabilitation and support to adults who have suffered an acquired brain injury and their families and carers.

[Wendy Chamberlain (North East Fife) (LD)]

My hon. Friend is right to congratulate Headway Bath. These local groups are so important in providing support within our constituencies and are sometimes used by us to signpost people on. I highlight Graham Geddes, who set up Headway North East Fife in my constituency and has been nominated as volunteer of the year. Does my hon. Friend agree that we need to support this vital charity?

[Wera Hobhouse]

I could not agree more with my hon. Friend. I congratulate her branch of Headway on its wonderful work and the award it is about to receive. What would we do without local charities leading the way and, often, guiding us?

In Bath, North East Fife and other constituencies across the country, Headway provides day services throughout the week, online groups and bespoke one-to-one outreach rehabilitation support. That vital support makes a real difference to the lives of sufferers of acquired brain injuries, but I am sure many hon. Members will echo the fact that local Headway charities are under severe financial strain. Seven have closed in the last three years and others are struggling to meet rising demand with shrinking resources.

This debate is a crucial opportunity to ensure that the ABI action plan tackles these challenges. The 2024 report of the Lancet commission on dementia prevention, intervention and care estimates that almost half of dementia cases worldwide could be prevented or delayed if we act on 14 modifiable risk factors. Among them is traumatic brain injury, which alone is estimated to contribute to around 3% of global dementia cases.

As we have mentioned, some high-contact sports, such as rugby and boxing, carry a higher risk of traumatic brain injury, but we must not forget that regular physical activity is one of the most powerful tools we have to protect brain health. Exercise improves memory, supports thinking skills and lowers the risk of dementia through its wider benefits to cardiovascular and metabolic health.

Addressing the full range of modifiable risks such as high blood pressure, smoking, physical inactivity and obesity, alongside reducing exposure to head injury, means we could lower dementia risk for an estimated 27 million people worldwide. Our task now is not to pit exercise against safety, but to balance the risks of head injury with the overwhelming health benefits of sport. Protecting athletes of all ages from avoidable head injury must sit at the heart of that effort.

I echo the call from Alzheimer’s Research UK for dedicated funding from national Government, sport governing bodies and research councils to advance research into the complex relationship between sport, traumatic brain injury and dementia prevention. I hope that the Government listen.

Oral Answers to Questions

Wera Hobhouse Excerpts

Tuesday 25th November 2025 Commons Chamber

[Dr Ahmed]

I thank my hon. Friend for all her tireless work to improve the lives of people living with mental illness and to prevent suicide. The 10-year health plan will build on the work that has already been done to reduce waiting lists, including through an extra £688 million of real-terms investment this year, the hiring of more staff and the expansion of talking therapies for an extra 380,000 patients. In addition, as she will know, the Mental Health Bill, which is in its final parliamentary stages, will modernise legislation and make a significant impact on the lives of those who live with mental illness.

[Wera Hobhouse (Bath) (LD)]

My all-party parliamentary group on eating disorders recently published a report on preventing eating disorder-related death. The report highlighted that eating disorders are not accurately recorded on death certificates. I was promised an update from the Minister for Women’s Health and Mental Health over two months ago, but am yet to receive one. How much longer will I have to wait?

[Dr Ahmed]

I am genuinely sorry that the hon. Lady has not received the reply to which she is entitled. I will look into it myself, take it up with my ministerial colleague, and ensure that a reply is expedited in the fashion in which it should have been in the first place.

Myalgic Encephalomyelitis

Wera Hobhouse Excerpts

Wednesday 19th November 2025 Westminster Hall

[Jo Platt]

I agree, and I recognise every single one of those issues. As chair of the APPG, I hear about the harrowing cases of what people are struggling with on the pathway to healthcare. It is simply not good enough.

[Wera Hobhouse (Bath) (LD)]

I hear from so many constituents that, out of those suffering from any condition, people suffering from ME have the lowest quality of life. Is it not also the case that people simply do not understand what ME is?

[Jo Platt]

I completely agree. As my hon. Friend the Member for Rushcliffe (James Naish) mentioned, there is confusion about what chronic fatigue is and what ME is; there needs to be differentiation and clarification on those conditions. We all understand chronic fatigue, but ME is different. It is not just tiredness; they are complex issues. Many of those who are severely affected cannot even sit upright. They are confined to darkened rooms, often tube-fed, cut off from the world and too often ignored by the very health system that is meant to protect them.

Long covid has only added to that burden. Millions are affected, half of whom meet the criteria for ME. Next Tuesday, Parliament will host the first drop-in session of the Overlapping Illness Alliance, which will raise awareness of ME, long covid and related conditions, and I urge colleagues from across the House to attend.

The Government’s ME delivery plan is a welcome step. NHS e-learning service specifications and small research grants are progress, but they are not enough, particularly for severe ME. The scale of the challenge demands ambition, accountability and strategic investment. We need specialised NHS services for ME, we need urgent support for children whose education is disrupted, and we need co-ordinated action across health, social care, education and employment.

Research is central to progress. DecodeME has shown the brilliance of UK science, but funding remains far too limited. Germany has pledged €500 million to research with the aim of curing ME by the next decade. We need to be just as ambitious, but we must also confront the misinformation and bias on ME that has plagued us for decades. Patients are dying from nutritional failure because there is no commissioned service for severe ME. Some spend hundreds of pounds in hospital on private care without a proper pathway. Lives are at risk now and we cannot wait for long-term provision while patients suffer.

That is why, alongside the APPG, I am calling for the commissioning of specialised NHS services for severe and very severe ME with expertise in nutritional failure, and I would welcome the chance to meet the Government to discuss immediate solutions that can save lives today. Will the Minister commit to improving data collection so that we can better understand risks and create the foundations for effective care? The Government have taken steps in the right direction, but more must be done. As chair of both APPGs, I will continue to work with the community and the Government to do that.

Moles: Histological Testing

Wera Hobhouse Excerpts

Thursday 30th October 2025 Westminster Hall

[Wera Hobhouse (Bath) (LD)]

It is a pleasure to serve with you in the Chair, Ms Jardine. I congratulate the hon. Member for Isle of Wight West (Mr Quigley) on securing this important debate—I call him a friend, because we are working on quite a lot of issues together. He told the courageous story of Zoe, her family and their courageous campaign so beautifully, and made the case that if we detect cancers like this early, we save money across the board, because expensive hospital treatment will be avoided. The cost of detection and testing is a fraction of the cost of treatment.

Stories like Zoe’s are truly heartbreaking. We cannot change what happened to her, but we must learn from it to make sure it is never allowed to happen again. I entirely welcome the call to make it mandatory for all excised moles to be tested, even if they are removed for cosmetic reasons. Performing histological testing on removed moles will help us to diagnose more cancers and, of course, save lives. We will also probably find out more about the extent of cancers that we would not have linked to other severe cancers if we did not do that testing.

Currently, the British Association of Dermatologists recommends that all removed skin lesions be tested, even if they are taken off for purely cosmetic reasons, but there is currently no specific requirement for those tests, despite that advice. The tests are often carried out when moles are removed in a medical setting by the NHS, but we must ensure that private cosmetic clinics also follow the requirement for testing. The introduction of Zoe’s check will ensure that every mole is tested, thereby making sure that early signs of skin cancer are never missed or overlooked and that heartbreaking stories like Zoe’s are never repeated.

Early detection is paramount. Too many people are slipping through the cracks in the system and not being diagnosed until it is too late. Catching cancer early allows it to be tested faster, thereby giving treatments a greater chance of being done quickly and succeeding. We have campaigned across the House for the earlier detection of cancers. I also have a campaign to detect breast cancer early through a better screening programme for younger women, because cancer is on the rise throughout all ages—it is not just an illness of older people.

Cancer is a terrible disease that tears families apart. We Liberal Democrats have long called for more to be done to improve the early detection and treatment of cancer, because we recognise that detecting cancer early and treating it faster is our most powerful weapon against it. It is not only about early detection; what follows it is crucial. Early detection is meaningless unless it is followed by direct treatment very quickly. Early detection and fast treatment go hand in hand.

The Government’s current target is for a patient to have received their first treatment for cancer within 62 days of an urgent cancer referral, but that target has not been met since 2015, leaving many patients waiting with the knowledge of their cancer diagnosis looming over them. The toll on their mental health is enormous. Once we have a diagnosis, treatment must follow fast on its heels. That is why we Liberal Democrats are calling for the target to be made law, so that patients can be confident that they will receive the treatment they urgently need.

Detecting cancer early saves lives, reduces treatment costs and spares families unimaginable pain. Every check, every screening and every test can make the difference by diagnosing a cancer before it spreads. Zoe’s check will help us to do this, and I support it every step of the way.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health and Social Care (Ashley Dalton)]

It is a pleasure to serve under your chairship, Ms Jardine. I thank my hon. Friend the Member for Isle of Wight West (Mr Quigley) for this important debate and all hon. Members who have contributed. I thank my hon. Friend the Member for Neath and Swansea East (Carolyn Harris) for raising the report by the APPG for beauty and wellbeing; I look forward to considering it in the new year. I thank the shadow Minister, the hon. Member for Sleaford and North Hykeham (Dr Johnson), for raising the issues of sun damage and sunbeds. I am exploring options with respect to those issues and will report to Parliament as necessary.

Let me say how sorry I was to hear about the heartbreaking circumstances of Zoe’s story. My sympathies are with her family. I was honoured to meet them and hear their story at first hand earlier this month, and I am glad to see some of them in the Public Gallery today. I commend their campaigning in Zoe’s name.

I would also like to take a moment to acknowledge the personal experience of my hon. Friend the Member for South Norfolk (Ben Goldsborough) with stage 2C malignant melanoma. I commend his courageous efforts to share Zoe’s story alongside his own. From awareness-raising, better regulation and improved diagnostics, all the way through to fundamentally reforming the NHS, we will seize every opportunity to learn from preventable and unnecessary tragedies like Zoe’s, to help to save the lives of others.

The last time that I checked, the petition for Zoe’s law had received almost 40,000 signatures and many more people will have seen Zoe’s story in the news. Just a couple of weeks ago, my right hon. Friend the Prime Minister paid tribute to Zoe’s family for their work. I commend all those who have raised awareness of skin cancers through Zoe’s story, because the faster and earlier that people are diagnosed with skin cancer, the faster they can begin treatment and the more effective that treatment can be.

The Government are taking steps to promote awareness of signs and symptoms through the NHS’s “Help Us Help You” campaigns, which aim to increase knowledge of cancer symptoms and encourage body awareness, helping people to spot symptoms earlier. Let me also take this opportunity to further promote the NHS’s clear and accessible information about how to check moles. That guidance is available to everyone on the NHS website and makes it easier for people to recognise when they should seek medical advice.

Most importantly, however, Zoe’s story demonstrates that even when someone does the right thing and raises concerns with their GP, accurate referrals to cancer services need to be in place. Let me stress that every patient should receive the thorough, compassionate and safe care that they deserve. Our GPs also need support to catch potentially deadly illnesses, including skin cancer, sooner. That is why, as a number of hon. Members mentioned, we recently introduced Jess’s rule, a new patient safety initiative designed to support GPs in making timely diagnoses. In practice, it means that if a patient returns to their GP three times with symptoms that are either worsening or still undiagnosed satisfactorily, GPs are asked to reflect, review and rethink. The aim is to make sure that no warning sign is missed and that every patient receives the attention they deserve.

I want to reassure hon. Members and others that the Government are committed to ensuring the highest standard of patient care by equipping healthcare professionals with the latest best practice clinical guidance. The National Institute for Health and Care Excellence provides evidence-based guidance for the NHS on best practice. NICE has published several guidelines that include recommendations related to the diagnosis, assessment and treatment of skin cancer, including a guideline on referrals for suspected cancer, which was updated in May.

Our commitment to best practice means that histological testing on excised moles is already routine practice in the NHS. There is not NICE guidance for the cosmetic industry, because it is not NHS-funded, but I know that the safety of the cosmetic sector is of significant interest to colleagues. Many Members will no doubt be all too aware of the devastating consequences of a wide range of unsafe cosmetic practices. Since I met Zoe’s family, my office has written to colleagues at the Department for Business and Trade to get a better sense of practice and to explore what it is possible for us to do in this space.

My Department will also consider whether Zoe’s story can be incorporated into action that we are taking to improve the safety of the cosmetic sector as a whole. We are prioritising developing legal restrictions on high-risk cosmetic procedures, to ensure that they can be performed only by suitably qualified and regulated healthcare professionals who are working for providers registered with the Care Quality Commission. Additionally, we will introduce a local authority licensing scheme in England for lower-risk cosmetic procedures. Licensing will enable us to embed rigorous safety training and insurance standards in the sector, and enable action to be taken against practitioners who fail to comply with the requirements. These measures will allow people to be confident that the practitioner they choose to perform their procedure has the skills to do so safely.

It is important to note that for the majority of skin cancer patients, diagnosis and treatment occur in a timely manner. To ensure that we continue to improve our strong performance and survival rates, we are spending £600 million of capital funding this year on diagnostics. That sum includes, for the first time, funding for the automation of histopathology laboratories to improve productivity. Thanks to the hard work of NHS staff, we exceeded the faster diagnosis standard for skin cancer in August, when more than 80% of patients received an all-clear or a cancer diagnosis within 28 days. The 62-day cancer waiting time for skin cancer was 84.9%—the standard is 85%, so it was just shy—and the five-year survival rate for melanoma is now around 92%.

However, we know there is more to be done. In the longer term, as part of our 10-year health plan, we are ensuring that the NHS is able to harness the power of technological innovation to improve the prevention, diagnosis and treatment of all cancers, including skin cancer. By using innovative technologies such as teledermatology, in which a high-resolution photograph is taken of the skin and sent directly to a dermatologist, we are increasing diagnostic productivity and reducing waiting times for skin cancer patients. We will ensure that no one waits longer than they should.

[Wera Hobhouse]

I called for teledermatology on another occasion because it absolutely works. Does the Minister have any figures on how many GPs are using that as the basis of their diagnosis? My husband recently went to our GP and he was still referred to the hospital, so I am not confident that a lot of GPs are making use of it.

[Ashley Dalton]

The majority of those services are provided through community diagnostic centres. I do not have any figures to hand but I am more than happy to write to the hon. Member with whatever figures we have available.

Within those services, we have recently begun testing AI-based platforms to triage patients following referral from primary care. I have seen at first hand how useful AI can be in flagging potentially risky images so that the consultant can prioritise and explore them. I know that my hon. Friend the Member for South Norfolk takes a keen interest in those developments. Further roll-out of AI in the NHS for this purpose will be subject to assessments of clinical effectiveness and cost-effectiveness, which are ongoing, but I can say from first-hand experience that it offers a very exciting opportunity and falls distinctly within our ambition for the shift from analogue to digital.

Although immediate action is essential, we recognise that bold reform is needed if we are to rise to the growing challenge that cancers of all types present. We will publish the national cancer plan in the new year to reduce the number of lives lost to cancer over the next 10 years. We have received over 11,000 responses to our call for evidence from individuals, professionals and organisations, and we are reviewing the submissions from skin cancer partners. Publication has been delayed by about six weeks to ensure that all the responses are properly considered in the plan. Our expansive engagement will allow the national cancer plan to have patients at its heart. The plan will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care.

I thank my hon. Friend the Member for Isle of Wight West again for bringing this important matter to the House, and I thank all Members who have contributed. I am pleased to assure them that we are undertaking immediate actions to learn from Zoe’s story. Combined with our bold reforms to create a health service that is fit for the future, we will reduce the number of lives lost to the biggest killers, including skin cancer.

NHS Workforce Levels: Impact on Cancer Patients

Wera Hobhouse Excerpts

Thursday 23rd October 2025 Westminster Hall

[Several hon. Members rose—]

[Wera Hobhouse (in the Chair)]

I remind all Members that they should bob if they wish to speak. The debate will run until 3.10 pm, and I intend to call the Liberal Democrat spokesperson at 2.38 pm.

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.

Oral Answers to Questions

Wera Hobhouse Excerpts

Tuesday 22nd July 2025 Commons Chamber

[Stephen Kinnock]

The mess we inherited from the previous Government beggars belief, with 14 million adults with an unmet dental need, while for children between five and nine years old, the most common reason for hospital admission was to have their rotten teeth removed. This Government are determined to get NHS dentistry back on its feet. We are targeting the areas most in need, including rural areas, by delivering 700,000 additional urgent dental appointments, and reforming the dental contract. Our consultation is under way, and I encourage my hon. Friend to participate.

[Wera Hobhouse (Bath) (LD)]

I was really disappointed that there was not one mention of eating disorders in the NHS 10-year plan, which is particularly troubling given that some of the proposed measures to reduce obesity may inadvertently harm those affected by eating disorders. When will the Government finally commit to an eating disorder strategy, as recommended by the eating disorders all-party parliamentary group?

[Stephen Kinnock]

This Government are investing an extra £688 million this year to improve access to mental health services. We are transforming our mental health services with 24/7 neighbourhood health centres; I was very pleased last week to visit the centre we are launching in Bethnal Green. I would gently say to the hon. Lady that she is part of the political party that propped up the Tories in government—this lot opposite—which led to some of the desperate situations we see across mental health today.

NHS Funding: South-west

Wera Hobhouse Excerpts

Wednesday 11th June 2025 Westminster Hall

[Wera Hobhouse (Bath) (LD)]

Across Bath, people wait far too long for the NHS care that they urgently need. There are proven ways to bring down waiting times and boost NHS capacity, but they are not always used to their full potential. I recently visited Bath Clinic, an independent sector provider with the infrastructure, staff and capacity to deliver high-quality secondary acute care. Bath Clinic ringfences slots for NHS patients. If the slots are not filled, they simply sit empty. Valuable appointments are wasted while my constituents in Bath linger on waiting lists without any good explanation. I understand that, across England, ICBs are planning to commission between 5% and 20% less activity from private hospitals this year, while the latest data—from March—shows that NHS waiting lists are getting longer.

The longer patients wait, the more complex and costly their care becomes. Using independent sector capacity in the limited way that I have described gets people the treatment that they need when they need it, and helps them to return to work and to their lives. Everyone suffers when those slots are not used. This is not a criticism of the NHS or its dedicated staff. It is a call to make full use of every available resource to support them. The independent sector is not a replacement, but the capacity is there and it could make a real difference. This is also an issue of choice. The NHS constitution enshrines patient choice, so there is no excuse for not offering it.

I have one question for the Minister: can she help me to understand why independent sector healthcare providers are not being used? Services such as Bath Clinic are ready to help and they have capacity that otherwise will simply go to waste.

Oral Answers to Questions

Wera Hobhouse Excerpts

Tuesday 6th May 2025 Commons Chamber

[Wes Streeting]

I am grateful to my hon. Friend for his question, and horrified to hear about his constituent’s experience. This Government will never brush problems under the carpet or pretend that things are better than they are, and I know that for all the progress we have made in the past 10 months, there is still so much more to do. When we publish our 10-year plan for health, we must ensure that quality and safety are at the heart of every patient interaction. My hon. Friend is right about the need for investment. That is why we are investing £26 billion in the NHS and social care, and why it is so disappointing that the Opposition parties voted against it.

[Wera Hobhouse (Bath) (LD)]

On a recent visit to the breast unit of the Royal United hospital in Bath, specialists told me about a red flag system that could help to speed up care. If someone has a red flag symptom, such as a lump or a bleeding nipple, the triage team can book them straight into the breast clinic, rather than waiting to see a GP. Does the Secretary of State support such an approach?

[Wes Streeting]

I thank the hon. Member for her extremely constructive contribution. That is exactly why at the heart of our plans for reform and modernisation, we are placing such an emphasis on digital and technological transformation. We have such rich data about the experiences of our patients, but we are not using it effectively enough. If we use the information more effectively and efficiently, we can spot and identify risk much more proactively, and ensure that people get timely access to urgent care and treatment when they need it.