Written Evidence Apr. 26 2024
Inquiry: Disability employmentFound: And Schomerus, G. (2021) Stigmatization of people with alcohol use disorders: An updated systematic
Written Evidence Apr. 24 2024
Inquiry: Preterm BirthFound: These early interventions are key to supporting longer term outcomes in feeding/eating and drinking
Written Evidence Apr. 24 2024
Inquiry: Preterm BirthFound: continued parental and baby bonding, essential to the ongoing building of the family unit, feeding, eating
Found: Food, diet, nutrition and cancer 3 POSTnote 718 - 23 April 2024 Advice on healthy eating and physical
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to NHS England's web page entitled Diabetes treatment and care programme, whether all eight Type 1 diabetes and disordered eating pilots have been commissioned by their Integrated Care Systems to secure services independently of NHS England pilot scheme funding.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The national approach to funding the establishment of Type 1 Diabetes with Disordered Eating services was delivered in two phases. Initial sites in London, Hampshire, and Dorset received national funding between 2018/19 and 2021/22, before the transition of commissioning responsibility to local systems commenced from April 2023. All three of these services did initially secure local funding, independent of the national pilot scheme. More recently, we understand that the status of these sites to be as follows: London services are partially active across London, with local consideration of ongoing funding and delivery arrangements underway; Hampshire services are active and embedded in wider eating disorder specialist services; and Dorset services have been discontinued. The remaining five newer services have been funded from September 2022, and are nationally funded up to March 2025.
Mentions:
1: Lord Bethell (Con - Excepted Hereditary) Thirdly, we need to build a much stronger focus on healthy eating, making it affordable for all and helping - Speech Link
2: Baroness Boycott (XB - Life peer) What we have not banned, and are in fact encouraging, is kids eating an appalling diet. - Speech Link
3: Lord Londesborough (XB - Excepted Hereditary) over the last three years—a reflection, perhaps, of an increasingly sedentary lifestyle.Neurological disorders - Speech Link
Asked by: Daisy Cooper (Liberal Democrat - St Albans)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has received representations from (a) healthcare professionals, (b) patient advocacy groups and (c) local authorities on discontinuing Type 1 diabetes and disordered eating services.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
My Rt hon. Friend, the Secretary of State for Health and Social Care engages with a range of external stakeholders, including discussions on Type 1 Diabetes with Disordered Eating (T1DE) services. NHS England is working closely with regional and integrated care board (ICB) level teams to ensure that informed decisions are made about the future provision of T1DE services.
Responsibility for the commissioning of T1DE services sits with the ICBs. It is the role of local ICB decision makers to consider the implications of continuing or discontinuing T1DE services, specific to each location, and including the perspectives of healthcare professionals, patient advocacy groups, and local authorities.
Oral Evidence Apr. 16 2024
Inquiry: NHS leadership, performance and patient safetyFound: In significant areas —in maternity care, mental health, avoidable death, sepsis, eating disorders—time
Asked by: Burnett, Alexander (Scottish Conservative and Unionist Party - Aberdeenshire West)
Question
To ask the Scottish Government what (a) discussions it has had regarding and (b) consideration it has given to the use of integrated cognitive behaviour treatment (I-CBTE) for patients with eating disorders and anorexia.
Answered by Todd, Maree - Minister for Social Care, Mental Wellbeing and Sport
The Scottish Government is supporting the NHS to offer the best evidence-based care and treatment to anyone who needs it. Decisions on what the best, and most appropriate, treatment options are for patients are informed by official guidelines, and clinical and professional involvement in someone’s care.
In 2022, the Scottish Intercollegiate Guidelines Network (SIGN), produced for the first time Scottish specific eating disorder treatment guidelines. These guidelines cover referrals, management of medical and mental health risks, choice of treatments and management of transitions. In addition NHS Education Scotland have recently published the updated evidence summary for the treatment of Anorexia Nervosa.
We recognise that anyone who might be suffering with an eating disorder needs to get the help they need, when they need it. We therefore expect mental health services across Scotland to respond rapidly and decisively to the needs of our vulnerable people, particularly those with eating disorders.
Asked by: Burnett, Alexander (Scottish Conservative and Unionist Party - Aberdeenshire West)
Question
To ask the Scottish Government what assessment has been carried out of the number of eating disorder patients who are neurodivergent.
Answered by Todd, Maree - Minister for Social Care, Mental Wellbeing and Sport
The Scottish Government does not collect this data. Individual NHS boards may hold this data locally and are best placed to advise.
We do know that eating disorders can co-occur with neurodevelopmental conditions including autism and ADHD. The draft National Specification for Treatment and Care of Eating Disorders outlines that we would expect services to work jointly with other services to care for anyone with co-occurring considerations.
The Scottish Government also partners with and provides funding to a number of organisations that can support neurodivergent people who are living with an eating disorder. These include the National Autistic Society Scotland, which has published useful guidance and information that can help autistic people who struggle with eating in different ways.