Josh Newbury

It is a pleasure to serve with you in the Chair, Sir Desmond. I would like to draw on the time that I spent working at the brilliant Coventry and Warwickshire Partnership trust. That part of my career still has a huge impact on me and what I do in this place. In particular, I would like to focus on T1DE, or type 1 diabetes with disordered eating—a dangerous, often fatal condition that combines the comorbidities of type 1 diabetes with an eating disorder. Sufferers often stop insulin in order to lose weight, often coupled with well-known symptoms of disordered eating, such as obsession with nutritional information, binging and purging, and the use of laxatives. Consequences can be incredibly severe, including bone loss, blindness, amputations and even death. The condition can sometimes be seen as niche, but actually 100,000 people in this country are sufferers of T1DE, including a staggering 40% of women and girls with type 1 diabetes. Because it sits at the intersection of physical and mental health, historically T1DE services just have not existed and many people have been bounced between different consultants. To their credit, the previous Government realised that and set up pilot sites for T1DE services, but, sadly, some of those closed last year. In response to calls from across the House, the Government extended the funding for the remaining pilots by 12 months, but now we once again face their closure in April 2026. I hope the Minister can give us some assurances on that, because T1DE specialist services are a literally matter of life and death for people suffering with this rare eating disorder.