Rebecca Long Bailey

It is a pleasure to serve under your chairmanship, Mr Stuart. I thank the hon. Member for Bath (Wera Hobhouse) for her fantastic, articulate and passionate speech, and for the work she has done, along with the rest of the all-party parliamentary group, on this very important issue. According to Beat, at least 1.25 million people in the UK—that is one in 50 people—are living with an eating disorder. As we know, eating disorders are complex health conditions that are often misunderstood or undiagnosed, which often prevents people from reaching out for help. Even when somebody is brave enough to reach out for help, or they reach a crisis point that requires intervention, they often struggle through a complex and underfunded system that does not provide the comprehensive help they need. As we heard, in January the eating disorders all-party parliamentary group published a stark report that stated that NHS admissions for eating disorders exceeded 30,000 for the first time in 2023-24, that eating disorder services have become worse rather than better over the past few years, and that some NHS trusts are discharging patients with a body mass index of less than 15 and even as low as 11.1. The most recent report from Beat, “There’s No Place Like Home”, found that, worse still, only one in seven NHS areas in the UK provides the recommended level of intense community and day treatment for children, young people and adults, with 6% offering that for children and young people only and 10% offering it for adults only. Those are staggering statistics but, as we know, behind them lie the real human stories, which highlight the inadequacies of the system as it stands and the heartbreak that the individuals and their families go through. Over the years I have dealt with a number of cases. A few years ago there was a particularly harrowing case of a teenage girl whose weight had dropped so low that she was in a life-threatening crisis a number of times, but nearly every time she needed hospital admission her family were informed that no specialist beds were available. In one instance, she was offered a bed on a general paediatric ward, where staff were not trained in dealing with eating disorders. She was put on a refeeding plan, but because there were no specialist staff, she did not eat anything significant and her weight dropped even further. In another instance she was offered a bed on an adult psychiatric ward, which is a frightening place for any teenager, and in another the family were told that there were simply no beds available and that if they were really worried about her, they should just go straight to A&E. The situation has not improved in recent years. I have a story similar to the one we heard from the hon. Member for Horsham (John Milne). A local resident in Greater Manchester is in a state of crisis, but the only available bed they have been offered is in Glasgow, away from their family support system, which is essential to their long-term recovery. The Royal College of Psychiatrists is clear on the causes of the crisis. It says: “Services are struggling to manage demand partially due to chronic staff shortages, historic underfunding and a lack of resources. They must be provided with additional funding so that they can meet the needs of patients and carers both now and in the future.” It is certainly welcome that the Government have recently responded positively to the reports by the APPG and Beat, but I would be grateful for more clarification from the Minister on a number of recommendations—namely, on implementing a national strategy, which we heard about from the hon. Member for Bath; on additional funding for eating disorder services to address demand; on a confidential inquiry into all eating disorder deaths; and on non-executive director oversight for adult and children’s eating disorder services.