Contribution
It is a pleasure to serve with you in the Chair, Ms Vaz. I thank my hon. Friend the Member for Bath (Wera Hobhouse) for securing this debate and for her dogged campaigning, her tireless work as chair of the APPG on eating disorders and her excellent opening speech.
I welcome Eating Disorders Awareness Week, and the important role that it plays in drawing attention to one of the deadliest and most harrowing conditions. I recognise and draw attention to the eating disorder charity Beat, which offers invaluable support for those with eating disorders, and the carers and healthcare professionals who provide support that, in many cases, can be lifesaving.
Anyone with personal experience of eating disorders will know just how devastating they can be. They rob young people of the formative years of their life, put immense strain on families and carers, and have long-lasting physical and psychological impacts. I was shocked to learn that hospital admissions for eating disorders have doubled in the last decade. A development as stark as that demands robust action and investment. At the same time, over half of the country’s integrated care boards have cut children’s eating disorder services. Children and young people cannot be allowed to slip through the net because of underfunded services.
The National Audit of Eating Disorders found huge disparities in the levels of support available for children compared with adults who have eating disorders. Adult community teams face an 89% higher demand than teams that support children and young people, with adults waiting twice as long for assessment and over 10 times as long for treatment. For a condition that progresses devastatingly quickly, early intervention is crucial.
The Liberal Democrats welcome NHS England’s recent guidance on improving the design of eating disorder services and community-based support, but that support cannot fulfil its potential without investment and a meaningful strategy to tackle the problem. I add the calls of my party to those from the Members who have made excellent speeches in today’s debate.
In Shropshire, I was pleased to see recent improvements in waiting times for children and young people awaiting treatment for eating disorders, with 96% of patients seen within four weeks. That has come from a fairly low standard, so it is a huge improvement, and I congratulate everybody involved. However, a quarter of children and young people referred to mental health services as a whole did not receive contact within the four-week waiting standard, and 19% were not seen within 18 weeks. Those waiting times are unacceptable. Urgent mental health problems are exactly that: urgent. Time is of the essence when tackling an eating disorder, and delays in assessment and treatment carry serious dangers.
I know from constituents who have gone through the process of trying to access treatment for their children just how difficult it can be to get support on time, because services are underfunded, waiting lists are long and resources are stretched. I have heard from parents of daughters whose condition was not deemed serious enough for them to be referred to an eating disorder clinic, despite their having a dangerously low weight and BMI—they were told, essentially, that she needed to be thinner. I do not need to explain just how problematic it is to imply that someone’s condition must get significantly worse before they can be seen.
One mother’s tale of struggling to get support for her daughter is too harrowing to report in this debate, but her cry for help speaks volumes:
“Please help us…I am scared and desperate.”
When patients do access treatment, gain some weight and are discharged, many are not given the continued mental health support they need to prevent relapses of the condition. That cannot go on.
We must not underestimate the impact of eating disorders on entire families. Patients require around-the-clock care in many cases to ensure that they receive the support and nutrition they urgently need. One self-employed single mother who wrote to me about the delays and failures she had encountered when seeking support for her daughters had to forgo her income to care for them. We need far better support for unpaid family carers struggling to support their loved ones with eating disorders, and we must ensure they have the training and advice they need to be able to provide the help that is so urgent.
The Government’s primary course of action for easing this burden should be to provide patients with the support they need, when they need it. That is why the Liberal Democrats are calling for proper investment in community mental health services, prevention and specialist support for eating disorders. We are campaigning to establish mental health hubs for young people in every community and to have a dedicated mental health professional in every primary and secondary school and regular mental health check-ups for the most vulnerable.
Our Opposition day debate on Tuesday called for action to ensure that cinema-style age classification ratings are applied to social media sites to prevent children from being subjected to the worrying proliferation of harmful content promoting eating disorders, which, as we have heard, can be so pernicious and damaging. I urge other parties in this place to put aside the politics of that and to support our calls—as many children’s charities do—to ensure that an appropriate safeguarding regime is put in place for children’s use of social media.
The Government must improve early access to mental health services so that cases can be caught early, before they become critical. Can the Minister commit to preserving the mental health investment standard and reinstating targets for the treatment of mental health issues, especially for young people, so that we can do that? The stories we hear from families and patients of their experiences of eating disorders are heartbreaking. We must treat these conditions with the urgency they deserve.