Eating Disorder Awareness

09:30:00

I beg to move, That this House has considered eating disorder awareness. It is a pleasure to serve with you in the Chair, Mr Stuart. Eating disorders are among the most serious and life-threatening of all mental illnesses, but they have been overlooked and underfunded for too long. Because of this, they have one of the largest treatment gaps in modern healthcare, and we must ask why that is. In the face of overwhelming need, why are we still ignoring this crisis, especially as it is a documented fact that recovering from an eating disorder is possible, no matter how long and complex the illness has been? In the past decade, we have seen an alarming rise in eating disorders—a trend that only worsened during the pandemic. What was already a struggling support system for those affected by eating disorders has collapsed under pressure. Too many people are waiting, too many people are failed and too many people are feeling neglected by the system. The eating disorders all-party parliamentary group, which I chair, recently published its report, “The right to health: People with eating disorders are being failed”, which highlights the increasing neglect we are seeing across eating disorder services—but that is by no means to say that those who are working in eating disorder services are not working their socks off. People with eating disorders are being told that they are not thin enough, that they are too complex, and in some situations are being moved on to palliative care and identified as treatment-resistant. That is why we are pushing for a complete reformation of eating disorder treatment alongside the development of a stand-alone eating disorder strategy. During Prime Minister’s questions on 19 March, the Prime Minister emphasised the NHS’s goal of bringing eating disorder care closer to home. This is an important goal, but it requires equitable access to intensive community and day treatment, as highlighted in Beat’s report, “There’s no place like home”. Such services can reduce the need for costly hospital admissions and shorten stays for those who need in-patient care. However, Beat’s report shows that only one in six NHS integrated care systems in England currently offer enough intensive community and day patient treatments for both children and adults. Alongside this, it is crucial that we do not focus on only one end of the spectrum. Day services cannot always meet the needs of those with extreme malnutrition, and in-patient care is critical for many people who need high levels of physical, behavioural and psychological support. The strain on family carers, who often lack medical expertise, must be considered too. In-patient and day patient care must be part of a well-integrated, stepped care system. If those services are not co-ordinated nationally, gaps will form in the care pathway and patients may fall through the cracks. I agree with the Government that if people are treated in a timely manner in the community, there will be less need for costly in-patient care, but before we make any changes, we must ensure that all levels of care are adequately funded and can work in tandem to provide the best possible support. I recently had the privilege of hearing Nicky Smith share the story of her courageous daughter, who has been in in-patient services for over a decade. Unfortunately, during her long stays, she has not always received the treatment she needs. Her current stay is now in its 21st month. For the last eight months, her team has been trying to find an alternative placement for her complex needs. Sadly, she has been rejected by every service she has applied to and now faces discharge. Nicky and her daughter acknowledge that although some in-patient units are better resourced than others, being in in-patient care has saved Nicky’s daughter’s life and continues to do so. Over the last 12 years, the community eating disorder teams provided limited, inconsistent support. That caused rapid relapse, sometimes in just a few weeks, leading to low body mass index and frequent readmissions, often to inappropriate units such as general hospitals or acute mental health wards. Ultimately, she was readmitted each time to a specialist eating disorder unit, under section 3 of the Mental Health Act 1983. That is the only way she can complete meals without the need for nasogastric feeding. In addition to being deeply moving, this story drives home the importance of well-resourced specialist eating disorder units. We cannot cut back on those essential services and force those who are unsuited for discharge into community care. Specialist units are essential for keeping people alive, safe and supported, as they work towards recovery and reintegration into everyday life. That must continue, alongside investment in community and day-treatment programmes. To tackle eating disorders and develop effective treatments we need to understand them fully. Worryingly, the International Alliance of Mental Health Research Funders found that eating disorders accounted for just 1% of the UK’s already severely limited mental health research funding between 2015 and 2019. That is despite people with eating disorders accounting for around 9% of the total number of people with a mental health condition. Recent funding announcements are even more cause for concern. The Royal College of Psychiatrists found that 24 of the 42 integrated care boards planned real-terms spending cuts to children’s eating disorder services in the current financial year. That would result in real-terms cuts of well over £800,000. Those planned spending cuts come against a background of severely stretched children’s and young people’s eating disorder services: a 13% increase in referrals in the past 12 months; high thresholds to access services, resulting in more young people being in crisis; almost 800 urgent referrals still waiting for treatment at the end of December 2024; and a 30% true vacancy rate for all eating disorder consultant psychiatrist positions across England, as of March 2023. Following those troubling findings, will the Minister assure all of us here and across the country that all ICBs will invest sufficiently in those vital services in 2025-26 and beyond? As well as providing an increase in funding, we must take a close look at measures to protect children from harmful online eating disorder content. There is growing evidence that social media is linked to an increase in eating disorders among young people. Algorithms are showing harmful content to vulnerable people. Those include posts promoting fasting non-stop for days on end as a healthy lifestyle. There is an online trend of “thinspiration” posts, which glorify unhealthy weight loss. There have also been cases where, even after users have blocked certain accounts, they still see content that promotes eating disorders. In research conducted by the Center for Countering Digital Hate, a fictional UK-based 13-year-old user watched a video about eating disorders for the first time. Following the video, one in four suggested videos were for harmful eating disorder content. More than half were for content relating to eating disorders or weight loss. Under the Online Safety Act 2023, YouTube will have a responsibility to protect children from primary priority content such as eating disorders. Yet, YouTube still does not appear to be taking that seriously. In fact, algorithms are pushing the content in order to increase engagement. Harmful content viewed online can push children further into eating disorders that have a drastic effect on their health, wellbeing and life chances. From the evidence I have seen, I am concerned that, even when the provisions of the Online Safety Act 2023 come into force, the actions of those media giants may not change, which truly worries me. Social media is not the cause of eating disorders. Users who post much of this content are unwell and are not doing so maliciously, but social media can lead those who are already suffering further down the path of disordered eating. More needs to be done to hold social media companies accountable to legislation such as the Online Safety Act. Another issue of grave concern is the need for more accurate recording of eating disorder-related deaths, and a better understanding of the factors contributing to them. As we know, eating disorders are one of the most life-threatening mental illnesses, however, all too often they are not explicitly listed on death certificates, despite being a significant factor in the person’s death. For example, someone suffering from anorexia and severe malnutrition may have their cause of death recorded as organ failure, without any mention of the underlying eating disorder. That is a crucial gap that we must address. The APPG has heard first hand from people who have experienced the heartbreak of losing a loved one to an eating disorder. One particularly moving example is that of the Laurence Trust, a Northern Irish charity founded by Laurence’s family after his tragic death. Laurence had struggled with bulimia and depression, and eventually suffered a fatal heart attack. His mother Pam shared with the APPG that his death certificate did not list the eating disorder as a contributing factor. Instead, the cause of death was recorded as undetermined. That misclassification not only deprives families of closure, but hinders our understanding of the true scale of eating disorder-related fatalities. To better prevent such deaths in future, we must ensure that coroners’ reports accurately reflect eating disorders as contributory factors. Only by tackling these deaths can we gain a clearer picture of the impact of eating disorders, and take meaningful steps towards prevention and improved care. Accurate recording will raise awareness and ultimately save lives. It is high time that eating disorders are treated with the seriousness they deserve. We are all well aware of the many different parts of the NHS that require additional funding, but I have simply heard far too many harrowing stories about delays to treatment, inadequate care and premature inpatient discharge. Now is the time for change.

In my constituency of Horsham, we had a particularly upsetting case of a constituent whose daughter had significant mental health and behavioural issues that were very difficult to deal with and, as a consequence of those not being dealt with, she also developed an eating disorder. The only place they could send her to that could cope with that combination of factors was in Yorkshire—my constituency is in West Sussex. That was an extraordinary burden on the family. We need provision across the country to deal with the cases that present.

I totally agree. Unfortunately, there is a massive postcode lottery. Services need to improve across the country so that everybody, like my hon. Friend’s constituent, can get the treatment they need as close to home as possible, because carers are so important, and so that families can see their loved ones. In the last year alone, more than 30,000 acute admissions for eating disorders were recorded—that is a vast number. What was already an overstretched and under-resourced support system for those affected by eating disorders has now become a national emergency. Our APPG report sadly proved these systemic failures are costing lives. It is clear we need an urgent and comprehensive overhaul of eating disorder care and treatment in this country to ensure that we do not lose our important inpatient care, and to massively improve community and day treatments. I add to what my hon. Friend the Member for Horsham (John Milne) said, that if eating disorders, or the underlying mental health disorders, are not prevented or cared for early enough, everything becomes so much worse further down the line. I repeat that we must address the role social media plays in promoting eating disorders and harmful content, especially to young people. We also cannot even begin to understand the depth of this crisis without accurate data regarding eating disorder-related deaths. I hope the Government have heard what I said today, and will act fast and decisively to ensure that eating disorder sufferers finally receive the treatment and care they all deserve. I have been chair and vice-chair of the APPG on eating disorders for the last six years. That is a long, frustrating time to see get worse something that one wants to get better, so I hope that today may be the start of us turning a corner.

Order. I remind Members that they should bob if they wish to speak in the debate. I will bring in an informal guide for Members: if everyone speaks for about four minutes, we can hopefully get everybody in.

09:45:00

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.

09:49:00

I acknowledge and thank the hon. Member for Bath (Wera Hobhouse) for her long campaign on this topic, for securing this debate and for all that she has done and will probably have to continue to do on this agenda for a while. I entirely endorse the campaign and the things that need to happen that she and the hon. Member for Salford (Rebecca Long Bailey) have outlined. Eating disorders present an utter tragedy to families and to young people. Last week I met a family in my constituency whose daughter is in the grip of anorexia. We had a long conversation about both the services available and the nature of the illness itself. I asked the simple question, “What is anorexia and where does it come from?” Despite the extent of their experience and all the reading they have done, it was a very difficult question to answer. The answer included that it is like an addiction, or has the qualities of an addiction. There is apparently a genetic component, and a link with autism. As the hon. Member for Bath suggested, there is a clear element of social contagion—her points about social media are extremely important. It strikes me that in many ways anorexia is an illness of modernity. It is a consequence of the pressures that young people and, indeed, older people can face in this very difficult world we live in. That suggests that a multiplicity of responses are appropriate. I pay tribute not just to colleagues here, on the APPG and across the House who campaign on this issue, but to campaigners from outside Parliament, including Chelsea Roff, Hope Virgo, Agnes Ayton and others, whom I have got to know in the last couple of years. I honour their expertise and commitment. As the hon. Member for Bath said, and as cannot be pointed out too often, eating disorders, and anorexia in particular, are treatable illnesses. The services are in absolute crisis, as we have heard, but we should never lose sight of the fact that the illnesses are treatable. There is clearly desperate confusion in the NHS between the physical and mental dimensions, particularly when it comes to the extreme acute phase of anorexia. We know it is the most dangerous mental illness in terms of the tragedy of death. There is clearly a lot to do in reconciling the mental and physical sides of our health service. The hon. Member for Bath and I are on different sides on this, and the Minister and I have been debating it over the last month or so, but I have to acknowledge my concern about the Terminally Ill Adults (End of Life) Bill. Currently, there are patients in our NHS who are diagnosed with eating disorders—anorexia in particular—who are categorised as terminally ill by the system and put on a palliative care pathway, because the system decides that their condition is not in fact treatable. It is scandalous and tragic that people who have a condition that is eminently treatable are categorised as terminally ill. My great concern is that if we were to pass that Bill, we would end up with people being diagnosed as eligible for an assisted death. It is important to acknowledge that in other countries that have assisted dying laws, our understanding is that, in all those jurisdictions, people with anorexia have qualified for and been given an assisted death. In 100% of the cases that we know about, they passed the capacity test that we would apply here in our country. That is my great concern.

It is important that we stress that an eating disorder is not a terminal illness and therefore should not fall under that legislation. I know that the hon. Gentleman and I agree on that; I think we disagree on his worries about how it would be treated, practically, in the future. An eating disorder is not a terminal illness.

I am grateful to the hon. Lady, and I entirely agree. It is vital to stress that point, and I am sure the Minister agrees. I agree with the hon. Lady and the hon. Member for Salford that we need a complete reformation of the system—I will not repeat the points of the campaign, which I endorse. I am deeply concerned about the prospect of cuts to eating disorder services. It is a great shame that the proportion of NHS spending on mental health is declining. That is very significant. I pay tribute to the sufferers—these amazing people who battle through this awful illness. They are mostly girls but also young men—I know a young man who is still in the grip of the condition. And I pay tribute to their families. I emphasise, as I am sure the hon. Member for Bath would, given her experience, that there is hope. We must not give up on these young people. We must absolutely provide the services that are needed. We need to get our systems and our society right.

09:55:00

It is a pleasure to serve under you, Mr Stuart. I pay tribute to the hon. Member for Bath (Wera Hobhouse). When I was elected last year, I cared about eating disorders, but through her work on the APPG I have really come to understand them much more. I pay tribute to the secretariat, Hope Virgo—it is almost insulting to describe her as the secretariat, because she is such a powerhouse and really cares about this issue. I made the mistake of doubting the ambition of the APPG but, through the hon. Member for Bath and through Hope, we have made fantastic progress. Through them, I was shocked to find out that people are entering palliative care because of eating disorders. That is a disgrace and a sign that the whole system is failing the people—largely young people—facing this disease. I hope the Minister acknowledges that that is unacceptable. I am a Scottish MP, so I want to talk a bit about Scotland, where the situation is just as stressed as it is in England, but I will end with a slight glimmer of hope. Since I was elected last July, I have met people in Edinburgh South West who face eating disorders. I met a parent whose daughter had waited months for a consultation. They were filled with hope as the date arrived, only to find out that it was just a triaging slot to decide whether she should be referred to formal treatment months later. I met a parent whose daughter had been admitted to hospital and was released over a few days to see whether she could cope at home. She could not, but when she was taken back after the weekend, she was told that the bed space had gone, and that left the family in absolute crisis. I am not surprised that there is pressure on admissions. The number of people admitted in Scotland has increased substantially since 2007, and almost doubled during covid, so the system in Scotland is under real pressure. I spoke to the chief executive of my local NHS board about that, and she described the state of eating disorder treatment in the Lothians as at the absolute minimum acceptable level. I think we know what that means for many families. I then contacted the Cabinet Secretary for Health and Social Care—Scotland’s equivalent of my right hon. Friend the Member for Ilford North (Wes Streeting), if Members can imagine that—and he replied with lots of talk about frameworks, strategies and something alarming called a flexible funding stream, which did not fill me with too much hope. He outlined that the Scottish Government commissioned a review in 2020, and in 2024 created a template for eating disorder treatment that they can roll out across the country. I am slightly wary about that, because in Scotland we have lots of fantastic policies but implementation is often the issue—[Interruption.] I see Members nodding; they are well aware of that. Just £5 million has been allocated to the implementation of the strategy; none the less, it fills me with hope. The eating disorder strategy must build on mental health provision for young people that is fit for purpose. In Scotland, about 10% of young people wait more than 18 weeks after referral for their first mental health appointment. The number of young people treated for mental health issues in Scotland has dropped by 15%, so there are massive waiting lists but the treatment pace is dropping. Currently, about 4,000 people are waiting for treatment. This year, this Government set aside the biggest ever settlement for Scotland, and a large amount of that money has rightly been allocated to the NHS. I really hope that some of that money trickles down to mental health provision for young people, and specifically for eating disorders.

09:59:00

It is a pleasure to serve under your chairship, Mr Stuart. I thank my hon. Friend the Member for Bath (Wera Hobhouse) for securing this debate and for all her work. It is important that we keep bringing attention to this important issue, because eating disorders continue to claim far too many lives and undermine the wellbeing of countless people. As we have heard, recent statistics show the severity of the challenge. The proportion of 11 to 16-year-olds with an eating disorder rose from one in 200 in 2017 to five in 200 in 2023. Hospital admissions have doubled in the past decade, and as we know, hospital is not always the most appropriate destination. More alarmingly still, rates among 17 to 19-year-olds surged from one in 100 in 2017 to more than 12 in 100 last year. Despite those worrying statistics, eating disorders are often viewed through a narrow lens. Conditions such as muscle dysmorphia are increasingly affecting teenagers and are challenging the stereotype of what an eating disorder is. Muscle dysmorphia is a dangerous condition that can lead not only to disordered eating, but in some cases to the use of anabolic steroids or other performance-enhancing substances, as we are increasingly seeing. Social media platforms play an influential role in shaping perceptions of body image and can sometimes fuel these destructive conditions. We are continually exposed to curated images of supposedly perfect physiques, with posts and videos that can glamorise unhealthy behaviours. Although social media has the potential to serve as a space for positivity and connection, we must recognise that it can also intensify body-related anxieties and push vulnerable individuals towards extreme measures. Rather than letting this content spread unchecked, it is vital to ensure that any material glorifying unhealthy lifestyles, whether that means severe calorie restriction or steroid use, is firmly curtailed, while healthy evidence-based advice is made readily available. We must address eating disorders by looking not just at the initial health impact, but at the wider environment, and taking a holistic, preventive approach. We should support educators and parents as well as healthcare professionals in understanding how to identify early warning signs. At the same time, those responsible for digital platforms must be held to account for the environment that they create and for the potentially harmful messages that they allow to be shared. Designing algorithms to highlight balanced, medically sound advice, rather than misleading or extreme content, would be a significant step in minimising the harm and in guiding young people towards healthy lifestyle choices. In the light of the growing impact of eating disorders and related conditions such as body dysmorphia, I urge the Government to recognise the growing threat. By combining robust health education with online protections, we can take the first step towards safeguarding the next generation from an epidemic that has already caused so much damage. We owe it to our children and young people to ensure that they can learn, socialise, grow and celebrate difference. I absolutely support my hon. Friend’s call for an eating disorder strategy as the first step.

10:03:00

It is a pleasure to serve under your chairmanship, Mr Stuart. I thank the hon. Member for Bath (Wera Hobhouse) for securing this extremely important debate and for the work that she and others have done with the eating disorders all-party parliamentary group. I have come to this debate to speak up on behalf of the many people who have suffered from eating disorders, both past and present. I confess to having a personal interest, as one of those people is my mum. Like many people who suffer from anorexia, my mum developed the disorder as a teenager; as with many people, it came from being bullied by her peers at school. I do not want to give away my mum’s age—that is something that she would never forgive me for—but hon. Members will appreciate that that was a little while ago, although I believe that it has a huge impact on her even today. I can only begin to imagine the additional pressure that young people suffer now that abuse and bullying does not end at the school gate, but extends online, with negative comments, memes and unrealistic, sometimes AI-generated body images. It has worsened a great deal since the pandemic. Approximately 1.25 million people have some sort of eating disorder. One in eight 17 to 19-year-olds in England were reported to have had an eating disorder in 2023. Having spoken to a resident in Harlow who wishes to remain anonymous, I know that this is as much an issue in my constituency as it is anywhere else. I urge anyone who is struggling with an eating disorder in Harlow to reach out. The service lead for eating disorders at the Essex partnership university NHS foundation trust has described eating disorders as typically developing in adolescence and early adulthood, leading to changes in a person’s brain, body and behaviour. He also says that early intervention is essential in reversing these changes and improves the likelihood of a full recovery. More recently, the Royal College of Psychiatrists said that services are struggling with demand. In February this year, the Government said that NHS England were processing an update to the commissioning guidance on eating disorders. Can the Minister tell us what the recent announcements on changes to NHS England will mean for the publication of that guidance? Once again, I thank the APPG for its work on this important issue. I particularly thank Beat for publishing its report and for publishing some really important data on eating disorders. The hon. Member for Bath spoke about the lack of data and the lack of understanding about eating disorders; I have to say that when I was researching this debate, I found that the data for my constituency of Harlow was sorely lacking. I rarely speak in a Westminster Hall debate without mentioning young carers. This issue has an impact on them as well. I echo the valid point from the hon. Member for Horsham (John Milne) that support for people with eating disorders is a postcode lottery. For families who have to travel long distances, such as to Glasgow, to care for a loved one with an eating disorder, there is a huge cost. There is a disproportionate impact on those who are living in poverty and on low-income families. I will finish by saying a massive thank you to the hon. Member for Bath for bringing forward the issue. I look forward to hearing the Minister’s response.

10:07:00

May I wish you well in your first debate in your new role as Chair, Mr Stuart? It is your first debate, and I am sure you will keep us all in order. You are always in order in the Chamber, so that sets an example. I jest, of course. I commend the hon. Member for Bath (Wera Hobhouse) for leading today’s debate. She is greatly to be commended for having spoken about the issue in Westminster Hall and the main Chamber for so many years. I am grateful to be able to contribute to the debate; as the DUP health spokesperson, I have dealt with many issues on which people who have been suffering with eating disorders have sought help and support that will benefit them in the long term. As I always do in these debates, I will give some background on the situation in Northern Ireland, which replicates what other Members have said and will say. Eating disorders present a significant health concern that affects all age groups back home. A study has found that some 16.2% of 11 to 19-year-olds in Northern Ireland met the criteria for a probable eating disorder. We are quite worried about that in Northern Ireland; I certainly am in Strangford, because it is absolutely shocking. Between April 2022 and March 2023, the charity Beat delivered 603 helpline sessions to individuals aged 18 to 22 in Northern Ireland—a massive 225% increase, which is very worrying. Action Mental Health has revealed that between 50 and 120 people in Northern Ireland develop anorexia every year, and around 107 develop bulimia, which are worrying figures. There are approximately 100 admissions to hospital for eating disorders every year. I know that the Minister does not have responsibility for Northern Ireland, but I add that information because it shows how things are back home. I will give an example of how we have managed to overcome the problem. There are many risk factors for eating disorders, including genetics, psychology, trauma, abuse and—a large one for young people today—social media, to which the hon. Member for Bath referred. It is important to remember that eating disorders can affect anyone, not just young people and not just women. It has been said that early intervention is essential for improving outcomes and for reducing the duration of the disorder. There is commonly a stigma around eating disorders; more often than not, people suffering with an eating disorder feel extreme shame.

Does my hon. Friend agree that the shame that sufferers sometimes feel is an issue that wider society needs to grapple with? There is often self-denial about the problem, even when others can see it. As well as having data and support, we need to show empathy to overcome the problem.

I thank my hon. Friend for his wise words, as always. He reminds us of the pressure that is on everyone. It is important that our schools have the tools. They need to support young people who may be suffering or on the verge of suffering with a serious eating disorder. Beat’s SPOT—school professionals online training—was introduced to enhance teachers’ ability to identify and respond to potential signs. There is potential for further teaching within our local schools to promote awareness of the dangers of social media and of how it is often not a positive reflection of reality. Young people do not have to look a certain way and are often unaware of the health dangers of eating disorders, which are completely distorted by social media and the internet. Back in 2012, a constituent came to see me. I know the mum and dad very well; they both served in the Police Service of Northern Ireland. They were extremely worried about their daughter. It would be no exaggeration to say that she was probably on the point of death. The mother went to the then Health Minister in Northern Ireland, Edwin Poots; they approached me and I spoke to the Minister over here. We were able to get her transferred from Northern Ireland to St Thomas’ hospital, just across Westminster bridge. Today, that young lady has been cured; she is a mother to two children; she has a business. All those things happened because of the co-ordination between Northern Ireland and the Health Minister here, so there was good news at the end. The funding for mental health and for the services that deal directly with eating disorders must be improved to ensure that people who need it have access to behavioural therapy, nutrition education, monitoring and, in some cases, in-patient care and hospitalisation. I look to the Minister for his commitment to ensuring that those are a priority and that he will engage further with the Education Minister and the devolved nations to ensure that schools are equipped to protect young people and have the knowledge of the early signs that they may require help.

10:11:00

Meur ras, Mr Stuart; thank you for your chairship. I thank the hon. Member for Bath (Wera Hobhouse) for securing this important debate. I declare an interest: I am also a member of the eating disorder APPG. As has been mentioned, recent data suggests that one in eight 17 to 19-year-olds in England have an eating disorder—a massive increase from fewer than 1% in 2017. On average, young people are now waiting for almost three and a half years to get treatment. My relationship with anorexia began nine years ago. It is a story that I am sure resonates with many thousands of other parents the length and breadth of Britain; frankly, it is a massive part of why I became an MP. My story began when I took a phone call from a teacher at my daughter’s school. She asked me to come and collect her, as she had passed out, having not eaten breakfast or dinner. Over the next few months and years, my daughter, whose relationship with food had already become terribly distorted, unbeknown to me, was clutched by anorexia. Its claws dug deeper and deeper into her as she slipped into a desperately poorly state. She became too unwell for school, and the pressure of her exams was like a ton of bricks on her as the anorexia gave her a cruel outlet for the control—something that sits behind so much of this—that she sought in her life. As parents, our most solemn undertaking is to protect and nurture our children. Against this terrible illness, I was utterly useless. As my daughter’s illness took hold, I became more and more angry: first with her, then with others, and then with the system. It was only years later that I had to have it explained to me that that anger was actually driven by fear. I was impotent to support my daughter. Worse still, I was incapable of finding anyone else who could provide her with the care that she so desperately needed. Here is the killer blow. The only way she could qualify for lifesaving support was if she became critically ill—so ill that she was staring death in the face. Imagine sitting at the kitchen table for hours, watching your emaciated child looking terrified at a small plate of food in front of her and hoping that she does not eat it, so she becomes so ill that she qualifies for the support that she needs. Those truly shameful thoughts are etched on my conscience and visit me every single day. They have left an indelible stain on my soul. For having those terrible thoughts, to my daughter, wherever she is, if she sees this speech, I want to say, “I’m sorry, my lamb.”

I congratulate the hon. Member on being so brave in talking about his own experience. I, too, have a daughter who suffered from an eating disorder; she was not quite as ill as he describes his daughter being, but I am still visited by those hours—though they were many years ago—when I was gripped by fear and anxiety. It is only by sharing these stories that we can ultimately bring all this to light, so again I thank him for being brave enough to share that.

I thank the hon. Member. How could a system be so warped as to make a parent feel that way about their own child—the thing they love most, more than anything else in the world? Measuring the criticality of eating disorders through BMI is a medieval evaluation, hopelessly inadequate to the needs of the sufferer. Proper psychological assessments must be undertaken at the earliest identification of a problem, with a package of appropriate measures applied thereafter, dependent on the severity of the case. My daughter spent two periods of six months in hospital. She recovered her health and is today working in the NHS in mental health services as a senior assistant psychologist, using her own painful experience to offer others the care and support she never had. Under-investment has left mental health services stretched beyond capacity, and young people like my daughter become desperately unwell while sitting on waiting lists, with the cost of their recovery, both emotionally and financially, spiralling by the day. I know the Department of Health is taking the issue incredibly seriously, but we must prioritise a rapid overhaul of the system to offer hope to young people and their families. This Government must prioritise investment into mental health and eating disorder services. Today, I ask the Minister to say to all the families going through that hellish tornado of pain, to all those angry dads, tearful mums and terrified children, “Hang in there. We will come for you. We know your pain and we will act swiftly to help you to relieve it.”

10:17:00

I do not know how to follow that speech. I just want to thank the hon. Member for Camborne and Redruth (Perran Moon). I can understand how tough it was. I also put on record that we all agree that the hon. Member for Bath (Wera Hobhouse) is a star, who has been working on this throughout, and so are Hope Virgo and Dr Agnes Ayton and all the others behind the scenes. Just to give some hope to hon. Members, we now have a Minister in place with a record of understanding these issues, and with some of the sharpest elbows in Government to get the resources, so I am confident that there will be a move forward. He is aware of the strategy. It is straightforward. There must be input into training not only for health workers, but for teaching staff and education psychologists. We had school nurses come forward with a package that was incredibly effective in raising awareness on the issues, including online safety. We need community level support services, specialist units and family support. One of the issues raised in the briefings we have circulated from the all-party parliamentary group is the lack of family support. As has been exemplified, when a family member becomes a sufferer of these conditions, the family feel completely isolated and lack support in some of the most challenging situations any family can face. During the discussions around this strategy, there is a need to go into the detail of family support, including the professional advice and community support they can access, to ensure that they do not become isolated. There is also the issue of financial support. I ask the Minister to look at the consultation on disability benefits and support for people with long-term sickness conditions that is taking place now. Again, it is important that we do everything we possibly can to ensure that sufferers do not lose their benefits as a result of this review. The Government are undertaking consultations, but not on the criteria for the personal independence payment, the points-awarded system. I would be grateful if the Minister could look at that and liaise with Ministers in the Department for Work and Pensions, so that sufferers do not lose the benefits support that they have. Also, some families who are receiving carer’s allowance as a result of the award of PIP to an eating disorder sufferer may be at risk of losing that benefit, but they should not be. We are not even sure what the numbers are, so we would all be extremely grateful to the Minister if he could pay attention to that issue. Finally, the principle of the all-party group’s work has been to seek a process in Government for co-production of the strategy, in a timetabled way and with funding allocated over the life of this Government. That way, by the time we get to the next election, we can be confident that the strategy has been implemented based on the expertise of those who really know what needs to be done—the sufferers themselves and the families who support them. That process of co-production is as important even as the scale of funding that we need to achieve. Otherwise we will be wasting resources, rather than investing them effectively on the basis of what will work.

10:20:00

It is a pleasure to serve under your chairmanship, Mr Stuart. I thank the hon. Member for Bath (Wera Hobhouse) for securing this important debate, and my hon. Friend the Member for Camborne and Redruth (Perran Moon) for his deeply moving and courageous speech. As with many mental illnesses, eating disorders often present first in children and young people. Like other hon. Members, I am alarmed by the NHS England statistics that show that in 2023, 12.5% of 17 to 19-year-olds in England were living with an eating disorder. According to YoungMinds, “Young people can use their behaviour around food and eating to try to cope with…difficult thoughts, feelings and experiences.” YoungMinds also states: “Over time, these kinds of thoughts and behaviours around food become very fixed and difficult to change—and may start to take over daily life.” Early intervention for a young person struggling with an eating disorder is clearly critical if we want to support them to live a healthy, fulfilling life. I was politicised at school by the disparities in the mental health support received by my peers, and we know that young people today are at the sharp end of the mental health crisis. I, too, have had friends who struggled with eating disorders and disordered eating, and during the general election last year I was contacted by a young woman who had waited four years for her first child and adolescent mental health services appointment. Sadly, that has become the norm, rather than the exception, for young people with mental illnesses. I welcome this Government’s commitment to cutting NHS waiting lists and investing in talking therapies. I also welcome the commitment this Government have made to getting mental health support into our schools and delivering a network of Young Futures hubs with trained youth workers and drop-in mental health support, so that we can address eating disorders and mental health conditions early, and support our young people. I have a few specific questions for the Minister, and I would be grateful if he could address them in his response. First, could he set out what the Government are doing to improve the early identification of eating disorders? For example, in 2023, Place2Be called for every professional working with children and young people, including in the healthcare workforce, to be trained to identify young people with potentially impairing eating behaviours. Has the Department had considered that? Given the huge impact of the pandemic on the mental health and wellbeing of young people, could the Minister further set out what action the Government are taking to specifically support individuals who developed an eating disorder or mental health condition during that time? Finally, could the Minister set out what cross-departmental work the Government are undertaking to ensure a joined-up approach to supporting young people with eating disorders? Those struggling with eating disorders deserve support and they need action, and we must treat eating disorders as the emergency that they represent. I was particularly moved by the words of the hon. Member for Bath, given her important work on the issue over a number of years, about the frustration of seeing things get worse, not better. I reflect on my experience as a young person going through school and watching my peers struggle with eating disorders and mental health conditions. Now I come into this place to represent my community, knowing that young people today are struggling so much more. That makes the urgency of the task even greater, so I thank the her again for her work and for securing the debate.

Last but not least on the Back Benches, I call Luke Charters.

10:24:00

It is a pleasure to speak with you in the Chair, Mr Stuart. I pay tribute to the hon. Member for Bath (Wera Hobhouse) for securing this debate, and of course my hon. Friend the Member for Camborne and Redruth (Perran Moon); he is an inspirational dad with an inspirational daughter, and we all wish his family well. I will speak about eating disorders affecting young men and boys. We need to focus on online influencers and the impact they can have on eating disorders, so of course I must mention the TV show “Adolescence”. An under-discussed theme of the series was the 13-year-old boy’s concern about his own body image, driven by social media. Recent research shows that eating disorders are growing at a faster rate in young men—a concerning trend. Over the last few years we have seen toxic influencers drive false expectations about what young men should look like, and some young boys are being diagnosed with a lesser condition called bigorexia or muscle dysmorphia. Bigorexia drives boys to engage in extreme behaviours such as excessive weightlifting for their age, steroid use and excessive dieting and supplement intakes, all in pursuit of a totally unattainable ideal. “Gym bros” and fitness influencers are giving impressionable young men and boys a false sense of security about many products. Paediatric science is uncertain about the effects of the intake of those products in children, and there are dangerous mental health scenarios as children clamour for them. Such products are often marketed with cheap deals and attractive flavours, such as blazing berry or creatine candy. Another issue is the lack of advertising regulation. Ever-younger children are having that content pushed their way, resulting in a detrimental impact on their lives as they chase an unrealistic body type. This week I am writing to Ofcom and the Advertising Standards Authority, requesting that they review the current guidelines for advertising creatine supplements, low-carb diets and more, all of which I believe are harmful for children. However, we also need positive role models and influencers, particularly in those sport, who can reach the young male demographics most at risk. There should be more airtime for Gareth Southgate than for Andrew Tate. As my son grows up, I say to him, “Being a man in modern Britain is about how you behave, not how you’re built; how you express yourself, not what you eat, and how you support others, not how you suppress your emotions.” Whether we are grandparents, parents, aunties, uncles or anything else, we all want to see the next generation make misogyny extinct, so I make one final request today: it would be fantastic if the Minister could meet me to discuss my campaign to stop the selling of supplements and creatine to children. I have a second son on the way this summer, and I want my boys to grow up to be respectful of women and confident and comfortable in themselves.

The winding-up speeches begin with Jess Brown-Fuller.

10:27:00

It is a pleasure to serve under your chairmanship, Mr Stuart. I thank my hon. Friend the Member for Bath (Wera Hobhouse) for securing today’s important debate and for her tireless work over six years as chair of the all-party group on eating disorders. She has been a consistent and compassionate advocate for better awareness, better services and better outcomes for those affected. I am also pleased to see the Minister’s sharp elbows here in Westminster Hall today, as described by the right hon. Member for Hayes and Harlington (John McDonnell). Eating disorders are among the most serious and complex mental health illnesses. As the hon. Member for Salford (Rebecca Long Bailey) pointed out, it is estimated that more than 1.2 million people across the UK are living with an eating disorder, and, tragically, eating disorders carry the highest mortality rate of any mental health condition. Instead of stepping up to meet the scale of the crisis, however, services are being cut. The statistics are shocking: in 2023 the proportion of 11 to 16-year-olds with an eating disorder had risen fivefold from 2017, and among 17 to 19-year-olds the rate had surged from 1.8% to 12.5% over the same period. Girls are disproportionately affected, with rates four times higher than boys, although we are seeing a concerning trend of more males suffering with eating disorders, as highlighted by the hon. Member for York Outer (Mr Charters). As my hon. Friend the Member for Mid Dunbartonshire (Susan Murray) said, numbers across the UK have risen dramatically since the pandemic, but behind each of those numbers are young people whose lives, education and futures are being taken away from them by this illness. Hospital admissions for eating disorders have doubled over the past decade, yet the national treatment targets set under the previous Conservative Government in 2019—for 95% of urgent cases to be seen within one week and 95% of routine cases within four—were dropped by that same Administration under the 2024-25 mental health national priorities, or success measures, and have not been reintroduced by the current Labour Government. That is a moral failure and it must be reversed. Instead, most areas in England are planning real-term cuts in eating disorder provision. As many Members have highlighted, 24 of the 42 integrated care boards across the NHS in England are projected to reduce their spending for under-18s in 2024-25 once inflation is factored in. The Royal College of Psychiatrists has warned that even current levels of funding are too low to cope with the rising demand. Cutting further will only make the crisis worse. We must understand the true cost of inaction. Eating disorders strip people of their health, their relationships, their adolescence and, in too many cases, their lives. Still, many people are being told they are not thin enough to receive care. I am very grateful to the hon. Member for Camborne and Redruth (Perran Moon) for his speech reflecting his experience, and that of parents across the UK, of waiting for a child to hit an arbitrary target on a scale that suggests that their mental health is bad enough to get the help that they so desperately need. We know that early intervention is effective. If people are not believed or not seen as ill enough, they are left to deteriorate until a crisis becomes a tragedy. The crisis is being compounded by the influence of social media and online platforms. As the hon. Member for East Wiltshire (Danny Kruger) told us, it is a “crisis of modernity” and of the increased societal pressures on our young people. Recent research by the Center for Countering Digital Hate found that algorithms on platforms such as YouTube are actively recommending harmful eating disorder-related content to young users. These are not passive platforms. They are powerful tools that are shaping the mental health of our children, and they must be held to account. I do not identify as a young person any more—my children definitely do not identify me as a young person—but I see it on my algorithms. I actively seek out body-positive profiles and yet what appears on my feed is people telling me that I can lose weight in 28 days, or shape myself for summer. Our young people see this all too often and think it is the norm. We as Liberal Democrats believe that addressing the crisis requires a bold and evidence-led strategy. That means building specialist support into the NHS, not as a niche service but as a fundamental part of mental health care. It means embedding early intervention through mental health hubs in every community, so that young people can access help long before they reach crisis point. We are calling for mental health check-ups or a mental health MOT at key points in people’s lives, when they are most vulnerable to developing serious illnesses. We believe every school should have a dedicated mental health professional so that children can get support early and in a familiar environment, without stigma or delay. Lastly, we must also recognise the crucial role of families. Unpaid carers, parents, siblings, partners and children are often left to navigate a fragmented and under-resourced system alone. As the hon. Member for Harlow (Chris Vince) mentioned, the Government must work with and not against carers to expand the support they need and deserve. No parent should have to fight for their child to be taken seriously. I saw that fight in my own patch of Chichester, where a mother had to leave work for two hours every day to go to her child’s school to sit in a room with them so that they were supported to eat their lunch. The school could not facilitate a member of staff to sit with that child, who was tackling a very serious eating disorder but who was desperate to stay in school. Campaigners like Hope Virgo have done an extraordinary job of raising awareness, but it should not always fall to campaigners and grieving families to fill the gaps left by Government inaction. I join my hon. Friend the Member for Bath in calling for the exploration of an eating disorder national strategy. This is a national crisis and it is costing lives. The Government must listen to those on the frontlines—patients, carers, clinicians and campaigners. They are not calling for sympathy. They just want action, and we owe it to them to respond.

10:34:00

It is a pleasure to serve under your chairmanship, Mr Stuart, for your maiden appearance as Westminster Hall Chair. I am grateful to the hon. Member for Bath (Wera Hobhouse) for securing the debate. She and I share many opinions on body image, algorithms, social media, steroid use and eating disorders. Although I am responding to the debate as spokesperson for His Majesty’s official Opposition, I am pleased to have the chance to build on the work that the hon. Member and I have enjoyed bringing forward together. The hon. Member for Bath was right to point out that one in 50 people will suffer with an eating disorder or disordered eating. That means that we likely all know someone who suffers. It is true for people close to me, too, and I have seen what can happen both personally and professionally. It is therefore timely that the theme of Eating Disorders Awareness Week 2025 was “Eating disorders can affect anyone”. That is an important fact to recognise. Why? Because we know that eating disorders have some of the worst outcomes of any mental health diagnosis. Early intervention is key to break the cycle. Without doing so, it is devastating not only for the patient but for families and friends, the health service and, ultimately, society. Disordered eating can take a variety of forms, from limiting the amount of food eaten, eating very large quantities of food at once, getting rid of that food through unhealthy means—through purging, laxative misuse, fasting or excessive exercise—or a combination of all of those. That can be one reason why it is so damaging. With other medical issues such as alcohol, drugs or gambling, the aim is abstinence, but of course that simply cannot be the case in this instance: we all need to eat. Disordered eating is not just about the compulsive element. It is far more complex than that. Drivers of control and shame are so powerful. A sufferer told me: “Eating disorders are not about food. At least they didn’t start that way. We, the eating disordered, started by using dysfunctional eating habits and starvation to control our feelings and gain a sense of control of the world around us. This soon spiralled into a dangerous daily obsession of reaching our ultimate unattainable goal; being thin enough. For us, to be thin enough is finally to be good enough. Every room entered, every street walked involved detailed analysis of the physiques of others, feeling pride and superiority if I was the thinnest, and earth shattering shame and disgust if I was not. Both galvanised my resolve.” Worse still, many people who suffer with eating disorders simply do not want to get better. The disease does not want to let them get better. The quote goes on: “My eating disorder gradually robbed me of my happiness, my relationships, my health and my sanity. The insanity is that despite all this I could not stop. I did not want to stop. I was petrified to change. Thinness had become my identity, and starved detachment was my way to cope with my feelings and my life.” My experience is that sufferers of depression and addiction would bite your hand off for a magic bullet. Alas, the same is not the case for eating disorders, and that is the barbarity of the disease. Yet we know that catching an eating disorder earlier can make all the difference, and debates like this one can dramatically help with awareness and prevention. Beat’s survey from December and January gathered findings on lived experience of eating disorders from 1,900 people, which showed that four in five people thought that greater public awareness would make them feel more comfortable to talk about their eating disorder, two in three would not feel comfortable talking to their teacher about the issue, two in three would not feel comfortable talking with their line manager, and two in three would not feel comfortable talking with a colleague. More needs to be done to make it feel acceptable do so. The covid-19 pandemic, and lockdown specifically, contributed to a surge in demand for children and young people’s eating disorder treatment. That is no surprise, given the lack of control in a lockdown. In Q1 of 2021-2022, 3,400 people were treated, compared with 1,900 people in Q1 of 2019-2020. We have seen some recent glimmers of hope from the data on waiting times for children and young people in eating disorder services. Recent data showed that between October and December 2024, 80% of urgent referrals—350 out of 433—to children’s eating disorder services were seen within one week. During the same time period, 81% of routine referrals—2,064 out of 2,251—were seen within four weeks. But more still needs to be done. I believe that we are starting to see the fruit of the last Government’s investment, as investment in children and young people’s eating disorder services consistently rose each year from 2016, reaching £54 million in 2023-2024. This helped to expand the community eating disorder teams across the country. That was in addition to the £79 million invested through the covid-19 mental health and wellbeing recovery action plan to expand young people’s mental health services, which has enabled 2,000 more children to access eating disorder services. Furthermore, I remember the Westminster Hall debate the hon. Member for Bath brought to mark Eating Disorders Awareness Week last year. I was pleased to hear the then Conservative Minister, the former Member for Pendle, Andrew Stephenson, announce an additional £3 million funding so that 24 hubs received a share of £8 million in 2024-25. That is more than double the original target of funding 10 hubs, with organisations across England benefiting. Those were positive steps but the new Government should accelerate that momentum. In October last year, before I was a shadow Minister in the Department of Health and Social Care, I called on the then Minister, the hon. Member for Gorton and Denton (Andrew Gwynne), to convene an expert roundtable to discuss eating disorders, given the challenges faced by Governments in tackling the issue. Although the Minister at that time did not commit to it, he stated the following: “When we were in opposition we gave support to the then Government, and I can assure the hon. Gentleman that we will do everything we can to support people who have eating disorders and to get the right provision and support at the right time for those people who need it.”—[Official Report, 10 October 2024; Vol. 754, c. 191WH.] I renew the question to the Minister today. Will he convene a cross-party roundtable of experts and campaigners? Will he also commit to a national eating disorder strategy, as requested by the APPG report? Since taking office, the Government have consistently reaffirmed their commitment to children’s and young people’s mental health. However, progress is unclear. I would like an update from the Minister on a couple of key tangible commitments made in the Labour manifesto. First, Labour promised to recruit 8,500 new mental health staff. Will the Minister tell us how many extra mental health staff have been recruited since the Government took office, and how many will be targeted for eating disorders? Labour’s manifesto also promised “access to specialist mental health professionals in every school, so every young person has access to early support to address problems before they escalate.” That builds on work by the Conservative Government to have mental health support teams in 35% of schools by the end of 2023, which was achieved, and to be across all schools by 2024. Of course, the election punctuated that. Will the Minister update us on what progress has been made on that commitment? What assurances can he provide to eating disorder services, given that spending on mental health is projected to reduce as a proportion of overall spending in 2025-26, which was announced in last week’s written statement? Finally, I want to repeat the question that my right hon. Friend the Member for Melton and Syston (Edward Argar), the shadow Secretary of State for Health and Social Care, asked the Health Secretary at oral questions in February: “Will he back Beat’s call for broader access to intensive community and day treatment for those with eating disorders—there are limited places currently—and set out a timetable in which that will be delivered?”—[Official Report, 11 February 2025; Vol. 762, c. 165.] Although I was pleased to hear the Health Secretary recognise the importance of the issues, further details from the Minister would be helpful. To conclude, although there is a long road to go in preventing eating disorders and supporting those who suffer, I live in hope that “Healing doesn’t mean the damage never existed. It means the damage no longer controls your life.”

10:43:00

It is a pleasure to serve under your maiden chairship today, Mr Stuart. I am extremely grateful to the hon. Member for Bath (Wera Hobhouse) for securing the debate and raising this important topic. I know that, as a Member of this House and chair of the APPG on eating disorders, she has been a doughty champion for those living with eating disorders, their families and supporters. I am also grateful to other hon. Members for their valuable contributions, many of which were deeply personal and profoundly moving. I pay tribute to hon. Members for making those contributions. I share the desire of the hon. Member for Bath to improve the lives of people affected by an eating disorder. Raising awareness of eating disorders and improving treatment services is a key priority for the Government, and a vital part of our work to improve mental health services. We know that living with an eating disorder can be utterly devastating, not just for those battling the condition but their loved ones and those who witness their struggle. We know that eating disorders can affect people of any age, gender, ethnicity or background. However, we also know that recovery is possible, and access to the right treatment and support can be lifechanging, as we have heard today. Although record investment and progress has improved access to eating disorder services, the reality is clear: demand has surged, especially since the pandemic, outpacing the growth in capacity. We must do more to ensure that everyone who needs support can get it without delay.

The Minister is making a powerful point. Demand is surging, yet it seems that investment from ICBs is going to fall. How can that be possible, and how is it morally acceptable?

National funding has increased over the years, as the hon. Lady will know. The question is whether that funding channels through to ICBs. The Government’s view is that ICBs are best placed to make decisions as close as possible to the communities that they serve and to target and, if necessary, reallocate funding accordingly. As a Government, we are constantly trying to get the balance right between setting frameworks and targets and ensuring that those are being met, while also ensuring that ICBs are not being micromanaged from the centre. We do not think it is right that people sitting in Whitehall or Westminster micromanage what is going on at a local level. We are absolutely clear that every ICB must meet its targets, while also being clear that it is up to the ICB to take decisions as close as possible to the communities that they serve. Sadly, we have seen the prevalence of eating disorders in children and young people sharply increase since 2017. In 2023, NHS England published follow-up results to its survey on the mental health of children and young people. The report found that the prevalence of eating disorders in 17 to 19-year-olds rose from 0.8% in 2017 to 12.5% in 2023. Unfortunately, we are also seeing the prevalence of eating disorders rising among adults. The 2019 health survey for England showed that 16% of adults over 16 screened positive for a possible eating disorder. The figures do not mean that the individual had a confirmed eating disorder, but they present a worrying situation that we must address by continuing to promote both awareness and early intervention. The surge in demand has inevitably made meeting our waiting time targets more challenging. However, our services and clinicians, backed by new funding, are supporting more people than ever before. These services are changing and saving lives. As hon. Members will know, we have kept in place the access and waiting time standard for children and young people who are referred with eating disorder issues. This sets a 95% target for children with urgent cases to begin treatment within one week, and for children with routine cases to start treatment within four weeks. Figures released last month show that although the number of referrals and demand for services has begun to stabilise during the past year, the number of children entering treatment reached a record high of 2,954 last quarter. This shows that the extra funding is enabling services to begin to meet the extra pressures caused by the pandemic. Similarly, the number of children entering treatment within the target time has reached a record high. Of the 2,954 children entering treatment last quarter, 2,414 were able to access that treatment within the one-week urgent target or the four-week routine target—a rate 81.7%. That is the highest figure recorded since NHS England began collecting that data in 2021. However, we recognise that there is still far more to be done to ensure that patients with eating disorders can access treatment at the right time. The hon. Member for Bath rightly focused the debate on the importance of awareness. Raising awareness of eating disorders is the first step towards early intervention to prevent the devastating impacts that eating disorders can have on people’s lives. To support this, NHS England is currently refreshing guidance on children and young people’s eating disorders. The refreshed guidance will highlight the importance of awareness and early recognition of eating disorders in schools, colleges, primary care and broader children and young people’s mental health services. A number of colleagues asked when that guidance will be published; my officials are working hard with specialists on that, and it will be published later this year. The existing mental health support teams, supplemented by the specialist mental health professionals that we will be providing access to in every school in England, will support school staff to raise awareness and identify children and young people showing potential early signs of an eating disorder. Through these interventions, children and young people can be given early support and help to address problems before they escalate. Community-based early support hubs for children and young people aged 11 to 25 also play a key role in providing early support for young people’s mental health and wellbeing. Early support hubs provide open-access drop-in mental health services that assist children and young people with a range of issues, such as eating disorders, at an early stage without the need for a referral or doctor’s appointment. I am pleased to say that this year, thousands more young people will receive support with their mental health, thanks to £7 million of new funding for 24 existing community-based early support hubs to expand their current offer. That funding will deliver 10,000 more interventions such as group sessions, counselling therapies and specialist support over the next 12 months. Looking forward, we are also committed to rolling out open-access young futures hubs in communities. This national network is expected to bring local services together and deliver support for young people facing mental health challenges, including support for those with eating disorders. We should also be concerned about the widespread availability of harmful online material that promotes eating disorders, suicide and self-harm, which can easily be accessed by people who may be vulnerable. We have been clear that the Government’s priority is the effective implementation of the Online Safety Act, so that those who use social media, especially children, can benefit from its wide-reaching protections as soon as possible. Our focus is on keeping young people safe while they benefit from the latest technology. By the summer, robust new protections for children will be enforced through the Act to protect them from harmful content and ensure that they have an age-appropriate experience online. It is right to focus on awareness and early intervention, but we know that some people simply need access to high-quality treatment in order to get better. A key priority of this Government is therefore to expand community-based services to treat eating disorders, so that people can be treated earlier and closer to home. NHS England is working to increase the capacity of community-based eating disorder services. By improving care in the community, the NHS can improve outcomes and recovery, reduce rates of relapse, prevent children’s eating disorders continuing into adulthood and, if admission is required as a last resort, reduce the length of time that people have to stay in hospital. I am pleased to say that funding for children and young people’s eating disorder services has increased, rising from £46.7 million in 2017-18 to a planned £101 million in 2024-25. With this extra funding, we can focus on enhancing the capacity of community eating disorder teams across the country. We are also committed to providing an extra 8,500 new mental health workers across child and adult mental health services to cut waiting times and ensure that people can access treatment and support earlier. Through the 10-year health plan, this Government will overhaul the NHS and ensure that those with mental health needs, including those living with eating disorders, are given the support that they need. I share the concern of the hon. Member for Bath about accurate recording of deaths to understand the extent to which eating disorders and other factors have caused or contributed to deaths. This matter is being explored with the national medical examiner for England and Wales, the Office for National Statistics and the Coroners’ Society of England and Wales. Hon. Members also raised concerns about BMI. It is not right that any individual is being refused treatment based on their weight or BMI alone. National guidance from the National Institute for Health and Care Excellence is clear that single measures such as BMI or duration of illness should not be used to determine whether to offer treatment for an eating disorder. I am ready to receive any representations from colleagues who have evidence that that is happening, and I would be happy to raise that with the appropriate channels.

I raised with the Minister the reform of disability benefits, which will have implications for sufferers and their carers. My understanding is that the universal credit health element is to be denied to those under the age of 22. In addition, it will be halved and then frozen, and the PIP criteria are changing. As I said, I simply want the Minister to check with his colleagues in the Department for Work and Pensions what the implications are for sufferers of these conditions and their carers. We need specific action to protect them in the consultation; otherwise, people who are already suffering financially as a result of such conditions—particularly when the whole family supports the sufferer—will be further harmed.

I will follow up on those points and write to the right hon. Gentleman. As he knows, the Green Paper is out for consultation. Although the Government have made decisions about some measures, we are consulting and engaging on a number of others. It is very important that we see all the issues that he raises in the round, and I will follow them up with colleagues, particularly in the DWP, and write to him. I again thank the hon. Member for Bath for raising this important issue and for her tireless efforts in this House to raise awareness of eating disorders. I thank all hon. Members for their thoughtful and moving contributions on behalf of their constituents and, in some cases, their loved ones. One person afflicted by an eating disorder is one too many, so the Government will strain every sinew to combat this profoundly debilitating condition.

10:56:00

First, thank you Mr Stuart for chairing your first Westminster Hall debate so well; you kept us in order and on time. I thank all Members for their wide-ranging, thoughtful and moving contributions. Sharing our stories can raise awareness, but it takes a lot of courage. As we have heard, eating disorders do not discriminate on the basis of age, gender or background. Although they disproportionately affect young women, it is important that we keep an eye on young men—we heard very good contributions on that. Eating disorders are a national emergency—I reiterate that even after hearing the Minister’s response. Although some things might be improving, as I said at the beginning, I have been here for six years and, on the whole, things have got worse, not better. We have heard about the Minister’s sharp elbows, and we have heard that there is hope. This debate is an annual event, and I hope that next year I am able to come here and say that the situation has got better, not worse. We owe it to all sufferers. As my hon. Friend the Member for Chichester (Jess Brown-Fuller) said, it is a moral outrage that we have continued to let the situation deteriorate. It has to get better. Next year, I want to be able to say that we have made real progress. The APPG and I want to work with the Government to make the situation better. Campaigners are there to help; we need to work together. I hope that it does not get worse for another year. Question put and agreed to.  Resolved, That this House has considered eating disorder awareness.