NHS Learning and Good Practice
Care Quality Commission (CQC)
Right Here Right Now
Details
A report to improve the care for people who experience mental ill health. It reviewed and explored the lived experience of people who come up against a mental health crisis and the response they received when they reached out to services for help and support.
Who is it for
This document is designed to be used by healthcare professionals to improve th care they provide for patients with eating disorders.
Age group
- Children and Young People
- Adults and Older People
Type of content (learning, policy or guidance)
- Guidance
- Policy
- Learning
Date of publication
June 2015
Derbyshire County Council
Derbyshire County Council Adult Care Practice Guidance Eating Disorders and the Mental Health Act
Details
This documents outlines things to consider from the Mental Health Act when treating someone with an eating disorder.
Who is it for?
This document will be of interest to health care staff working with people with an eating disorder.
Age Group
- Adults and Older People
Type of content (learning, policy or guidance)
- Guidance
Date of publication
Published November 2015, Review and update, January 2019
Forward Thinking Birmingham
Ramadan and Eating Disorders
Details
This guide provides advice to support young people with eating disorders cope during Ramadan.
Who is it for
- Children and Young People
- Parents/Carers and Families
Age group
- Children and Young People
Type of content (learning, policy or guidance)
- Learning
Date of publication
Unknown
Greater Manchester West MH NHS FT
Guidelines for GPs and other Professionals: Eating Disorders
Details
The purpose of these guidelines, in conjunction with the care pathway, is aimed at ensuring the most appropriate service is delivered in a timely manner to ensure the most positive outcome.
Who is it for?
GPs and other professionals working with people with an eating disorder.
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
- Guidance
Date of publication
Last reviewed in January 2019
Health Improvement Scotland
Scottish Intercollegiate Guidelines Network (SIGN) - Our Guidelines
Details
The guideline will cover referral, management of medical and mental health risks, choice of treatments and management of transitions.
Who is it for?
- Healthcare professionals
- Commissioners and providers
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- People with suspected or diagnosed eating disorders and their families and carers
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
Guidance
Date of publication
Published January 2022
Health Education England
Professional competency frameworks for eating disorders and related psychological therapies
Details
This site gives open access to the framework, which details the knowledge and skills that need to be brought together to deliver effective interventions for people with eating disorders.
It should be read in conjunction with the background document (HEE):
Who is it for
The primary audience for this work will be:
- Healthworkers
- Trainers and supervisors
- Clinical managers
- Commissioners of services
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
- Guidance
Date of publication
Multi-Professional Approved/ Responsible Clinician: Implementation Guide
Details
This document provides guidance to NHS organisations and partner agencies looking to implement multi-professional approved (AC) and responsible clinician (RC) roles.
In the first section, it will provide you with further background on the role, then move onto the practical considerations around implementing the role. This will allow you to successfully plan and deploy the role while ensuring appropriate clinical and governance arrangements are in place.
The guide is meant to be used interactively. Throughout the guide there are links that signpost you to further information and other documents to consider. The guide contains an overview of the responsible/approved clinician role, an independent review of the role, professional case studies and a list of core competencies. It should be read in conjunction with the Mental Health Act Code of Practice and Reference Guide to the Mental Health Act.
Who is it for?
This guide is particularly aimed at workforce planners, NHS trust executives and local authorities looking to transform their workforce to meet the diverse needs of patients and service users.
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
- Guidance
Date of publication
Unknown
South London & Maudsley NHS FT (KCL)
First Episode Rapid Early Intervention for Eating Disorders (FREED)
Details
FREED is designed to give young people rapid access to specialised evidence-based treatment for eating disorders and support tailored to their needs.
Young people getting help for their eating disorder through FREED are given rapid access to specialised treatment which gives special attention to challenges we know young people face during these years of their life, and in the early stages of an eating disorder.
FREED is a flexible evidence-based treatment approach focused on early intervention; making it much more effective than traditional treatments at reversing the changes to brain, body and behaviour caused by eating disorders.
Who is it for?
It is a service for 16 to 25-year-olds who have had an eating disorder for three years or less.
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
- Learning (service)
Date of publication
The service started in 2016
FREED Available Resources
- The Brain and Eating Disorders
- A summary of how eating disorders impact the brain
- Emerging Adulthood
- A guide to explain what psychologists know about emerging adulthood
- Preparing for University
- Top tips for managing university whilst recovering from an eating disorder
- Help and Support for an ED
- Guide to seeking help for an eating disorder. It includes step-by-step information on how to seek eating disorder treatment, tips for talking to friends and family, and details of self-help resources.
- Social Media Food and Me
- Animated video of real accounts of young people with an eating disorder
Eating Disorders and Pregnancy
Details
With input from women, healthcare professionals and key organisations, we collaborated with researchers at KCL over a 10 month period, to co-design this animation for healthcare professionals, that incorporate the latest evidence and clinical guidance, and the perspectives of women with lived experience.
5m,34s
Who is it for?
- Health professionals
- Anyone interested in learning more about
Age Group
- Adults and Older People
Type of content (learning, policy or guidance)
- Learning
Date of publication
May 2021
Leeds and Yorkshire Partnership NHS FT
Yorkshire Centre for Eating Disorders (YCED): An Information Pack for Carers
Details
The aim of this booklet is to provide you with information about eating disorders, how to support your loved one with an eating disorder, general practices on ward 6 and useful resources.
Who is it for?
Carers of people with an eating disorder.
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
- Guidance
Date of publication
Published 2016
MindEd Learning
Eating Disorders
Details
There are a range of problems and types of problems that we see in children and young people. These difficulties can be grouped into problem types. The aim is to not repeat the existing MindEd content but rather to highlight what can be found and why it matters. Although this session does not cover every topic in detail, the material within these sessions is highly relevant to parents grappling with difficulties.
Who is it for?
- Healthcare professionals
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- Families and carers of people with suspected or diagnosed eating disorders
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
Learning
Date of publication
Published 2016, Last major update, 2020
Eating Disorders : Families and Professionals
Details
This session describes Community Eating Disorder Services for Children and Young people (CEDS-CYP) and the importance of accessing the right support for these disorders early. It explains the physical risks and psychological aspects of eating disorders and the multi-disciplinary nature of CEDS-CYP. It highlights the importance of engaging the young person in treatment and the role of the family in this. The session also outlines psychological and medical treatments, the need to attend to the often co-occurring psychiatric conditions and the use of medication. **
Who is it for?
- Healthcare professionals
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- Families and carers of people with suspected or diagnosed eating disorders
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
Learning
Learning Objectives
- Describe how to access the right support (including multi-disciplinary team involvement) early to help with recovery
- Identify physical risk which needs assessing and treating
- Identify methods of treatment which motivate the young person and include the family
- Describe the role of the first line psychological treatments and adjunct medication
- Identify common co-occurring conditions and their treatments
Date of publication
Published 2016, Last major update, 2020
**This session is from MindEd's Combining Therapies Programme. Combining therapies refers to situations where two or more treatments or interventions are being delivered at the same time to the same child, young person or family.
Eating Disorders : Further Information for Professionals
Details
There are a range of problems and types of problems that we see in children and young people. These difficulties can be grouped into problem types. The aim is to not repeat the existing MindEd content but rather to highlight what can be found and why it matters. Although this session does not cover every topic in detail, the material within these sessions is highly relevant to parents grappling with difficulties.
Who is it for?
- Healthcare professionals
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- Families and carers of people with suspected or diagnosed eating disorders
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
Learning
Learning objectives
By the end of this session you will be able to:
- Explain the background to the establishment of Community Eating Disorder Services for Children and Young People (CEDS-CYP)
- Explain the importance of multi-disciplinary team involvement in the assessment and treatment of eating disorders in the CEDS-CYP
- Describe the assessment and management of physical risks
- Identify and describe the common co-occurring conditions, and modified treatments for co-occurring conditions (comorbidities)
- Describe the use of medication in treatment of eating disorders
- Explain that the psychological treatments that have been shown to be effective are the first line treatments for eating disorders
Date of publication
Published 2016, Last major update, 2020
Eating Disorders: Anorexia & Bulimia
Details
This session outlines the diagnostic criteria and non-specific risk factors for eating disorders that most often start in childhood and adolescence. The eating disorders most frequently seen by mental health professionals, for example, anorexia nervosa, are explained in more detail. Treatment interventions and treatment outcomes for anorexia nervosa and bulimia nervosa will be discussed, with particular emphasis given to the key family therapy interventions for anorexia nervosa.
Who is it for?
- This session is aimed at more experienced/specialist users.
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
Learning
Learning Objectives
- Explain the criteria for making a diagnosis of key eating disorders
- Recognise the predisposing factors for development of eating disorders
- Identify the treatment interventions for eating disorders
- Explain the theoretical principles of family therapy interventions for child and adolescent anorexia nervosa
This session uses self assessments that help you check what you have learnt. You do not have to use them and your answers are not seen by anyone else.
Date of publication
Published 2016, Last major update, 2020
Eating Disorders in Young People
Details
This session gives an overview of the nature, aetiology and risk factors linked to eating disorders. Also covered are the diagnostic elements that allow us to distinguish between eating disorders and other conditions affecting the eating behaviour of young people.
Who is it for?
- Healthcare professionals
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- Families and carers of people with suspected or diagnosed eating disorders
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
Learning
Learning objectives
- Distinguish between eating disorders and other kinds of eating difficulties
- Discuss the characteristics of common eating disorders
- List risk factors and aetiological issues for eating disorders
Date of publication
Published 2016
Assessment of Eating Disorders
Details
This session covers the stages of the assessment of eating disorders, taking into account diagnostic criteria, nutritional status and the role of the family.
Who is it for?
- Healthcare professionals
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- Families and carers of people with suspected or diagnosed eating disorders
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
Learning
Learning objectives
- Assess and diagnose common eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder) in young people
- Recognise the signs and symptoms of eating disorders and acute malnutrition
- Recognise the impact of dietary restriction on growth and development in children and adolescents
- Understand the limitations of the various methods for assessment
Date of publication
Published 2016
Physical Aspects of Eating Disorders
Details
This session will explore the biology of starvation and offer guidance on how to assess children and young people with eating disorders. It will then investigate the issues surrounding refeeding and identify the long-term health effects of starvation in childhood or adolescence.
Who is it for?
- Healthcare professionals
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- Families and carers of people with suspected or diagnosed eating disorders
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
Learning
Learning objectives
By the end of this session, you will be able to:
- Describe how the body reacts in response to starvation
- Explain how to assess children and young people with eating disorders
- Identify children and young people at risk of refeeding syndrome
- Define what is meant by ‘normal weight’ in children and young people
- List the long-term effects of starvation during childhood or adolescence
Date of publication
Published 2018
NICE Guidelines
Eating Disorders: Recognition & Treatment
Details
This guideline includes recommendations on:
- identifying eating disorders
- treating anorexia nervosa
- treating binge eating disorder
- treating bulimia nervosa
- physical and mental health comorbidities
- assessing, monitoring and managing physical health
- inpatient and day patient care.
Who is it for?
- Healthcare professionals
- Commissioners and providers
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- People with suspected or diagnosed eating disorders and their families and carers
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
Guidance
Date of publication
Published May 2017, Reviewed December 2020
Baseline Assessment Tool: Eating Disorders recognition and treatment
Eating Disorders: Recognition & Management
Details
Links with other NICE guidance and NICE pathways
Context:
- facts & figures,
- current practice,
- policy,
- legislation,
- regulation & commissioning
Who is it for?
- Healthcare professionals
- Commissioners and providers
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- People with suspected or diagnosed eating disorders and their families and carers
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
Guidance
Date of publication
Published December 2016
Transition from Children's to Adults' Services
Details
This quality standard covers the period before, during and after a young person moves from children's to adults' services in all settings where transitions from children’s to adults’ health or social care services take place.
Who is it for?
- Healthcare professionals
- Commissioners and providers
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- People with suspected or diagnosed eating disorders and their families and carers
Age Group
- Children & Young People
- Adults & Older People
It covers all young people (aged up to 25) using children’s health and social care services who are due to make the transition to adults’ services. This includes young people with mental health problems, disabilities and long-term, life-limiting or complex needs, and those in secure settings or under the care of local authorities. It describes high-quality care in priority areas for improvement.
Type of content (learning, policy or guidance)
Guidance
Date of publication
Published December 2016
Transition Between Inpatient & Community Settings
Details
This guideline covers the period before, during and after a person is admitted to, and discharged from, a mental health hospital. It aims to help people who use mental health services, and their families and carers, to have a better experience of transition by improving the way it’s planned and carried out.
Who is it for?
- Healthcare professionals
- Commissioners and providers
- Other professionals who provide public services to people with eating disorders (including in education and criminal justice settings)
- People with suspected or diagnosed eating disorders and their families and carers
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
Guidance
Date of publication
Published December 2016
Eating Disorders: Quality Standards
Details
This quality standard covers assessment, treatment, monitoring and care for children, young people and adults with an eating disorder. It describes high-quality care in priority areas for improvement.
Quality standards help you improve the quality of care you provide or commission.
Who is it for?
The tool can be used by individual services or organisations. Alternatively, an assessment completed with the involvement of all relevant services or organisations would help to develop a picture of activity in the local area.
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
Guidance
Date of publication
Published September 2018
NHS England
Paediatric restrictive practices and nasogastric feeding guidance
Details
This guidance offers staff in paediatric wards and emergency departments a single point of access to resources specifically to support those CYP with an eating disorder who are critically unwell, and may require NGT feeding to which they are too unwell to actively agree. It is based on the Medical Emergencies in Eating Disorders (MEED) guidance, which in 2022 replaced MARSIPAN as the UK guidance for these situations.
This project was commissioned in 2022 by NHS England as a result of the growing awareness and increasing concerns in relation to the impact of restrictive practices and nasogastric tube (NGT) feeding for children and young people with an eating disorder in acute/paediatric settings. In January 2022 a Stakeholder Advisory Group was established to provide advice, guidance and leadership to the project leads Professor Alison Robertson and Professor Oliver Shanley OBE.
Select here for the RAPID ALGORITHM
Who is it for?
Staff in paediatric wards and emergency departments a single point of access to resources specifically to support those CYP with an eating disorder who are critically unwell, and may require NGT feeding to which they are too unwell to actively agree.
Age Group
- Children & Young People
Type of content (learning, policy or guidance)
- Guidance
Date of publication
2023
New South Wales (Australia) Ministry of Health
Guidelines for the Inpatient Management of Adult Eating Disorders
Details
Guidelines for the Inpatient Management of Adult Eating Disorders in General Medical and Psychiatric Settings in NSW (New South Wales, Australia). The document is divided into three sections;
- Background (of the guidelines)
- Assessing for an Eating Disorder
- Management of the Eating Disorder Inpatient Admission
The document was developed by InsideOut, Australia’s national institute for research, translation and clinical excellence in eating disorders (previously called the Centre for Eating and Dieting Disorders).
Who is it for
This document is designed to be used by nurses, doctors, allied health and general health staff located in hospitals or wards without specialist eating disorder facilities, to guide in the assessment of eating disorders, indicators for admission, and management strategies.
Age group
- Adults & Older People
Type of content (learning, policy or guidance)
Guidance
Date of publication
March 2014
Public Health Wales NHS Trust
Swimming with the T1DE
Details
This short animation, developed by people living with type 1 Diabetes and Health Care professionals from across Wales, aims to raise awareness of the risks, issues and links between eating disorders and type 1 Diabetes.
This film was made in partnership with All Wales Diabetes Implementation Group (AWDIG), NHS Wales Health Collaborative, Cardiff and Vale UHB Psychology department, and funded by Public Health Wales NHS Trust. The project was facilitated by Katja Stiller (Therapeutic Arts Facilitator) and Jane Hubbard (Animation Producer) from Breathe Creative.
Who is it for
- Anyone interested in learning more about eating disorders and type 1 Diabetes.
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
- Learning
Date of publication
Royal Australian and New Zealand College of Psychiatrists (RANZCP)
Guidelines for Treatment of Eating Disorders
Details
This guideline for the clinical management of eating disorders is a project of the Royal Australian and New Zealand College of Psychiatrists (RANZCP). The guideline is intended to provide current evidence-based guidance on the assessment and treatment of people with eating disorders.
The guideline represents the work of a core working group of health care academics and professionals and wide consultation with key stakeholders and the community.
Who is it for?
Clinicians
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
Guidance
Date of publication
First published in Australian and New Zealand Journal of Psychiatry 2014, Vol. 48(11) 1-62
King's College Hospital
Type 1 Diabetes with Disordered Eating (T1DE) service
Details
Information about King's College Hospital's Type 1 Diabetes with Disordered Eating (T1DE) pilot clinical service.
Who is it for
- Patients who are registered with a London-based GP surgery or specialist diabetes team that wish to learn more about/access this service.
- Referrers to King's College Hospital's Type 1 Diabetes with Disordered Eating (T1DE) service.
Age Group
- Children & Young People
- Adults & Older People
Type of content (learning, policy or guidance)
- Guidance
Date of publication
Collated list of the above resources
Resource List
MindEd
- Eating Disorders
- Eating Disorders: Families and professionals
- Eating Disorders: Further information for professionals
- Eating Disorders: Anorexia & bulimia
- Eating Disorders in Young People
- Assessment of Eating Disorders
- Physical Aspects of Eating Disorders
NHS England
eLfH, HEE
- Understanding eating disorders module 1: Signs, symptoms and causes
- Understanding eating disorders: Practical requirements
- BEAT eating disorders evaluation survey
NICE
- Eating disorders: recognition and treatment
- Eating Disorders: Recognition and management (NICE GUIDELINES) methods, evidence and recommendations
- Transition from children's to adults' services
- Transition between inpatient mental health settings and community or care home settings
- Eating Disorders: Quality Standard
Health Improvement Scotland
RANZCP
NSW
Greater Manchester West MH NHS FT
Derbyshire County Council
Leeds and Yorkshire Partnership NHS FT
Disclaimer
This document provides general information and discussions about health and related subjects. The information and other content provided in this document, or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.
If you or any other person has a medical concern, you should consult with your healthcare provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that you have read in this document or in any linked materials. If you think you may have an emergency, call an appropriate source of help and support such as your doctor or emergency services immediately.
MindEd is created by a group of organisations and is funded by NHS England, the Department of Health and Social Care and the Department for Education.
© 2023 NHS England, MindEd Programme
