The National Institute for Health and Care Excellence (NICE) clinical guidance on managing and treating eating disorders, and the Eating Disorder Commissioning Guide, are both clear that people should not be rejected for treatment solely on the grounds of weight or Body Mass Index (BMI).<\/p>
<\/p>
The NICE clinical guideline for the recognition and treatment of an eating disorder (2017) states \u201cDo not use single measures such as BMI or duration of illness to determine whether to offer treatment for an eating disorder (ref 1.2.8)\u201d. We expect commissioners and providers to adhere to this guidance.<\/p>
<\/p>
The Eating Disorder Commissioning Guide recognises that \u201cThere are reported problems associated with health professionals delaying the provision of appropriate treatment due to their treatment decisions being based primarily on the young person\u2019s weight and BMI. These decisions can lead to a delay in access to appropriate treatment\u201d and re-states that commissioners should adhere to NICE guidelines.<\/p>
<\/p>
Source:<\/p>
<\/p>
Year<\/p><\/td> | Expenditure £ million<\/p><\/td><\/tr> |
2016/17<\/p><\/td> | 341.5<\/p><\/td><\/tr> |
2017/18<\/p><\/td> | 355.2<\/p><\/td><\/tr><\/tbody><\/table>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4070", "label" : {"_value" : "Biography information for Matt Hancock"} } , "answeringMemberConstituency" : {"_value" : "West Suffolk"} , "answeringMemberPrinted" : {"_value" : "Matt Hancock"} , "dateOfAnswer" : {"_value" : "2018-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-10-29T17:36:29.527Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Mental Health Services: Children and Young People"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, how much the NHS and its agencies spent on specialised commissioning for children and young people\u2019s mental health services in (a) 2016-17 and (b) 2017-18.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4244", "label" : {"_value" : "Biography information for Jonathan Ashworth"} } , "tablingMemberConstituency" : {"_value" : "Leicester South"} , "tablingMemberPrinted" : [{"_value" : "Jonathan Ashworth"} ], "uin" : "183395"} , {"_about" : "http://data.parliament.uk/resources/994091", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/994091/answer", "answerText" : {"_value" : " This information is not currently available.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4070", "label" : {"_value" : "Biography information for Matt Hancock"} } , "answeringMemberConstituency" : {"_value" : "West Suffolk"} , "answeringMemberPrinted" : {"_value" : "Matt Hancock"} , "dateOfAnswer" : {"_value" : "2018-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-10-29T14:14:48.97Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Mental Health Services"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, with reference to the report, Next Steps on the Five Year Forward View, published by NHS England in March 2017, what progress his Department has made on the objective for 60,000 more people to access psychological, or talking therapies, for common mental health conditions during 2017-18.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4244", "label" : {"_value" : "Biography information for Jonathan Ashworth"} } , "tablingMemberConstituency" : {"_value" : "Leicester South"} , "tablingMemberPrinted" : [{"_value" : "Jonathan Ashworth"} ], "uin" : "183401"} , {"_about" : "http://data.parliament.uk/resources/994267", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/994267/answer", "answerText" : {"_value" : " The Human Tissue Act 2004 prohibits commercial dealings in human material for transplantation and makes it an offence to traffic organs.<\/p> <\/p> Clinical advice to United Kingdom patients is not to travel to less well-regulated countries to seek an organ transplant. It is thought that very few patients in the UK choose to do so but data on those who do is not available.<\/p> <\/p> The Government has welcomed China's move to stop using organs harvested from executed prisoners from January 2015. The Government continues to monitor the degree of implementation of this commitment, and encourages China to make further progress in bringing transparency to their organ transplant process.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4070", "label" : {"_value" : "Biography information for Matt Hancock"} } , "answeringMemberConstituency" : {"_value" : "West Suffolk"} , "answeringMemberPrinted" : {"_value" : "Matt Hancock"} , "dateOfAnswer" : {"_value" : "2018-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-10-29T14:15:57.613Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Organs: China"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of bringing forward legislative proposals to ban (a) organ trafficking and (b) transplant tourism to China.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3966", "label" : {"_value" : "Biography information for Ian Murray"} } , "tablingMemberConstituency" : {"_value" : "Edinburgh South"} , "tablingMemberPrinted" : [{"_value" : "Ian Murray"} ], "uin" : "183334"} , {"_about" : "http://data.parliament.uk/resources/994291", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/994291/answer", "answerText" : {"_value" : " The Cross-Government Suicide Prevention Strategy (2012), updated in 2017, has two main aims: to reduce suicides and to improve the support and information provided to people bereaved by suicide. Suicide bereavement support should be provided locally by health and social care services working together along with the third sector.<\/p> <\/p> We are investing £25 million over the next three years in support of the strategy. In 2018/19, £5 million has been provided and £10 million will be provided in each year in 2019/20 and 2020/21. This funding is being provided to sustainability and transformation partnerships (STP) areas to support them to develop their suicide prevention plans and a national quality improvement programme across the National Health Service to improve patient safety and reduce suicides. This first eight STP areas received funding this year. The second year of this funding will be used to support some STPs to develop specific areas of their local suicide prevention plans, including suicide bereavement services.<\/p> <\/p> The Department funds the provision of the \u2018Help is at Hand advice and information tool\u2019 which is distributed to local services and can be provided to families bereaved by suicide as soon as is possible and appropriate following a suspected death by suicide.<\/p> <\/p> In July this year, the NHS National Quality Board published \u2018Guidance for NHS trusts on working with bereaved families and carers.\u2019 This aims to improve the way the NHS supports, engages and communicates with people who are bereaved, including through suicide, especially when a death is subject to an investigation. It advises that trusts should provide information to bereaved families on support and care that is available to them inside and outside the trust.<\/p> <\/p> Every local authority in England, now has a suicide prevention plan in place, or in development, to reduce suicides in their community. Public Health England published planning guidance to local authorities in 2016 which recommended priorities for local suicide prevention plans including the provision of suicide bereavement support. We are working with the local government sector to ensure their plans are effective, looking at what works and identifying areas for improvement to feed into a wider national programme of support for local authorities.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4070", "label" : {"_value" : "Biography information for Matt Hancock"} } , "answeringMemberConstituency" : {"_value" : "West Suffolk"} , "answeringMemberPrinted" : {"_value" : "Matt Hancock"} , "dateOfAnswer" : {"_value" : "2018-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-10-29T14:17:49.7Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Suicide: Bereavement Counselling"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that every family bereaved by suicide is proactively offered bereavement support within seven days.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"} } , "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"} , "tablingMemberPrinted" : [{"_value" : "Luciana Berger"} ], "uin" : "183510"} , {"_about" : "http://data.parliament.uk/resources/994297", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/994297/answer", "answerText" : {"_value" : " Future in Mind, published in 2015, brought stakeholders together behind a vision to improve children and young people\u2019s mental health at a time when these services were much in need of attention and focus. The vision included significant ambitions around increasing access to children and young people\u2019s mental health services. Following publication, the Government committed £1.4 billion for improvements to children and young people\u2019s mental health services over the following five years.<\/p> <\/p> Action is now underway to make a range of improvements to children and young people\u2019s mental health services including increasing numbers accessing specialist services, new waiting time standards, setting up new support teams in or near schools, training staff to work in these, training teachers and piloting a waiting time for access to specialist services.<\/p> <\/p> The Government committed providing access to specialist mental health services for an additional 70,000 children and young people a year by 2020/21.This is being delivered through implementation of the Five Year Forward View for Mental Health. This programme is at the half way point and available data suggests the Government is on track to deliver against this target.<\/p> <\/p> The Five Year Forward View also introduced two waiting time standards for children and young people. The first aims for 95% of children and young people (up to 19 years old) with eating disorders to receive treatment within a week for urgent cases and four weeks for routine cases by 2020/21. The second is that 50% of patients of all ages experiencing a first episode of psychosis should receive treatment within two weeks of referral by 2020/21. We are currently on track and meeting these waiting time standards respectively.<\/p> <\/p> In relation to the development of a \u2018whole system approach\u2019, the Government is going further than the vision set out in Future in Mind. Our Green Paper, published jointly with the Department for Education, sets out our plans for increased support for children and young people in schools. As part of implementing this, we are setting up new Mental Health Support Teams to deliver mental health interventions for those with mild to moderate needs in, or close to, schools and colleges (and refer those with more severe needs on to specialist services). Educational Mental Health practitioners\u2019 training places are now open for 210 new staff. Training will start from January 2019.<\/p> <\/p> We will also ensure that at least one teacher in every primary and secondary school will receive mental health awareness training to enable school staff to spot common signs of mental health issues, and to help children and young people receive appropriate support.<\/p> <\/p> We have also committed to piloting a four week waiting time for access to specialist children and young people\u2019s mental health services.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4070", "label" : {"_value" : "Biography information for Matt Hancock"} } , "answeringMemberConstituency" : {"_value" : "West Suffolk"} , "answeringMemberPrinted" : {"_value" : "Matt Hancock"} , "dateOfAnswer" : {"_value" : "2018-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-10-29T14:10:52.7Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Mental Health Services: Children and Young People"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what (a) steps his Department is taking and (b) funding is allocated to implement each proposal in the Children and Young People's Mental Health Task Force report, Future in Mind; and what progress has been made on implementing those proposals to date.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4036", "label" : {"_value" : "Biography information for Luciana Berger"} } , "tablingMemberConstituency" : {"_value" : "Liverpool, Wavertree"} , "tablingMemberPrinted" : [{"_value" : "Luciana Berger"} ], "uin" : "183516"} ], "itemsPerPage" : 10, "page" : 0, "startIndex" : 1, "totalResults" : 7, "type" : ["http://purl.org/linked-data/api/vocab#ListEndpoint", "http://purl.org/linked-data/api/vocab#Page"]} } |