ArticleBJPsych bulletin2023
The alarms should no longer be ignored: survey of the demand, capacity and provision of adult community eating disorder services in England and Scotland before COVID-19.
Article in BJPsych bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed.
- Digital augmentation of aftercare for patients with anorexia nervosa: the TRIANGLE RCT and economic evaluation.Health technology assessment (Winchester, England) · 2025Trial
- 'You Can Be Simultaneously Powerful and Marginalised at the Same Time in Different Ways'. An Intersectional Examination of Barriers and Facilitators of Help-Seeking for Eating Disorders by People From Under-Served Groups.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Care approaches for people with longstanding eating disorders: a lived experience perspective on the need for recovery-fostering care.Journal of eating disorders · 2026Article
- Ignorance culture and eating disorders: lived experience analysis of alarms being ignored.BJPsych bulletin · 2026Review
- Collective responsibility and ecological thinking in eating disorders: moving beyond individualistic models of illness and recovery.Journal of eating disorders · 2026Article
- "We might be making mistakes, but we're learning, we're trying, and we're listening": embedding qualitative methods within the plan-do-study-act cycle to support the development of a pilot multidisciplinary ARFID pathway.Journal of eating disorders · 2026Article
- Do new labels solve old problems? Conceptual, ethical, and clinical challenges of constructing restrictive eating behaviours as "self-harm".Journal of eating disorders · 2026Article
- "I can lose sight of my own well-being because I'm just so focused on them": a qualitative investigation of eating disorder clinicians' experiences in England.Journal of eating disorders · 2026Review
- Bridging the gap: a mixed-methods real-world pilot of a digital intervention for adults with binge eating.Journal of eating disorders · 2025Article
- Intensive community and home-based treatments for eating disorders: a scoping review.Journal of eating disorders · 2025Review
- Implementation Fidelity in Early Intervention for Eating Disorders-A Multisite Pilot Study.Behavioral sciences (Basel, Switzerland) · 2025Article
- Predictors and Mediators of Outcome of a Focussed, Programme Led Intervention for Young People With Eating Disorders.The International journal of eating disorders · 2025Article
- Broad considerations for improving eating disorder care: a lived experience and quality improvement perspective.Journal of eating disorders · 2025Article
- "I could be living a totally different life right now": lived experience and caregiver perspectives on the prevention of eating disorders.Journal of eating disorders · 2025Article
- Exploring the ruling relations of eating disorder treatment in Ontario.Journal of eating disorders · 2025Article
- Medical management and differential diagnosis of restrictive eating disorders in men: a case study report with co-produced recommendations.Journal of eating disorders · 2025Article
- Outcomes of professional development to support capacity to provide eating disorder treatment and exploration of service level barriers.Journal of eating disorders · 2025Article
- Staying on course with early intervention for eating disorders: beware of dilution and drift. Comment on Downs, J. 'Redefining prevention and early intervention to include longstanding and severe eating disorders'.Journal of eating disorders · 2025Article
- A novel whole-team training programme for adult eating disorder services in England: rationale, development and preliminary evaluation.BJPsych bulletin · 2025Article
- The continuing impact of COVID-19 on eating disorder early intervention services in England: An investigation of referral numbers and presentation characteristics.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
Corrections and comments
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Authors and funding
22 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AIMS/
methodThis national pre-pandemic survey compared demand and capacity of adult community eating disorder services (ACEDS) with NHS England (NHSE) commissioning guidance.
resultsThirteen services in England and Scotland responded (covering 10.7 million population). Between 2016-2017 and 2019-2020 mean referral rates increased by 18.8%, from 378 to 449/million population. Only 3.7% of referrals were from child and adolescent eating disorder services (CEDS-CYP), but 46% of patients were aged 18-25 and 54% were aged >25. Most ACEDS had waiting lists and rationed access. Many could not provide full medical monitoring, adapt treatment for comorbidities, offer assertive outreach or provide seamless transitions. For patient volume, the ACEDS workforce budget was 15%, compared with the NHSE workforce calculator recommendations for CEDS-CYP. Parity required £7 million investment/million population for the ACEDS. CLINICAL IMPLICATIONS: This study highlights the severe pressure in ACEDS, which has increased since the COVID-19 pandemic. Substantial investment is required to ensure NHS ACEDS meet national guidance, offer evidence-based treatment, reduce risk and preventable deaths, and achieve parity with CEDS-CYP.
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Registered trials
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