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https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/1175
Title: | The alarms should no longer be ignored: A Survey of the Demand, Capacity and Provision of Adult Community Eating Disorder Services in England and Scotland before COVID-19 |
Authors: | Viljoen, David King, Emily Harris, Sophie Jonathan, Hollyman Costello, Kate Galvin, Eimear Jones, Roshan Ayton, Agnes |
Keywords: | Eating Disorders COVID-19 |
Issue Date: | Dec-2022 |
Citation: | David Viljoen,Emily King,Sophie Harris,Jonathan Hollyman,Kate Costello,Eimear Galvin,Melissa Stock,Ulrike Schmidt,James Downs,Murali Sekar,Ciaran Newell,Sam Clark-Stone,Amy Wicksteed,Caroline Foster,Francesca Battisti,Laura Williams,Roshan Jones,Sarah Beglin,Stephen Anderson,Thuthirna Jebarsan,Viviane Ghuys,Agnes Ayton. The alarms should no longer be ignored: A Survey of the Demand, Capacity and Provision of Adult Community Eating Disorder Services in England and Scotland before COVID-19. PsyArXiv Preprints |
Abstract: | This national survey compared the demand and capacity of adult community eating disorder services (ACEDS) to NHSE Commissioning guidance. Results: Of 21 services approached in England and Scotland 13 responded (10.7 million total population). Between 2016/17 and 2019/20, the average referral rate 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), yet 46% of referrals were 18-25 years old. Most ACEDS had waiting lists and rationed access. Less than half of services were able to provide full medical monitoring, adapt treatment for co-morbidities, provide seamless transitions across the care pathway, or offer assertive outreach. ACEDS were 15% funded to meet demand, and to achieve parity with the CEDS-CYP would require an estimated £7 million in funding per million population. Clinical Implications: Even before the pandemic, ACEDS experienced a growing demand that exceeded its capacity. Given the increase in eating disorders since, substantial investment is required for ensuring safe and effective NHS services. |
Description: | Freely available online |
URI: | https://oxfordhealth-nhs.archive.knowledgearc.net/handle/123456789/1175 |
Appears in Collections: | Eating Disorders |
Files in This Item:
File | Description | Size | Format | |
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AED demand and capacity-BJPsych.Preprint update (1).pdf | Main article | 508.48 kB | Adobe PDF | View/Open |
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