HC Deb 16 July 2003 vol 409 cc410-2W
Mr. Paul Marsden

To ask the Secretary of State for Health if he will list the new specialist services set up to treat patients with anorexia as a result of the report by the Royal College of Psychiatrists on eating disorders in 1998. [125089]

Ms Rosie Winterton

The report by the Royal College of Psychiatrists was published in 2001 and has contributed to two new pieces of work into this very serious disorder.

The National Development Group for Specialised Services, chaired by Professor Appleby, the National Director for Mental Health, has recently reviewed this issue and will report its findings in the autumn.

In addition, the National Institute for Clinical Excellence is preparing guidelines for the treatment of anorexia. These are expected to be issued towards the end of this year.

It is anticipated that proposals for service development will emerge from these three important pieces of work.

Mr. Paul Marsden

To ask the Secretary of State for Health (1) how many deaths there were of patients suffering from anorexia, broken down by age, in each year since 1997; [125090]

(2) what the average cost was of treating a patient suffering from anorexia in each of the last three years; [125091]

(3) what the waiting time for patients with anorexia was to see a consultant in each primary care trust in each of the last three years. [125093]

Ms Rosie Winterton

Anorexia is a severe condition, mainly but not exclusively, affecting younger women, which can lead to death in about 15 per cent. of cases. It may affect as many as 1 per cent. of women and is a matter of considerable concern to the Department of Health.

A new group, the National Development Group for Specialised Services, chaired by the National Director for Mental Health, Professor Appleby, have recently reviewed this issue and will report their findings in the autumn.

In addition, the National Institute for Clinical Excellence is preparing guidelines far the treatment of anorexia and these are expected to be issued towards the end of this year. Unfortunately, Hospital Episode Statistics (HES) data, which relate to diagnostic information for in-patients in national health service hospitals who have finished their hospital episodes under the care of a consultant specialist, are not collected in a form that reliably permits breakdown of the statistics on deaths following admission to hospital by diagnostic category.

Treatment costs associated with the care of such patients are normally be spread across primary care as well as secondary specialised services and information about overall cost is not captured in a way that permits analysis by diagnostic category.

Furthermore, summary information about waiting times to see a consultant psychiatrist is collected, but this is not broken down by diagnostic category.

Mr. Paul Marsden

To ask the Secretary of State for Health where specialist services treating patients with anorexia are based. [125096]

Ms Rosie Winterton

Anorexia is a severe condition, mainly but not exclusively affecting younger women, which can lead to death in as many as 15 per cent. of cases. It may affect as many as one per cent. of women, and is a matter of considerable concern to the Department of Health.

The most recent survey indicates that there are approximately 70 units in the national health service and the independent sector specialising in eating disorders, including anorexia.

There continues to be a bias in provision towards the south-east of the country, with the south-west and north-east of England, as well as Wales, Scotland and Northern Ireland having the fewest services in proportion to their populations.

A new group, the National Development Group for Specialised Services, chaired by Professor Appleby, the National Director for Mental Health, has recently reviewed this issue and will report its findings in the autumn.

In addition, the National Institute for Clinical Excellence is preparing guidelines for the treatment of anorexia. These are expected to be issued towards the end of this year.

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