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Eating Disorders Summit: Implementing the new NICE guidelines

Chaired by Andy Roberts National Service and Commissioning Advisor The National Collaborating Centre for Mental Health (NCCMH) for the Access and Waiting Time Standard for Children and Young People with an Eating Disorder Commissioning Guide Guideline Committee, NICE, today's conference will focus on how you can implement the new NICE Guidance on Eating Disorders: Recognition and Treatment, published in May 2017.

Speakers news and updates:

NICE update: Eating disorders - recognition and treatment

Prof Ivan Eisler Core Member Eating disorders: treatment and recognition guideline Committee NICE Emeritus Professor of Family Psychology and Family Therapy Kings College Institute of Psychiatry Psychology and Neuroscience and Consultant Clinical Psychologist and Joint Head of Child and Adolescent Eating Disorders Service South London and Maudsley NHS Foundation Trust

Prof Ivan Eisler gave an update and overview on the NICE Guidance. He focused on the recommended therapies and suggested using the guidance like a Sat Nav that is a helpful guide particularly if you are lost, but can be overwritten if you know where you are going. Prof Eisler also discussed the change of focus to early intervention, ensuring services kick in when there is a first whiff of an eating disorder rather than waiting to see how things go. Dont wait til the problem grows, do something early and refer to experts. Prof Eisler discussed the access and waiting time guideline which dovetails and agrees with NICE. There are now 70 community Eating Disorders services working on early interventions.

Prof Eisler discussed maximising the reach of interventions through low key low cost interventions as part of a stepped care approach for example guided self help for adult BN and BED, and early intervention and easy access to dedicated community based ED treatments. 

Slides are available here 

New pathways for Eating Disorders in Children and Young People

Anne O’Herlihy Child and Adolescent Mental Health Project Manager NHS England

Anne discussed: 

  • what does a gold standard eating disorder service look like?
  • service models and pathways
  • new resources for evidence based community eating disorder teams: elements of an effective community service
  • looking forward to the waiting time standard for Eating Disorders due in 2017
  • NHS England update

 

Anne ran through the key policy commitments and the extra investment received. The main target being to improve access to see 70,000 more CYP receiving swift and appropriate access to care each year. 

NHS England Commitment

The Five Year Forward View for Mental Health reiterated  NHS England’s commitment to implement the  system-wide transformation of the local offer to children and young people set out in  Future in Mind.  CYP MH Local Transformation plans set out how CCGs  and partners are using their share of the £1.4m pledged by the Government in 2014-15  which are then fully integrated into STPs across the country. We have committed that by 2020 : 

•At least 70,000 more CYP receiving swift and appropriate access to care each year
•Completed national roll-out of CYP IAPT programme to embed collabortive, outcome focused, evidence based care in partnership with CYP and families/carers
•Train at least 3,400 existing staff in services to improve access to evidence based treatments
•1,700 additional new staff to support improved access to evidence based treatments
•Evidence based community eating disorder services for CYP across the country and referral to treatment standard: 95% of those in need of eating disorder services start treatment within 1 week for urgent cases & 4 weeks for routine cases.
•Improved access to and use of inpatient care, having the right number and geographical distribution of beds to match local demand with capacity, leading to an overall reduction in bed usage.
•Improved crisis care for all ages, including investing in places of safety.
 
The journey so far: 
  • 20,000 more CYP under 18 seen in 2016-17, on target for an extra 70,000 by 2020
  • 123 Local Transformation Plans refreshed and republished setting out local offer  and how new money will be used
  • 50% of areas are changing their local model of delivery
  • 67 new or enhanced Community Eating Disorder Teams in place
  • 8 Emergency and Urgent Care Vanguards testing CYPMH Crisis Models 
  • Infrastructure support to commissioners and providers via clinical networks
  • Training and support programme for  commissioners underway
  •  Monitoring spend and process markers for delivery through CCG IAF process
  • Inpatient bed review complete and plans to realign beds to local needs – 150 to 180 new beds
  • New Models of Care (wave 1 and 2) provider taking over inpatient budget to create more effective pathway with community
  • Joint work with Health Education England  so the CYP IAPT change programme works with services covering 9
  • 0% of 0-19 population
  • Support for  Youth Offending Institutions, Secure Children’s homes and  Forensic CAMHS underway
  • Piloting Integrated Personal Budgets in 6 areas 

 

Annes slides are available here 
 

The Lived Experience of having an Eating Disorder

Nicola Davis Lived Experience of Eating Disorders and Author My Super Sweet Recovery Cookbook

  • how can we improve the lives of people with Eating Disorder?
  • the journey to diagnosis
  • understanding the lived experience and regaining control

Nicola discussed her experience of an eating disorder and how writing cook book helped her - information at www.nicoladaviscrafts.co.uk

 


3 July 2017

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