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Updates from today's Eating Disorders Conference

News and presentations from today's conference chaired by Tom Quinn Director of External Affairs Beat.

Dr Tony James Consultant Child and Adolescent Psychiatrist Oxford Health NHS Foundation Trust opens the conference with an update on 'Eating Disorders: The 2018 Quality Standard' and covers:

  • eating disorders national standards update
  • the 6 quality statements and what that means for you
  • advice for service providers on implementing the new Quality Standard


Dr James commented "Eating Disorders are serious mental health problems.
Quality Standards it is important how you measure progress.
Quality Standards are not Mandatory but they can be used to plan and delivery services to promote best care.
Measuring Quality of Care and treatment is essential.
Care delivered as its meant to be delivered will get better outcomes."

Full powerpoint presentation

Pre conference abstract

This is an exciting time in the area of mental health work, as the number of research papers and developments are increasing particularly in in the field of eating disorders. However, it is recognised that there is a treatment gap between research and clinical practice 1. The NICE guidelines and the quality standards are a recognised as way to address this critical issue. This talk will highlight the recent, and updated quality standards, and point out the problems of developing quality standards in areas that lack a research base.

1. Kazdin, et al. The International Journal of Eating Disorders, 2017, 50:170.

Dr James' Biography

Dr James is an Honorary Senior Lecturer at the University of Oxford. He is a consultant child and adolescent psychiatrist at the Highfield Unit, Oxford. He has research interests in early onset psychosis, bipolar disorder, OCD and dialectic behavioural therapy (DBT) and eating disorders. He helped set an inpatient CBT-E service. He has been on two NICE Guideline Development Groups (CDGs).

This will be followed by a presentation from Dr Dasha Nicholls Chair Eating Disorders Faculty of the Royal College of Psychiatrist Consultant Child and Adolescent Psychiatrist & Joint Head of the Feeding and Eating Disorders Service Great Ormond Street Hospitals Specialist committee member Eating disorders NICE quality standard on the 'NICE Quality Standard in Eating Disorders and The Quality Network for Eating Disorders: Moving in the right direction'.

Dr Nicholls commented "NICE Quality standards looked at the areas for big change.
The stakeholder responses are absolutely crucial in the development of NICE Guidelines and Quality Standards.
The development process of Quality standards was a slightly unusual process as it was a 3 stage consultation process.
Averil Hart review is a must read lots of recommendations from this report."

Full powerpoint presentation

Pre conference abstract

The NICE quality standards are one of a number of drivers to improve quality of care for patients with eating disorders and their families. The standards are the final step in a process that aims support to safe and cost-effective health care across England. This presentation will start by outlining the develop of the Quality Standards and the relationship between the NICE guideline and the standards from the perspective of an expert committee member in both processes.

The Royal College of Psychiatrists (RCPsych) is a key partner to NICE in the drive for quality: it is home to the College Centre for Quality Improvement (CCQI) which hosts the peer led quality networks for eating disorders in children and young people (CYP) (QNCC-ED and QNIC-ED) and adults (QED); and includes a Faculty for Eating Disorders (FED), which brings together psychiatrists working in the field to exchange information and improve services for people with eating disorders and their families. FEDs objectives are education and training, within medicine and across disciplines, clinical and professional standards, and advocacy and engagement with the public and media. Since its early days as a special interest group within RCPsych, the FED has stimulated a number of initiatives that work alongside NICE guidance and quality standards to support quality improvement. FED initiatives include the QED network, college guidance documents such as MARSIPAN and most recently a multi-disciplinary professional network, the British Eating Disorders Society (BrEDS), through which information and change drivers can be disseminated. FED also has a pivotal role in training and workforce development. As a UK wide organisation, the RCPsych has opportunities to both influence and borrow from experiences in the devolved nations of the UK.

Dr Nicholls Biography

Dr Dasha Nicholls is Reader in Child and Adolescent Psychiatry at Imperial College London and Honorary Consultant Child and Adolescent Psychiatrist in the Vincent Square Eating Disorders Service, Central & North West London NHS Foundation Trust (CNWL). Previously Joint Head of the Feeding and Eating Disorders service at Great Ormond Street Hospital and Honorary Senior Lecturer at the UCL Institute of Child Health, her clinical work is concerned with feeding and eating disorders in children and adolescents, including early onset eating disorders, avoidant restrictive food intake disorders, and child and adolescent obesity. Dr Nicholls is chair of the Eating Disorders Faculty of the Royal College of Psychiatrists and Past President of the Academy of Eating Disorders. She chaired development of the Junior MARSIPAN guideline, was a member of the NICE Guideline committee and Quality Standards committee, a member of the NHS England Expert Reference Group developing commissioning guidance and a training curriculum for CYP Eating Disorders, and helped develop the CCQI quality standards for eating disorders. She has published over 60 research articles and book chapters and is actively engaged in lecturing and teaching, including recently co-leading delivery of the Health Education England National Whole Team Training for Community CYP Eating Disorders Services, in partnership with South London and the Maudsley NHS Trust.

Future conference of interest:

Masterclass: Assessment, Diagnosis, Treatment & Management of Eating Disorders
Friday 19 October 2018 
De Vere West One Conference Centre

21 May 2018


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