Asked by: Justin Tomlinson (Conservative - North Swindon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what specialist service provision the NHS provides for people with (a) psychosis and schizophrenia, (b) eating disorders and (c) bipolar.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The NHS Long Term Plan committed £1 billion of extra funding per year to transform and expand community mental health services. By the end of 2023/24, it is expected that 370,000 adults and older adults with severe mental health problems will be supported within newly transformed models of care in line with the Community Mental Health Framework.
The Community Mental Health Framework is applicable to people irrespective of their diagnosis, aiming to reorganise community mental health services to provide comprehensive holistic care and treatment to give them greater choice and control over their care and support them to live well in their communities.
As part of this new integrated offer, systems are supported to develop specialist services for adult eating disorders and early intervention for psychosis, while the expansion of psychological therapies includes extending the specific treatments people with bipolar disorder and schizophrenia. Therefore, through expansion of community-based services, adults with severe mental health problems will be able to access treatment earlier, and closer to home, leading to better outcomes for them and their families.
Asked by: Munira Wilson (Liberal Democrat - Twickenham)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much funding her Department has provided for (a) mental health services (i) for children and young people and (ii) in total and (b) all NHS services in each financial year since 2019-20.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
It is for individual local commissioners to allocate funding to mental health services to meet the needs of their local populations and this information is not collected centrally. Integrated care boards are expected to continue to meet the Mental Health Investment Standard by increasing their investment in mental health services in line with their overall increase in funding for the year.
The following table shows the actual expenditure on mental health services for the period 2019/20 to 2022/23:
Year | Mental health spend for children and young people, excluding learning disabilities and eating disorders (£ billion) | Total mental health spend (£ billion) |
2019/20 | 0.79 | 13.32 |
2020/21 | 0.88 | 14.31 |
2021/22 | 0.92 | 14.93 |
2022/23 | 1.04 | 15.97 |
Source: NHS Mental Health Dashboard
Note: Total actual mental health spend reported here includes spending on learning disabilities and dementia, which is not included in the mental health investment standard or the baseline spend for the commitment in the NHS Long Term Plan to increase mental health spending by at least £2.3 billion a year by 2023/24.
Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential impact of e-cigarette use on the risk of developing an eating disorder.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Research suggests that as with smoking, adolescent vaping is associated with a variety of mental health problems. However, the relationship is not one of simple cause and effect as poor mental health can drive nicotine use while nicotine use can aggravate poor mental health.
The Government is already funding, via the National Institute for Health and Care Research, the Eating Disorders Genetic Initiative study, jointly led with Kings College London and eating disorder charity, Beat, which aims to better understand what may lead to an eating disorder and how to improve treatments aimed at improving the lives of patients.
Asked by: Jonathan Gullis (Conservative - Stoke-on-Trent North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what data her Department holds on the average length of time for which adults had been waiting for (a) diagnosis and (b) treatment for eating disorders in (i) 2019, (ii) 2020, (iii) 2021, (iv) 2022 and (v) 2023.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
The requested data is not held centrally.
Asked by: Charlotte Nichols (Labour - Warrington North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department has had recent discussions with (a) charities and (b) advocacy groups representing people with eating disorders on its guidance on NHS treatment for those conditions.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We have not had any recent discussions with charities or advocacy groups regarding eating disorders.
Ministerial meetings with external stakeholders are published on gov.uk.
Asked by: Emma Lewell-Buck (Labour - South Shields)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many hospital admissions there were for (a) scurvy, (b) rickets, (c) vitamin D deficiency and (d) malnutrition in age groups (i) up to four, (ii) five to nine, (iii) 10-16 and (iv) over 17 years in (A) 2020/21 and (B) 2021/22.
Answered by Neil O'Brien
The following tables show activity in National Health Service hospitals and NHS-commissioned activity in the independent sector in England, with a count of Finished Admission Episodes with a “primary” or “primary or secondary diagnosis” of scurvy, rickets, vitamin D deficiency and malnutrition by age group for 2020/21 and 2021/22:
2020/21 | Primary Diagnosis | |||
Patient Age (years) | Scurvy | Rickets | Vitamin D Deficiency | Malnutrition |
0-4 | 1 | 41 | 28 | 11 |
5-9 | 2 | 1 | 12 | 7 |
10-16 | 2 | 8 | 50 | 16 |
17 or over | 2 | 0 | 586 | 765 |
2020/21 | Primary or Secondary Diagnosis | |||
Patient Age (years) | Scurvy | Rickets | Vitamin D Deficiency | Malnutrition |
0-4 | 3 | 41 | 1,715 | 71 |
5-9 | 4 | 1 | 1,698 | 43 |
10-16 | 10 | 8 | 4,713 | 165 |
17 or over | 151 | 0 | 126,785 | 9,681 |
2021/22 | Primary Diagnosis | |||
Patient Age (years) | Scurvy | Rickets | Vitamin D Deficiency | Malnutrition |
0-4 | 2 | 41 | 64 | 14 |
5-9 | 6 | 8 | 21 | 11 |
10-16 | 4 | 3 | 91 | 15 |
17 or over | 3 | 1 | 863 | 843 |
2021/22 | Primary or Secondary Diagnosis | |||
Patient Age (years) | Scurvy | Rickets | Vitamin D Deficiency | Malnutrition |
0-4 | 5 | 41 | 2,054 | 73 |
5-9 | 17 | 8 | 1,810 | 67 |
10-16 | 29 | 3 | 6,022 | 140 |
17 or over | 144 | 1 | 167,169 | 10,242 |
Source: Hospital Episode Statistics (HES), NHS England
The root causes of malnutrition may be clinical, for example disease-related, social and/or economic. These problems often interact in a complex cycle. Some health conditions can lead to malnutrition including eating disorders, although malnutrition itself is not an eating disorder.
Asked by: Rebecca Long Bailey (Labour - Salford and Eccles)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he plans to make financial support available for patients with (a) avoidant restrictive food intake disorder and (b) other eating disorders to help with the cost of living.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
We have no plans to do so. Information on the support available to help with the cost of living is available at the following link:
https://www.gov.uk/cost-of-living
We have increased investment in children and young people's community eating disorder services every year, with this funding growing by £54 million in 2023/24. Over the five years from 2019/20, we will have also invested an extra £1 billion in community mental health care for adults with severe mental illness, including eating disorders, giving 370,000 more adults greater choice and control over their care and supporting them to live well in their communities.
Asked by: Nadia Whittome (Labour - Nottingham East)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether he has had recent discussions with NHS England on the adequacy of guidance issued to patients with severe and enduring eating disorders.
Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)
No such recent discussions have been held. NHS England continues to work with systems and healthcare professionals to support the adoption of guidance from the Royal College of Psychiatrists on medical emergencies in eating disorders. This guidance includes severe or enduring eating disorders.
Asked by: Emma Lewell-Buck (Labour - South Shields)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many hospital admissions were there for (a) scurvy, (b) rickets and (c) vitamin D deficiency in England in the latest period for which data is available, broken down by age groups (i) 0-5 years, (ii) 5-10 years, (iii) 10-16 years and (iv) over-16 years.
Answered by Neil O'Brien
The following tables show activity in National Health Service hospitals and NHS-commissioned activity in the independent sector in England. NHS England has provided a count of Finished Admission Episodes with a “primary” or “primary or secondary diagnosis” of scurvy, rickets, vitamin D deficiency and malnutrition by age group for 2022/23.
| Primary Diagnosis | |||
Patient Age (years) | Scurvy | Rickets | Vitamin D Deficiency | Malnutrition |
0-4 | 1 | 29 | 47 | 12 |
5-9 | 3 | 4 | 21 | 8 |
10-16 | 1 | 2 | 60 | 24 |
17 or over | 9 | 2 | 752 | 741 |
Primary or Secondary Diagnosis | ||||
Patient Age (years) | Scurvy | Rickets | Vitamin D Deficiency | Malnutrition |
0-4 | 5 | 317 | 2,052 | 71 |
5-9 | 5 | 30 | 1,757 | 45 |
10-16 | 5 | 56 | 5,251 | 153 |
17 or over | 151 | 77 | 176,317 | 10,301 |
Source: Hospital Episode Statistics (HES), NHS England
The root causes of malnutrition may be clinical (for example disease-related), social and/or economic. These problems often interact in a complex cycle. Some health conditions can lead to malnutrition including eating disorders, although malnutrition itself is not an eating disorder.
Asked by: Emma Lewell-Buck (Labour - South Shields)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many hospital admissions for malnutrition in England were there in the latest period for which data is available, broken down by age groups (a) 0-5 years, (b) 5-10 years, (c) 10-16 years and (d) over-16 years.
Answered by Neil O'Brien
The following tables show activity in National Health Service hospitals and NHS-commissioned activity in the independent sector in England. NHS England has provided a count of Finished Admission Episodes with a “primary” or “primary or secondary diagnosis” of scurvy, rickets, vitamin D deficiency and malnutrition by age group for 2022/23.
| Primary Diagnosis | |||
Patient Age (years) | Scurvy | Rickets | Vitamin D Deficiency | Malnutrition |
0-4 | 1 | 29 | 47 | 12 |
5-9 | 3 | 4 | 21 | 8 |
10-16 | 1 | 2 | 60 | 24 |
17 or over | 9 | 2 | 752 | 741 |
Primary or Secondary Diagnosis | ||||
Patient Age (years) | Scurvy | Rickets | Vitamin D Deficiency | Malnutrition |
0-4 | 5 | 317 | 2,052 | 71 |
5-9 | 5 | 30 | 1,757 | 45 |
10-16 | 5 | 56 | 5,251 | 153 |
17 or over | 151 | 77 | 176,317 | 10,301 |
Source: Hospital Episode Statistics (HES), NHS England
The root causes of malnutrition may be clinical (for example disease-related), social and/or economic. These problems often interact in a complex cycle. Some health conditions can lead to malnutrition including eating disorders, although malnutrition itself is not an eating disorder.