National Review of Eating Disorder Services: report and recommendations

The full report and recommendations of the National Review of Eating Disorder Services in Scotland.


1. NHS Quaility Improvement Scotland. Eating Disorders in Scotland: Recommendations for healthcare professionals [Internet]. 2006.

2. NHS England. Access and waiting time standard for children and young people with an eating disorder: A commissioning guide [Internet]. 2015.

3. National Institute for Health and Care Excellence (NICE). Eating Disorders: recognition and treatment [Internet]. 2017.

4. Mental Welfare Commission for Scotland. Hope for the future: A report on a series of visits by the Mental Welfare Commission looking at care, treatment and support for people with eating disorders in Scotland [Internet]. 2020.

5. Mental Welfare Commission for Scotland. Mapping of Eating Disorder Services across Scotland [Internet]. 2020.

6. Scottish Government. Mental Health Strategy 2017-2027 [Internet]. 2017.

7. Nicholls D., Lynn R, Viner R. Childhood eating disorders: British national surveillance study. Br J Psychiatry. 2011;198(4):295–301.

8. Fukotomi A, Austin A, McClelland J, Brown A, Glennon D, Mountford V, et al. First episode rapid early intervention for eating disorders: a two-year follow-up. Early Interv Psychiatry. 2020;14:137–41.

9. Brown A, McClelland J, Boysen E, Mountford V, Glennon D, Schmidt U. The FREED Project (first episode and rapid early intervention in eating disorders): service model, feasibility and acceptability. Early Interv Psychiatry. 2018;12(2):250–7.

10. World Health Organization. ICD-11 International Classification of Diseases 11th Revision. 2021.

11. Micali N, Martini MG, Thomas JJ, Eddy KT, Kothari R, Russell E, et al. Lifetime and 12-month prevalence of eating disorders amongst women in mid-life: a population-based study of diagnoses and risk factors. BMC Med. 2017;15(1):12.

12. Deloitte Access Economics. Social and economic cost of eating disorders in the United States of America: Report for the Strategic Training Initiative for the Prevention of Eating Disorders and the Academy for Eating Disorders. 2020.

13. Reas D., Ro O. Time trends in healthcare-detected incidence of anorexia nervosa and bulimia nervosa in the Norwegian National Patient Register (2010-2016). Int J Eat Disord. 2018;51(10):1144–52.

14. Galmiche M, Dechelotte P, Lambert G, Tavolacci MP. Prevalence of eating disorders over the 2000-2018 period: a systematic literature review. Am J Clin Nutr. 2019;109:1402–13.

15. NHS Digital. Health Survey for England [Internet]. 2020.

16. Murray CJ., Barber RM, Foreman KJ. Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990–2013: quantifying the epidemiological transition. Lancet. 2015;386(1009):2145–91.

17. Tan J, Humphreys I, Demmler J. The national economic burden of eating disorders in Wales: a clinical population study. Lancet. 2019;

18. Tan J, Humphreys I, Demmler J, Johns G, Lanceley C, Longo M, et al. The economic burden of patients with eating disorders to healthcare providers: A 27-year retrospective record linked electronic cohort study. Pre-print The Lancet [Internet]. 2019.

19. Demmler J, Brophy S, Marchant A, John A, Tan J. Shining the light on eating disorders, incidence, prognosis and profiling of patients in primary and secondary care: national data linkage study. Br J Psychiatry. 2020;216(2):105–12.

20. NHS Digital. Finished admission episodes with a primary or secondary diagnosis of eating disorder. 2018.

21. Iwajomo T, Bondy SJ, de Oliveira C, Colton P, Trottier K, Kurdyak P. Excess mortality associated with eating disorders: population-based cohort study. Br J Psychiatry. 2020;197:1–7.

22. Parliamentary and Health Service Ombudsman. Ignoring the alarms: How NHS eating disorder services are failing patients [Internet]. London; 2017.

23. Dyer C. Eating disorder services in England need urgent changes, says coroner. Br Med J. 2020;371:m4346.

24. Ayton A. Investment in training, evidence based treatment, and research are necessary to prevent future deaths in eating disorders. Br Med J. 2020;371:m4689.

25. National Institute for Health and Care Excellence (NICE). Eating Disorders: Quality standard [Internet]. 2018.

26. Royal College of Psychiatrsts. MARSIPAN: Management of really sick patients with anorexia nervosa [Internet]. 2014.

27. Royal College of Psychiatrsts. Junior MARSIPAN: Management of really sick patients under 18 with anorexia nervosa [Internet]. 2012.

28. Beat. Delaying for years, denied for months. The health, emotional and financial impact on sufferers, families and the NHS of delaying treatment for eating disorders in England [Internet]. 2017.



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