Eating Disorders - FOI Response Register

This request relates to outpatient/community patients discharged by your board who were being treated for an eating disorder (primary or secondary eating disorder diagnosis; please include all eating disorders, i.e., ICD10 code F50: Eating Disorders).

1. Please state the total number of outpatients / community patients with an eating disorder diagnosis that were discharged from your board in each of the following years: a) 2018, b) 2019, c) 2020, d) 2021, e) 2022 and f) total 2018-2022 (1 Jan 2018 to 31 Dec 2022).

Figures provided are for the number of outpatients discharged with ICD10 code F50 as Main Condition or Other Condition.

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2. Of those, please state the total number of outpatients / community patients with an eating disorder diagnosis that were discharged from your board with a BMI below 15 in each of the following years: a) 2018, b) 2019, c) 2020, d) 2021, e) 2022 and f) total 2018-2022 (1 Jan 2018 to 31 Dec 2022).

See response to Q1

3. Of the TOTAL discharged with a BMI below 15 between 1 Jan 2018 and 31 Dec 2022 (i.e., the total you provided in answer to question 2F), please state:

• The number of patients that were discharged from a) a specialist community/outpatient eating disorder service if you have one, and b) general community/outpatient care.
• The number of patients that were a) aged 18 and above, and b) aged below 18.
• The number of patients who had a BMI of a) 14-14.99, b) 13-13.99, c) 12-12.99 and d) <12 
• The exact BMI of the patient discharged with the lowest BMI
• Please provide a breakdown of where patients were discharged to - i.e., inpatient setting / another NHS Trust / palliative care / no onwards care organised by the trust etc. (If data is not recorded or retrievable in this format, please provide any information you have available concerning which NHS or non-NHS treatment/service these patients were discharged to)

See response to Q1

4. Please provide any internal board documents relating to the treatment of patients with a ‘Longstanding Eating disorder’ or ‘Severe and Enduring Eating disorder’ or ‘Severe and Enduring Anorexia Nervosa’ (otherwise known as ‘L-ED’ / ‘SEED’ / SE-AN) in inpatient and outpatients settings.

Clarification from Requestor

Question 4 relates to documents such as guidance, policies, pathways, procedures etc. I am not asking for any documentation relating to individual patients, or staff emails etc, as I am aware they would have to be heavily redacted, exceeding the time constraints of the FOIA. Please note, only provide an answer to question 4 if doing so is possible within the time limits – please prioritise retrieving answers to q 1-3.

Please find attached document.