I beg to move,

That this House
has considered Eating Disorders Awareness Week 2026.

It is a pleasure to serve with you in the Chair, Ms Vaz. This year, Eating Disorders Awareness Week is centred on the theme of community. Over the past six years, as chair of the eating disorders all-party parliamentary group, I have witnessed the power of community at first hand. Our APPG has grown into a determined group of MPs, campaigners, clinicians, researchers, families and, crucially, people with lived experience. I thank my colleagues across the House who continue to work constructively on this issue. I also pay tribute to Hope Virgo, our tireless secretariat, who has turned lived experience into sustained strategic campaigning. Of course, I also thank Beat, the eating disorder charity, without whose tireless campaigning Eating Disorder Awareness Week would not even come before this Parliament.

Despite the tireless campaigning and the greater awareness of this tragic illness, however, I must confess to deep frustration. Over those six years, things have not improved; they have worsened. The number of children and young people treated for eating disorders has risen by around two fifths since the pandemic. The 2019 health survey for England found that the proportion of adults with a likely eating disorder had risen from about 6% in 2007 to 16% in 2019.

Adults in England wait up to 700 days, almost two years, just to start treatment. Not only are we failing to treat people quickly enough; too often we fail to identify them at all. Of the estimated 360,000 children and young people affected, only about 55,000 were identified by GPs in 2020, and even fewer accessed specialist care. Only a fraction of adults receive a formal diagnosis. That is the devastating reality facing eating disorder sufferers across the country.

Our APPG is therefore calling on the Government to introduce a dedicated national eating disorder strategy. At the last debate on this issue in September, the Minister for Care expressed concern about a “proliferation” of documents and strategies. He said that he was “not convinced” that adding stand-alone strategies alongside guidance and plans would improve outcomes. Eating disorders are among the most complex and deadly mental health conditions. If ever there was a case for a dedicated cross-departmental strategy, this is it. Without a unified strategy, we are left with fragmented guidance and piecemeal reform that fail to match the scale and seriousness of the challenge. I repeat our call today: it is time for a dedicated national eating disorder strategy.

When we think of community, we often think of our friends, neighbours and colleagues, but for many young people, community is no longer primarily physical; it is digital, and the community that they encounter online often reinforces their problems rather than helping them to recover. Platforms are saturated with pro-eating disorder content. That includes misleading nutritional advice and distorted body image ideals. One alarming trend is in so-called recovery accounts: rather than providing helpful advice to sufferers, they often share tips on hiding behaviours from staff or how to minimise meals.

Research by the Centre for Countering Digital Hate reveals something deeply concerning. When researchers created simulated 13-year-old users on YouTube, the platform’s algorithm recommended harmful eating disorder content in one out of every four videos they watched—one in four. But it gets worse: when these harmful videos were reported, nearly three quarters of them were not removed. Even after being flagged, most of this dangerous content stayed online. This is not simply about individual users; it is about algorithms amplifying harm. A single pause on a video can trigger a stream of increasingly harmful material. Even when users block accounts or report content, similar posts rapidly reappear under a new hashtag.

In September, the Minister for Care rightly acknowledged that the Government must address the underlying drivers behind the rise in eating disorders, including the online environment. I welcome that recognition, but I am concerned that he pointed to the Online Safety Act 2023 as an example of how this can be addressed. After the global ban of #SkinnyTok, new hashtags emerged almost immediately, after which the same harmful content was posted. We must focus on the algorithms that amplify harmful content. Through ofcom, the Government must hold social media giants to account when their platforms repeatedly allow harmful content to circulate. Relying on the victims of such content to report continuously and become the regulators cannot be right.

If there is one lesson that the APPG has learnt over six years, it is that eating disorders are profoundly misunderstood, and that misunderstanding costs lives. Early warning signs are often missed, leaving families to navigate complex and frightening conditions without guidance or support. That lack of training translates directly into delayed recognition, unsafe discharge decisions and prolonged suffering. In 2017, the Parliamentary and Health Service Ombudsman warned of avoidable death and systemic failings in NHS eating disorder services. It called for improved training, better co-ordination and cross-organisational learning. Nine years later, we are still seeing the same failures.

Across England, many of the specialist community eating disorder teams lack a consultant psychiatrist. Vacancy rates for consultant posts remain high. There is guidance available, such as the Royal College of Psychiatrists’ medical emergencies in eating disorders guidance, but it is inconsistently applied. Where training is offered, it is patchy, inconsistent and too often voluntary.

Last year, I was contacted by the family of Ruby Hamill, a young woman with a history of severe anorexia nervosa. While held on remand at HMP New Hall, she collapsed after being unable to eat for almost a month. Despite her known history of anorexia, she received no eating disorder treatment in prison. She was later treated for refeeding syndrome, a life-threatening complication, after being granted humanitarian bail. Thankfully, Ruby survived, but she nearly died in the care of the state due to an absence of clear, mandatory standards and properly trained staff.

Frontline staff need practical, evidence-based training. They must be able to recognise early warning signs and know how to ask sensitive questions, communicate without reinforcing harmful thinking and escalate concerns safely. Proper training saves lives. If we are serious about tackling this crisis, we must equip frontline staff with the skills and knowledge they need to help people effectively.

Training alone, however, is not enough. Even the most skilled professionals cannot protect patients within a system that lacks clear, enforceable standards on timely access to care. For children and young people, there is a waiting time standard—95% of urgent cases seen within one week, and routine cases within four weeks—yet that is not consistently met. For adults, there is no waiting time standard at all. Recent data shows that median waits are 42 days, with some waiting many months, even more than a year, for assessment or treatment. During that time, physical health deteriorates and hospital admissions become more likely.

Access to quality care is a postcode lottery. Only one in six integrated care systems currently provide sufficient intensive community or day treatment for both children and adults. I welcome the commitment to expand intensive community and day services, but we must not allow community care to be a pretext for the erosion of specialist in-patient units. Specialist in-patient services stabilise those who are critically unwell. They offer a range of expertise that community teams cannot always replicate. Yet we do not currently have enough specialist beds for the acute level of need that exists.

At the same time, our research has found some deeply concerning discharge practices. Recent freedom of information requests to all trusts across the UK found that people with eating disorders are often being discharged with a BMI of under 15, and in some cases far lower. I am concerned that we are discharging patients who are medically unsafe simply because beds are scarce. If community and day services are to succeed, they must be properly funded and able to intervene early, so that everyone can receive quality care closer to their home. When people receive timely and evidence-based support, the need for intensive in-patient or day treatment can fall by around a third. That reduces risks for patients and long-term pressures on NHS services.

We cannot solve this crisis by shifting care around the system. We must build capacity across the whole pathway—early Intervention, community provision and specialist in-patient care—so that access is determined by need, not postcode.

In October last year, our APPG published a report on preventing deaths related to eating disorders. It made for harrowing reading. Although some areas of the UK showcased pockets of good practice, the evidence is clear that unsafe discharges are still far too common and that the system fails to prevent avoidable deaths. People with anorexia are five to six times more likely to die—through physical complications, or suicide—than the general population.

In many cases, deaths from eating disorders are misrecorded or omitted from death certificates, with death instead being attributed to organ failure or suicide. As a result, we do not even have exact statistics for eating disorder deaths, which means the true scale of the crisis remains unclear. If we cannot even accurately record how many people are dying from these illnesses—these eating disorders—how can we possibly begin to address the scale of the problem?

The APPG has repeatedly called for a confidential inquiry into eating disorder deaths, which would be similar to the inquiries into maternal deaths that already exist, so that patterns can be identified and lessons learned. We know what we need to do. We have a strategy planned and—through the APPG—we have experts who are willing to support this work.

In September last year, I asked for a follow-up on what the Department is doing to ensure that eating disorder deaths are recorded accurately on death certificates. I was promised an update from the Minister for Women’s Health and Mental Health on progress in this area. I waited for weeks. It was only after I raised the matter in the main Chamber that I eventually received a written response, which stated that the issue did not lie with the Department of Health and Social Care but with the Ministry of Justice, and that I would be contacted shortly. Why did it take weeks to give me that information? That was in November, and I am still waiting. I still have not heard from the Ministry of Justice.

I appreciate that Ministers face competing pressures, but this issue is about accurately recording avoidable deaths. It should not require repeated parliamentary interventions for an MP to finally receive an answer to their question. I ask the Minister in Westminster Hall today: when can I expect an answer and when will families receive the transparency they deserve?

In 2020, it was estimated that eating disorders cost the UK £9.4 billion annually. That is just the cost for the NHS. It is not the full cost of what eating disorders cost us as a society, including the cost to life and to family, and the stress caused by someone waiting years and years for treatment, or being finally treated successfully, if they are treated at all.

Between 2015 and 2019, however, research into eating disorders received only around 1% of UK mental health research funding. We are spending billions on managing the consequences of this problem, while investing only a fraction of that amount in understanding the causes and improving treatments. We cannot reduce long-term costs if we continue to under-invest in research. In line with the Government’s focus on early intervention and prevention, the current situation must change.

The eating disorder community is strong, passionate and determined. Our goal is to grow the community beyond those who are already engaged with it, to reach those who do not yet recognise the symptoms, and to engage those who think that eating disorders are “someone else’s issue”, because they are not. No one should be dying of an eating disorder in 2026. No parent should be forced to fight the system while fighting for their child’s life. No person should be told that they are “not ill enough” to deserve care.

We need a dedicated national eating disorder strategy. We need sustained and proportionate research funding. We need mandatory workforce training. We need a waiting time standard for adults. We need accurate death recording and a confidential inquiry into all eating disorder-related deaths. We also need stronger online regulations. We know what needs to change, and the APPG stands ready to work constructively with Ministers to deliver it. There is no time to waste.