7.2 Creation of a service to meet waiting time standards Requirements for a viable and dedicated Eating Disorder Service Recommendations we are/baseline Where we need to be and action (NICE)-concordant treatment should Currently compliant where there is Increased capacity at the point of within a maximum of 4 weeks evidence of eating disorder e.g. referral in order to respond to from first contact with a designated sufficient referral information concerns proactively e.g. follow up – healthcare professional for routine on referral information. Dedicated cases and within 1 week for urgent admin support and additional cases. resource for response’ on ‘duty receipt of referrals. Move away from small teams... Service currently provided by Ensuring continuity of current best 1 team preferred dedicated staff at 2 locations practice at level. A and spoke’ model or local (Chesterfield & Buxton ) Steering Common service ‘hub network model may be Team supervision monthly- when all specification. appropriate, with a clearly defined clinicians involved with ED’s meet to structure and strong leadership. maintain consistency invitation – extended to DHCFT ED clinicians. A common pathway from referral to treatment is followed. MDT approach to care when children are referred via paediatrics Receive a minimum of 50 new Not currently recording this although Current eating disorder pathway does eating disorder referrals a year, we estimate that this number is met not have capacity to meet the which are likely to include when including disorders’. requirements to include ‘related ‘related anorexia nervosa, bulimia disorders’. Increased capacity is nervosa, binge eating disorder required for comprehensive service and related diagnoses
7.2 Creation of a service to meet waiting time standards Requirements for a viable and dedicated Eating Disorder Service Recommendations we are/baseline Where we need to be and action (NICE)-concordant treatment should within a maximum of 4 weeks from first contact with a designated healthcare professional for routine cases and within 1 week for urgent cases. Currently compliant where there is evidence of eating disorder e.g. sufficient referral information Increased capacity at the point of referral in order to respond to concerns proactively – e.g. follow up on referral information. Dedicated admin support and additional resource for ‘duty response’ on receipt of referrals. Move away from small teams... 1 team preferred A ‘hub and spoke’ model or local network model may be appropriate, with a clearly defined structure and strong leadership. Service currently provided by dedicated staff at 2 locations (Chesterfield & Buxton ) Team supervision monthly- when all clinicians involved with ED’s meet to maintain consistency – invitation extended to DHCFT ED clinicians. A common pathway from referral to treatment is followed. MDT approach to care when children are referred via paediatrics Ensuring continuity of current best practice at level. Steering Common service specification. Receive a minimum of 50 new eating disorder referrals a year, which are likely to include anorexia nervosa, bulimia nervosa, binge eating disorder and related diagnoses Not currently recording this although we estimate that this number is met when including ‘related disorders’. Current eating disorder pathway does not have capacity to meet the requirements to include ‘related disorders’. Increased capacity is required for comprehensive service
docs_Eating_disorder_submission_final_approved_version.docx