Alternative community-based models of care for young people with anorexia nervosa: the CostED national surveillance study.

Alternative community-based models of care for young people with anorexia nervosa: the CostED national surveillance study.
Health Serv Deliv Res 2019;7(37) October 2019

• Analysis of the cost of providing services to 298 young people with anorexia nervosa who are being treated in two different types of community services: specialist eating disorders services and general child and adolescent mental health services (CAMHS).  
• Young people in specialist services were found to be more severely ill than those in CAMHS when they were first diagnosed. Despite this, care for young people in specialist services cost about the same as care for those who were diagnosed in general CAMHS, and their outcomes after 1 year were also similar. 
• The authors conclude that specialist services may be better value for money than general CAMHS, but it did not show that providing more specialist services would save money for the NHS. 

PACAC inquiry into eating disorders: government response

PACAC inquiry into eating disorders: government response
DHSC 13 August 2019

• This document sets out the government’s response to the conclusions and recommendations made in the Public Administration and Constitutional Affairs Committee (PACAC) report: Ignoring the Alarms follow-up: Too many avoidable deaths from eating disorders.
• Discussion relates to training, quality and availability of adult services, and the transition from child to adult services and coordination of services.

Inpatient hospital care compared to outpatient or day care for people with eating disorders

Inpatient versus outpatient care, partial hospitalisation and waiting list for people with eating disorders
Cochrane Systematic Review 21 January 2019

• There was not enough evidence from trials (n=4, 511 people) to support any one setting for people with anorexia nervosa, bulimia nervosa, or other eating disorders. There was no clear difference in weight gain for people with anorexia nervosa who were treated in different settings, but they seemed more likely to complete treatment when some or all of it was offered in settings outside the hospital. 
• The evidence was low or very low‐quality, so we are uncertain about these results.