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Eating Disorders Team - Herefordshire

About the service

About eating disorders

Eating Disorders can affect anyone of any age, gender, or background and are a serious Mental health illness. Our team understands the complex nature and difficulties of living with an eating disorder, and we are committed to delivering individualised care to help people make sense of these whilst working towards their health and wellbeing.

We appreciate that this can also be difficult for carers, hence, we offer carer screening, support, and signpost to other relevant services where needed.

Information for professionals

Unfortunately we're unable to accept self-referrals. If you are worried you may have an eating disorder, please speak to your GP or any other healthcare professional you're being supported by.

Professional referrals:

Referrals are accepted for individuals who are aged 17 and half years (17 years and 6 months) and above who have symptoms of:

  • Anorexia nervosa
  • Bulimia Nervosa
  • Other Specified Feeding and Eating Disorders (OSFED)
  • Severe and Enduring Eating Disorder (SEED)
  • Binge Eating Disorder (BED)

Eating Disorder Team Referral Form

Please include the following details in the referral:

  • Eating disorder symptoms - i.e., restriction, bingeing, vomiting, laxatives, and excessive levels of physical activity/exercise
  • Physical health checks - weight, height, BMI (we need this information to process the referral)
  • ECG results
  • Results of any physical observations
  • Blood tests
  • Rate of weight change over last 6 months (if known)
  • Medical and psychiatric history
  • Any known risk factors (self-harming behaviours, safeguarding risk involving self or others)

Please note that in Herefordshire, we do not accept referrals without ECG results and blood tests.

Urgent Referrals:

We do not accept urgent referrals. Where there is a requirement for urgent mental health care, a referral will need to be made either via Crisis or CARS.

As a service we work collaboratively with GPs and other healthcare professionals involved in your care.

We are happy to discuss potential referrals or cases of concern with you. For this, please contact us on: 01432 220100.

Symptoms

Below are some of the most common symptoms of an eating disorder, but they can vary for each individual.

Symptoms of Anorexia Nervosa

  • Restricting dietary intake well below what is needed to maintain health
  • Change of behaviour around food
  • Losing weight
  • Morbid fear of weight gain
  • Distorted perception of weight and shape
  • Symptoms of Bulimia Nervosa
  • Restricting dietary intake and then eating larger amounts of food (bingeing) and vomiting after eating or using laxatives
  • Feeling out of control around food
  • Normal weight

Symptoms of Binge Eating Disorder

  • Loss of control around food
  • Eating large quantities at a time

Symptoms of Other Specified Feeding and Eating Difficulties (OSFED)

  • If you have been diagnosed with an 'Other Specified Feeding and Eating Disorder' (called 'OSFED' for short), it means you don't have all the typical symptoms of any of the main types of Eating Disorder. It could be because you have a mix of signs or symptoms of different Eating Disorders.

This does not mean your condition is less serious. NICE (2017).

Contact

Address: 27a St Owen Street, Hereford, HR1 2JB

Service hours: 09:00 – 17:00 Monday – Friday

Telephone: 01432 220100

Frequently asked questions (FAQs)

1. Will everything I say be kept confidential?

Information is shared within our team and your GP and where required, with other professionals involved in your care.

On the few occasions that we need to discuss information of concern outside of the professionals above, we will discuss this with you.

2. Can my family and friends who care for me get help?

Our team aims to provide support for your relatives and friends where required.  

We provide a carer’s screen assessment and provide support. As a team we refer/signpost to other Carers Associations, who can complete a more formal Carers Assessment. This helps to identify the Carer’s needs so that appropriate support can be accessed.

4. What do I do if I need help out of hours?

The Eating Disorders Service is Monday to Friday 09:00 -17:00 service, if you are experiencing deterioration with your mental health or eating disorder outside of these hours, please contact one of these as appropriate:

  • Your GP, or Out of hours GP
  • NHS 111 online or call 111
  • Crisis Mental Health Team at 0808 196 9127- offering 24 hour service, 7 days a week.
  • In an emergency please call 999

5. What do I do if I need an interpreter?

The team will arrange an interpreter for consultations as required.