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The Scottish Government is not aware of an eating disorder support service called SPIRE.

The Scottish Government is clear in our engagement with NHS Boards that patients should be assessed according to their clinical need. Our expectation is that those who need immediate necessary treatment, whether for an eating disorder or for any condition or disorder requiring access to mental health services, will receive that care quickly and in line with clinical guidance. We expect Boards to ensure that their services are planned efficiently so that patients have swift and safe access to the full range of services they need.

Information is not centrally held on numbers treated by the NHS for an eating disorder. However, Information Services Division (ISD) holds information on inpatients admitted with an eating disorders diagnosis.

Table 1. Number of inpatients admitted with eating disorder diagnosis 1 by health board of treatment, 2013 - 2018.

 A review of the ECHO peer coaching service will be undertaken in 2021, with a full evaluation being undertaken in 2022 by the University of Edinburgh.

We will finalise publication arrangements of these reviews in due course.

The Scottish Government currently has no plans to introduce a waiting times standard for eating disorders. We are clear in our engagement with NHS Boards that patients should be assessed according to their clinical need. Our expectation is that those who need immediate necessary treatment, whether for an eating disorder or for any condition or disorder requiring access to mental health services, will receive that care quickly. We expect Boards to ensure that their services are planned efficiently so that patients have swift and safe access to the full range of services they need.

The Scottish Government does not hold this information centrally.

ISD collects information on patients who are admitted to hospital for psychiatric inpatient care. People who are admitted with an eating disorder are included in this dataset and can be identified. Work is underway to collect patient level data from Child and Adolescent Mental Health Services and Psychological Therapy Services. This dataset will identify the reason and diagnosis of individuals, including if they have an eating disorder. This new dataset is at an early stage of development and ISD are working with NHS Boards to improve the data quality.

The following table shows the numbers of eating disorder specialists in Scotland broken down by Health Board. These figures have been taken from the NHS Staff Census which was conducted on the 30 September 2019.

In Scotland, a range of eating disorder services and treatment is provided in line with clinical good practice across community, primary care and specialist services for children and young people. The vast majority of people with eating disorders will be treated in the community, with support provided by primary care or community mental health teams and with support links to specialist hospital or voluntary sector care where appropriate.

In December 2018 the Minister for Mental Health announced £4 million of funding to expand the CAMHS workforce. NHS Education for Scotland agreed individual workforce development plans with each Board to increase service capacity including elements of education, training, supervision and coaching. The funding was deployed to meet several priority needs (neurodevelopmental, crisis response/unscheduled care, specialist CAMHS, early intervention, and other local pressures). As of 21 February 2020 NHS Boards have recruited 74.5 whole time equivalent multidisciplinary staff with this funding.

Local Transport Note 1/07 Traffic Calming, published by TSO for the Department for Transport and devolved administrations is applicable in Scotland. Scottish Government advice on traffic calming measures can also be found in Designing Streets - A Policy Statement for Scotland, Cycling by Design, and Roads for All Good Practice Guide.