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Leicestershire Partnership NHS Trust and Honorary Senior Lecturer, Department of Health Sciences, University of Leicester (e-mail: Eric.Button{at}leicspart.nhs.uk)
Department of Health Sciences, University of Leicester
St. Georges Hospital Medical School, London
Department of Health Sciences, University of Leicester and Honorary Consultant Psychiatrist, Leicestershire Partnership NHS Trust
AIMS AND METHOD
The aim of the study was to track service consumption in adult referrals to a specialised NHS eating disorders service over a 3-year period. We examined clinical records of a years cohort (1999) of 147 referrals (96% female) assessed from the local catchment area.
RESULTS
The most common diagnostic group (42.8%) presented with some form of eating disorder not otherwise specified (EDNOS). There was no significant relationship between diagnosis and service consumption, so that full syndrome eating disorders were no more labour-intensive overall than EDNOS patients. Indeed, EDNOS patients accounted for 50% of all out-patient appointments and over a half of all in-patient days.
CLINICAL IMPLICATIONS
The results suggest that those planning services for eating disorders need to take into account the substantial demand from EDNOS patients.
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