The aim of the Community Eating Disorders Service (CEDS) is to work with service users whose problems are at the most serious or severe range of presenting concerns. In this sense we are a specialist service. We aim to provide assessment, support and therapy to service users and to their families and carers following NICE guidelines. Our service users will meet the criteria for an eating disorder as defined by both ICD10 and DSM V.
Our vision is to support people to a life worth living and improved health for people in our population, via reduced eating disorder symptoms and distress, and improved functioning and safety.
If you struggle with food and eating, first approach your GP who can make a referral to our service.
We take referrals from GPs, CMHTs, IAPT services and from other statutory and non-statutory services.
Once we have received your referral in to our service, we will write to you asking you to call and ‘opt in’ to our service. Once you call, we will offer you an initial appointment in our Tuesday morning clinic. We try to see people within 11 weeks of their referral. After we have spoken to you we will write to you with a summary and our recommendations, and you will be added on the treatment waiting list until a clinician becomes available.
Where will my appointment be?
After your referral we will invite you to attend your initial appointment at the Disability Resource Centre in Dunstable (DRC), where we are based. If you are offered further psychological therapy or dietetic support, we offer clinics both at the DRC and in Kempston, Bedford.
We work in partnership with a local eating disorder charity called ‘Caraline’, who also offers eating disorder therapy. During the referral stage, we will decide together which service is best for you.
We can help people with symptoms of:
Anorexia Nervosa (AN)
Bulimia Nervosa (BN)
Binge Eating Disorder (BED) and
Eating Disorders Not Otherwise Specified (EDNOS)
What is an Eating Disorder?
When worries about your food, shape and weight get to the point where they affect your behaviour and everyday life, this can be indicative of an eating disorder.
Eating disorders can take many forms and so there are lots of indicators. These may include restricting food intake, excessive eating (bingeing), self-induced vomiting, laxative usage etc.
Whilst eating disorders can appear to be about food and weight, there are often lots of complex contributing factors that can lead to a person having an eating disorder, and these can differ greatly from person to person.
Often, eating disorders can give a sense of control when other areas of your life seem out of control. However, they can also be very difficult to manage in your everyday life.
If you think that you might have an eating disorder, the most important step forward to take is acknowledging that you may have a problem, as there is help available to you.
We work with adults aged between 18-65 who have a registered Luton or Bedfordshire GP, and meet the diagnostic criteria for an eating disorder.
Eating disorders can lead to a number of physical health issues. You may need physical monitoring from your GP as an essential part of your care alongside therapy from our psychology led team. This will be needed when you are referred to our service, and after that as frequently as your GP advises. What is needed depends on your situation but some examples might be blood tests, pulse/blood pressure etc. We are a psychological therapy led service, therefore GPs will remain medically responsible for clients open to us and provide regular monitoring of their physical health throughout the course of their treatment with us.
Specialist eating disorder inpatient admissions are usually considered when a person reaches a high level of physical risk that cannot be treated safely by outpatient services and sometimes when the issues are so severe they cannot be addressed without more intensive support. These are considered on an individual basis according to your circumstances and are fully discussed with you by your therapist if the need arises. They are not very common; most people we see have outpatient treatment. In the event of an eating disorder unit becoming necessary we make the referrals, keep in touch during admission and will offer support after discharge. The service fulfils a gate keeping role, referring service users for inpatient admissions to Specialist Eating Disorder Units which are commissioned by the East of England Specialised Commissioning Group (SCG). Whilst a service user is an inpatient in a specialist EDU, the staff team will aim to attend an early CPA and one CPA meeting near discharge, in order to participate in care planning to facilitate transition between inpatient and outpatient care.
BEAT: Eating Disorders Association
Beat is a UK charity for people with eating disorders and their families. They provide helplines, online support, self help groups and a number of useful resources on their website.
Helpline: 0345 634 1414 or 0808 801 0677
Caraline is an eating disorders charity based in Luton. They offer support groups for both those suffering and carers.
Samaritans is a registered charity aimed at providing emotional support to anyone in emotional distress, struggling to cope, or at risk of suicide.
24/7 Freephone helpline: 116 123
CEDA—Carers Eating Disorder Association Support Group
Monthly support group for carers of people with eating disorders. First Friday of the month 10:30am to 12:00pm
Tel: 01582 470 900
Anorexia Bulimia Care
Charity providing support for people with eating disorders and carers