• To organise the communication between all involved
  • To act as initial gatekeeper for decisions around transfer to Specialist Eating Disorder Unit (SEDU)
  • To advise on Medical Emergencies in Eating Disorders (MEED) guidance
  • If a patient is not currently involved with a community eating disorder provider, the community eating disorder provider, as initial gatekeeper for SEDU beds, will provide an assessment to identify whether the patient is appropriate for SEDU *, **
  • Community EDS to continue to advise on the co-ordination of care and management whilst patient in an acute medical setting, including assisting Liaison Psychiatry colleagues
  • Community EDS to attempt one face to face visit per week.  This will depend on clinical state of the patient, resources and appropriateness.
  • To be a central point of communication between Case Manager, Acute Medical Ward, Community EDS, Inpatient SEDU (if appropriate) and Liaison Psychiatry
  • To liaise with medical staff, keep, and share records regarding all aspects of physical care including:
    • Weight and BMI
    • Blood test results
    • Medication (Vitamin and Mineral supplements)
    • ECG
    • Other physical health treatment
    • MEED implementation
    • Nursing observations
  • For Community EDS Dietitian to liaise (but not lead or implement) with Acute Medical nutritional team, to include:
    • Nutritional requirements
    • Stages of refeeding
    • Advice and resource sharing including MEED implementation, British Dietetic Association refeeding guidance and NG feeding under restraint policy
    • Method of feeding
  • To support the family whilst patient remains on the acute medical ward
  • To attend any professional meetings or best interest meetings during the admission

 

*    If assessment by CEDS is not possible due to medical instability, but there is other clear evidence of an eating disorder, the CEDS may make a SEDU referral based on this information and complete the assessment as soon as appropriate to avoid delay  identifying a SEDU bed .

 

**  If the patient appears to be experiencing disordered eating because of other diagnoses (e.g., personality disorder or autism), joint assessment and liaison with other appropriate or involved services should be considered as joined-up care is essential from the outset.

 

 

 

  • Community EDS to continue to support the co-ordination of care and management whilst patient is admitted to a SEDU
  • To remain in contact with the patient, in collaborative agreement between clinician and the patient, following discussion at initial CPA, either through phone, email, or face to face, increasing in frequency towards discharge. 
  • To attend CPAs throughout admission
  • To attend discharge planning meetings / CPAs
  • A clear understanding of the roles of the SEDU and Community EDS with regards to support for the family throughout the admission*
  • To assist with discharge planning from early in the admission 
  • To regularly update any relevant community services involved with the patient’s care
  • To attend any professional meetings or best interest meetings during the admission