Eating disorders in south east Scotland
Forth Valley Fife Lothian Borders

Fife

Education and public awareness (tier 0)

Publicly accessible information

NHS Fife have produced and collated information and resources on eating disorders and other psychological problems. The Moodcafe website can be readily accessed by the public, perhaps before a patient is ready to engage with services. A self help manual for Bulimia Nervosa is available for free download from Moodcafe.

www.moodcafe.co.uk/

Communities and local neighbourhoods (tier 1)

GP

In the first instance, contact would be with the GP. The GP may monitor the patient medically according to NHS QIS guidelines and may refer the patient for services such as clinical psychology, dietetics, psychiatry, mental health occupational therapy or mental health nursing.

NHS QIS guidelines

Book prescription scheme

This is a scheme providing GPs and other primary care health professionals with information about self help books that can be recommended to help patients with mild to moderate mental health problems. These books can be ‘prescribed’ through a primary care based ‘book prescription’ service. A variety of self-help books are available which address problems such as depression, low self esteem, worry, anxiety and stress, panic and eating disorders.

A list of the books recommended in the book prescription scheme can be found on the Moodcafe website.

www.moodcafe.co.uk/

Primary healthcare: primary care mental health (tier 2)

Clinical psychology

There is currently no discrete clinical psychology service for people with eating disorders in Fife in Primary or Secondary Care. However, Clinical Psychologists working in Primary Care routinely take referrals for people with eating disorders who are medically stable enough to be managed in the community and who are ready to engage in psychological therapy.

Referrals can be made by a GP or Consultant. Follow the web link below for more information on clinical psychology services in Fife and how to make a referral.

Clinical Psychology departments in Fife are located in:

Stratheden Hospital, Cupar: 01334 652611

Lynebank Hospital, Dunfermline: 01383 565409

Most Clinical Psychology clinics are held in other locations, such as GP practices.

Information on clinical psychology services from Dunfermline and West Fife CHP

Mental health services (tier 3)

There are currently no Tier 3 eating disorders services in Fife but as mentioned above, individuals with eating disorders can be referred to a number of services for advice and intervention.

General Psychiatry

General Adult Psychiatry in Fife is divided up around GP practices and accepts referrals of people with eating disorders for assessment and treatment on an out-patient and in-patient basis. The age range is 18-65, younger people being picked up by CAMHS.

Most referrals come via Primary care but we do accept referrals from other sources such as ANITT, Psychology, etc. People with eating disorders are admitted to psychiatric wards if appropriate and we can access input from dieticians (limited), nurses, physicians, psychiatrists, and psychology (limited).

Referrals can also be made to ANITT but shortage of staff means this is not possible at the moment, although they are happy to give advice and a new consultant for eating disorders, has recently started.

Adult psychiatric services can also refer to private residential facilities once funding has been agreed through Fife Health Board.

General psychiatry offices are located in the following areas:

Stratheden Hospital (North East Fife)
Springfield, Cupar KY15 5RR tel 01334 652611

Whyteman's Brae, Kirkcaldy (East Fife)
Whyteman's Brae, Kirkcaldy KY1 2ND tel 01592 643355

Queen Margaret Hospital, Dunfermline (Dunfermline and West Fife)
Whitefield Road, Dunfermline KY12 0SU tel 01383 623623

Dietetics

There is currently no separate dietetic service funded for individuals who suffer from an eating disorder in Fife in Primary or Secondary care.

Dieticians working in other areas may see a small number of individuals who have other conditions in addition to an eating disorder. If someone has diabetes, for example, they would be see by dieticians who work with individuals who have diabetes and given advice about any nutritional gaps, just as any other patient would.

The dietician who works part time with ANITT is available to discuss concerns with GPs or other colleagues working with the most complex cases of Anorexia Nervosa. To contact the dietician working with ANITT, call the team administrator on 01334 696347.

Specialist services, outpatient and inpatient (tier 4)

Anorexia Nervosa Intensive Treatment Team (ANITT)

ANITT is a small multidisciplinary team which provides intensive treatment to people with low weight anorexia nervosa in Fife who might otherwise have to be admitted to hospital. ANITT consists of a psychiatrist, clinical psychologist, dietitian, assistant clinical psychologists and a team administrator.

As the team is extremely limited in capacity it cannot accept all referrals received. Referrals to the team can be made only from a person's GP or a consultant.

If you would like to make an enquiry, a referral or speak to a member of the team, the contact details are:

Fife ANITT
Tribunal Suite, Drumcarrow Lodge, Stratheden Hospital, Cupar KY15 5RR

Telephone 01334 696347
Fax 01334 696216

email: ShereeLandels@fife-pct.scot.nhs.uk

Please note that most members of the team are employed on a part-time basis including secretarial cover enquiries cannot always be responded to immediately.

www.anitt.org.uk/

Inpatient units

There are no existing NHS inpatient units in Fife. However, there are plans to develop a new NHS inpatient unit for the South East Region. Currently most inpatients in Fife are treated in The Priory Hospital, Glasgow, and The Huntercombe Hospital, Edinburgh.

See ‘Links - useful contacts’

The Eating Disorders Network, South East Scotland

This is a multi-professional clinical network set up under the auspices of SEAT (South East and Tayside Regional Planning Group) to provide education, training, clinical and planning advice across the south east region of Scotland (Lothian, Forth Valley, Fife and the Borders NHS health boards).