Mary Butler (Waterford, Fianna Fail)

I thank the Deputy for this important question. Eating disorders are complex and individual. They are the mental health illness with the highest mortality rate. The first model of care was devised around 2018. At the time, it was expected that approximately 50 people would present with an eating disorder. In 2024, 562 people were treated through HSE services.

The national clinical programme on eating disorders has progressed well, with 14 of the 16 teams envisaged by the model of care now funded. Approximately 100 dedicated eating disorder clinicians are working on the teams across the country. Enhancement of eating disorder services is a key priority for me and the Minister. While there has been great progress under the model of care, we cannot stand still. That is why I am progressing the review of the model of care, which has two distinct phases. Phase 1 focuses on adult inpatient services and a review of adult bed capacity for specialist eating disorders beds is under way. The national clinical programme is developing a bed capacity plan with a geographical spread, which is important, based on this review. I expect to receive the plan from the HSE at the end of June.

Phase 2 will involve evaluating the community-based teams and reviewing service level trends over recent years to inform a plan for the future development and expansion of eating disorder services. Originally, it was envisaged we would need 16 teams, 14 of which have been funded this year. However, the clinical lead has already told me that another team will be potentially needed in the Dublin area, such is the growth in population.

I know this review is of keen interest to people with lived and living experience and advocates, many of whom I have met. I will ensure they have an opportunity to input into this review and have their voices heard as we plan for the future enhancement of eating disorder services.

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