Professional Referrals: 
New referrals will be received via borough-based CAMHS teams in Newham, Tower Hamlets and City & Hackney and passed on to the CEDS-CYP. Referrals can be made by GPs, healthcare professionals, schools and colleges. 

• Within CEDS, we offer urgent assessments within 5 days and routine assessments within 2 weeks of referral. All young people receive a holistic, multidisciplinary care plan that includes family therapy, dietetics, nursing, paediatric input, and psychiatry, tailored to their needs and those of their family. 
• Our team will regularly monitor your physical health, which may include regular blood tests, weight checks, and occasionally an ECG if needed. If a young person’s physical health deteriorates, we may need to support you in arranging admission to a paediatric ward or provide assistance via A&E
• Multi-disciplinary specialist assessments high-quality, evidence-based interventions including Cognitive Behavioural Therapy (CBT) and Family Therapy (FT) 
• In some cases, we provide consultations to local teams and often collaborate with CAMHS and social services when there are complex or multiple mental health or social needs.

The CEDS Team 

Within the CEDS team you will be offered treatment based on your individual needs. The support we give are our nursing reviews, Family therapy, individual therapy, dietetic input, psycho-education from our Paediatric consultants and tailored support.

Sometimes we might also do joint work with other local services for example your Local CAHMS service and GP to help support and make sure you receive the best care. 

Alternative Pathway 

As part of our Alternative to Admission Pathway, to avoid unnecessary psychiatric hospital admission the service has developed an Eating Disorder Intensive Programme (EDIP). 

This programme is a 6-8 week intensive programme for young people who are significantly physically or mentally unwell. Young people and families receive additional intensive physical health support. They may also receive support around meals in the form of meal supports and key worker sessions with our support workers as well as weekly nursing reviews, psychiatry input, therapy sessions, and dietetic input when needed. The support can be provided in the clinic, school, and community or at home.

At CEDS, we are dedicated to providing high-quality, evidence-based assessment and treatment for you and your family. Our team is here to support you every step of the way.

Here's how our multidisciplinary team can help:

• Nurses: provide support for mental and physical health recovery, including both paediatric and mental health nursing care.
• Dietitians: provide guidance with meal plans, healthy eating, and weight restoration recommendations.
• Administrators: provide essential support to maintain a safe environment for you and assist the team in their work.
• Support Workers: provide interventions that help young people achieve safe nutritional and hydration intake, as well as assist with meal support.
• Psychologists: provide a space to talk and help make sense of your difficulties while developing coping skills, with the support of Clinical and Assistant Psychologists.
• Family Therapists: provide systemic-based therapy for you and your family.
• Paediatricians: Doctors who provide specialised care for the physical health of young people.
• Psychiatrists: Doctors who provide oversight of your mental health and may support you with medication if needed.

What happens after I am referred? 
After your referral is sent to our team one of our professionals will screen the referral. This is to make sure that the referral is right for the team. We might ask for more information to get a better understanding of some of the concerns. Once the referral is accepted you will a letter from our Admin team for an assessment date. 

How do I support someone I know? 
It can be quite worrying when someone we care about may be suffering from an eating disorder.Here are some links that our young people and families have found to be useful: 

• https://bebodypositive.org.uk/
• https://www.beateatingdisorders.org.uk/   

Can I get an interpreter? 
Yes, interpreters are available at the service and one of our admin team will be able to arrange one for your appointment. 

What happens to if my physical health gets worse? 
Our team will regularly monitor your physical health and may need regular blood tests and weights. If a young person’s physical health gets worse we may need to support you with organising paediatric ward admission or support via A&E. 

What can I expect from my initial assessment with CEDS?  
At CEDS, you can expect a warm and friendly welcome. When you arrive, one of our administrators will ask you to fill out some questionnaires, and meet with some of our nurses to have a physical assessment. You'll also meet with someone from our team for a mental health assessment, where we'll have a chance to talk about your needs. Our assessment and treatments offered will involve both young people and their carers/parents however we can offer a separate space for young people and parents.

What do I do if I don't feel like I'm getting the support I need? / What do I do if things aren't going well at CEDS?
If you don't feel like you're getting the support you need or if things aren't going well at CEDS, you can raise any concern with anyone in the team you feel comfortable with. If you would like to make a formal complaint, you can do so by raising a compliment via PALS. Remember, it's important to speak up if something isn't right.

There are people here to help you. For all other questions please email the CEDS mailbox : elt-tr.ELCEDS-CYP@nhs.net 

Continuous Improvement: At CEDS, we're dedicated to continuously improving our services to better meet your needs. If you have any feedback please let us know using the feedback link.

Updating Our Waiting Room: 
We have been working with the wonderful Jonny Glover and have recently completed a project to update our waiting room, creating a more comfortable and welcoming environment for you. Watch this space for new and exciting projects that CEDS will be doing!

Websites: 

Here are some websites for more information about eating disorders: 

• https://www.beateatingdisorders.org.uk/  
• https://www.nhs.uk/conditions/eating-disorders/       
• https://bebodypositive.org.uk/   

Helplines 

• B-eat Youthline: 0845 634 7650 
• ChildLine: 0800 1111 

If things are getting worse make an emergency appointment with your family doctor. If you feel you are in crisis and have concerns about keeping yourself safe, you should be assessed by your doctor or seen in your local A & E department who can then consult with specialist out-of-hours CAMHS staff.

At CEDS we feel passionate about Quality Improvement. A recent quality improvement project we did on reducing weight time saw a reduction from referral to routine assessment from 17 weeks to 2 weeks within one year. 

This work saw the CEDS team recognised as Mental Health Team of the Year 2023 by the Royal College of Psychiatrists and at the annual ELFT Staff Awards ceremony 2023 CEDS also picked up the trophy for Improving Services users Experience.