We are the Eating Disorder Service in Wirral and we offer treatment for young people between the ages of eight and 18 who have an eating disorder.

We offer assessments and treatment for young people with anorexia nervosa, bulimia nervosa and atypical eating disorders (eating disorders not fully meeting criteria for anorexia or bulimia).  We are based within the local Children and Young People’s Mental Health Services (CYPMHS), which means we also have links to other teams and professionals within CYPMHS. We also have links with schools, GPs, local paediatricians and dietetic services, our local children’s ward at Arrowe Park Hospital and inpatient services.

Who is the service for?

We offer packages of care based on talking therapies, as well as physical health monitoring and input from our dietician to help restore and stabilise a healthy weight, and a good relationship with food and eating. The evidence for successfully working with a young person with an eating disorder suggests that working with the young person and their family within the community offers the best outcomes. However, we tailor the package of care based on the needs of the young person and their family and we will work together to find the best way to support you through this difficult time. Please be aware that we only provide assessments and treatment for young people between the ages of eight and 18. 

Although food and eating may be one of the most difficult areas of life for you all at the moment, food is the medicine for someone with an eating disorder and the therapy will help you all to support the young person in this journey. Lots of young people who are struggling with eating disorders may also be experiencing some other mental health difficulties at the same time, such as low mood, anxiety and body image issues, to name a few. Support and treatment for these will also be offered if needed.

How to access the service

If you are worried about yourself or someone else who may have an eating disorder, it's really important that you see your GP, as reviewing your physical health as early as possible is strongly recommended. When you see your GP, they will do all the checks they need to do. These may include taking your blood pressure, pulse and temperature, listening to your breathing and heart, and taking some blood samples. All of these tests are really important to check your physical health during a time of difficulty.

Your GP will be able to decide if they need to make a referral to our team. This is done by filling out the form on the My Mind website. A young person’s school, social care worker, or other involved health professional can also complete this form to send the referral to our referral service. Self-referrals are also accepted in Wirral services. This is the first point of contact in terms of receiving all the referrals. 

Once we have received your referral and it is accepted into the Eating Disorder Service, one of the team members will contact you to discuss the referral (we often call it a triage call). If you have self-referred, we will ask you to have a health check at your GP before coming in for an assessment. Some of the information we would ask and/or need to know is:

  • What your concerns are and how long you have been worried about yourself / the young person
  • The young person's current weight and height
  • An idea of any weight loss, including how much weight has been lost and over what time period
  • If the young person is making themselves sick or taking any medication to try and lose weight. If so, it would be helpful to know how often they are doing this.
  • If you have any concerns about a young person's mood, or if there is a risk that they may be hurting themselves.
  • Any physical health concerns such as sensitivity to cold, dizziness, fainting, tiredness, weakness, palpitations, or shortness of breath.

What will happen at my first appointment?

We will meet at the CYPMHS clinic at Birch Centre, which is on the St Catherine's Health Centre site in Birkenhead, where you will be greeted by the reception staff who will take your name and who you are seeing (the Eating Disorders Team) so they can let us know that you have arrived.

It can be very scary for a young person and family to come and talk to strangers about their worries and concerns. We understand this and try to put the young person and family at their ease when they first attend.

You will usually meet with two members of the team and at first, we will meet with you all as a family to explain what will happen at the assessment and check if you have any questions you want to ask us. This first appointment can take up to 90 minutes.

We will spend time together understanding what the concerns are, how long they have been going on for and what impact they are having on both the young person and the rest of the family. We are also interested in the goals that the young person and their family want help with and think about what we or other services may be able to do to help you achieve these goals.

There will usually be the opportunity for the young person to be seen on their own, and also for parents / carers to see someone too. This allows everyone the opportunity to talk separately about their worries so we can understand everyone’s perspectives.

We will also need to weigh the young person and measure their height. This is so we can work out whether their weight is within the normal range for their age.

At the end of the appointment:

  • We will all meet together at the end of the appointment.
  • If we decide that the young person does need treatment with our team, then they and their family will be given a full explanation of what will happen during treatment, when and where they will be seen, and who needs to come. 
  • If we decide not to offer treatment, then we may give advice and then see the young person and their family in a few weeks’ time to see if they have made progress and decide whether they need to be seen again.
  • If we decide that we are not the right service, then we will talk about what other services can help (signposting) and how to access them.
  • A letter will then be sent to your GP, the person who referred you and yourselves with a summary of the assessment and the agreed plan.

Where are we based?

Our service is based at the Birch Centre at St Catherine's Health Centre in Birkenhead (CH42 0LQ). All our appointments are held in our clinic rooms in our building. There is parking available at the back of the site in a large car park which is clearly labelled for patient use.

Come to the Birch Centre reception, facing Derby Road, and ring the bell. The receptionist will buzz you into reception while they let us know you have arrived for your appointment.

Contact us

We have an advice line which can be accessed by calling 0800 145 6485. This advice line is available during the day and the evening. If you are concerned about yourself, a family member or young person who you suspect may be developing an eating disorder then please ring this number.

To access the 24/7 mental health crisis line, call NHS 111 and select the mental health option.