Call Now 020 3209 7900

Outpatient Services 

​Ellern Mede Outpatient Services is currently open again for online therapies for people with mild to moderate eating disorder conditions under the care of either a private or NHS GP for required physical monitoring. Our unique advantage is that our Multi-Disciplinary Team (MDT) approach is applied to our Outpatient Service. This combines Dietetic Support with Psychology and Psychiatry as well as Family Therapy to give you the best chance of recovery. Whilst we are registered with Bupa and AXA, you must check what types of service your policy will cover. If you want a service not covered by your policy, you may wish to receive a quote for self-pay.

Please ask your GP or NHS team to write to us with your medical details to [email protected] 

If you or your loved one thinks that disordered eating has become an Eating Disorder, please see your GP right away. Your GP can refer you to an appropriate service. Ellern Mede Outpatient Service considers applications based on GP-supplied medical assessments including blood tests.

Our Triage prior to appointment booking will require:

Report from your GP or Specialist detailing:

  • vital signs, patient weight, height and age
  • full count blood tests taken the week you are being referred
  • Ellern Mede referral form which MUST accurately reflect that patient case is not an immediate risk
  • View from professional that patient is NOT red on the Junior MARSIPAN scale.

Prior to seeing your doctor, and to help you know what to ask for, you may find it useful to download and read these documents

Admission Criteria

Our online Outpatient Service is for children aged 12 to 18 and young adults aged 18 to early 20s. We admit only on a case-by-case basis, assessed using the information we receive from the referral process explained above.


Payment can be self-funded or through medical insurance. As yet, Ellern Mede Outpatient Service has no pre-arranged NHS contract. We may charge for a Specialist Nurse Triage Appointment to see if our service could benefit you. The next step is a Multi-Therapeutic Assessment which usually, but not always leads to us prescribing a treatment programme. If not, we will give you some helpful advice on what to do next.

Ellern Mede online outpatient care is ideal for stepping down from intensive treatment or stepping up from other outpatient treatment that perhaps has not been effective.  BMI is NOT the most important part of an ED diagnosis however do please note that if you have a BMI of under 15, you probably need a more intensive programme than Ellern Mede Outpatients can offer. We often recommend you remain with an NHS CAMHS or Adult Community Service as a first priority and discuss with your treatment team if you want to approach a private provider such as Ellern Mede, as both teams need to collaborate. It is not always possible.

What to expect

Over ten weeks or longer, you will receive focused individualised clinician to client / client family input.  We offer online psychoeducation, psychiatric and psychological online therapies and dietetic advice with meal plans. Our specialist therapeutic care is NICE-concordant and evidence-based, led by a Consultant Psychiatrist.

We will rely on your GP or other medical professional for physical monitoring throughout any Outpatient Treatment Plan. Your local Accident and  Emergency is still your first contact in a crisis.


Why do I need my GP to arrange blood tests and a physical examination before I apply for Outpatient treatment?

As a specialist psychiatry-led service which does not provide Outpatient Primary Care we rely on your usual primary care provider to take responsibility for your physical and mental health on a day to day basis and to provide us with this information in order to risk assess you throughout your treatment. Blood Tests are very important as this shows us exactly what physical effect your eating disorder is having on your body. Physical stabilisation is essential before psychological and psychiatric interventions can be of help to you. You also depend on the country’s Emergency Services as eating disorders are serious illnesses. You may at times be taken ill very suddenly and it is not possible for us as a specialist eating disorder service without emergency beds to help you.

What reasons could there be for not being accepted for an Outpatient Eating Disorder Programme?

If you are so physically affected by an eating disorder that you need urgent care of the type only possible as an Inpatient, we will be unable to offer an Outpatient Eating Disorder Programme. This is the reason for our risk assessment prior to accepting your case. If an Ellern Mede consultant psychiatrist believes you are ‘red’ in a Junior or Adult MARSIPAN assessment, they will advise you that you need more intensive care and will signpost you to an NHS crisis pathway.

Why can’t I be fast accessed to an Ellern Mede inpatient bed?

Ellern Mede does not accept emergency admissions. There is always a waiting list for Ellern Mede inpatient beds. If you need an inpatient bed immediately, it is important that you take up that treatment in whatever hospital you are offered by the NHS as soon as possible. We do not recommend private inpatient stays for eating disorders because of the length of typical treatment and the expense. Medical insurance may sometimes agree to short term care, but this almost never fully covers the cost of a full inpatient episode. Ellern Mede has a limited number of inpatient beds in comparison to the NHS. There is always a waiting list for Ellern Mede inpatient beds, whether the case is through the NHS or through private funding.

How do I contact you to make an Outpatient enquiry?

Please fill in the private referral enquiry form on our website or call our Outpatients Line on 07583 669226.

If you are medically at risk and have been ill for a long time without effective treatment, please talk to your current treatment team about an NHS-funded inpatient service. Your NHS team may be able to refer you. Private inpatient treatment is seldom available without a waiting list and we recommend NHS services as your best option if you need an inpatient stay. Our Outpatient Service cannot arrange an inpatient bed for you and always advises that you initially pursue an NHS route for children’s inpatient eating disorder stays.

“Getting specialist diagnosis early improves recovery. Outpatient service is the best way to achieve an early diagnosis and preventative treatment.” Dr Hind Al-Khairulla

NHS referrals

Ellern Mede has provided specialist Tier 4 eating disorder services to the NHS since 2000.

Private referrals

Call now for immediate access to Ellern Mede specialist private eating disorder services.