We are concerned about the NHS still not meeting the eating disorder service standards, and how long young people suffering from eating disorders have to wait for treatment. NHSE explained to us that this is because it took time for the NHS to develop the services including infrastructure and workforce, which were not in place before the standards were introduced. The situation was further complicated by a surge in cases during the COVID-19 pandemic.26 We are also concerned that performance measures for the current standards may not fully reflect the experiences of people using the services and patient outcomes. In addition, unlike for physical health services, waiting time standards for mental health service only cover a limited number of service areas, and do not apply to the bulk of core community and inpatient mental health services.27