In a study of 35,404 adults in England and Northern Ireland — all of them with an eating disorder diagnosis recorded by their GP — 26,822 had no record of a referral to specialist services. Three in four. Not undiagnosed. Diagnosed, coded, and then nothing. A fair question at this point is who made those diagnoses. The data comes from GP records, and the diagnoses are the ones GPs themselves recorded. The study’s senior author, Professor Ulrike Schmidt, notes that the referra