Shaping better health
REMEDY : BNSSG referral pathways

First Step

Checked: 20-11-2018 by vicky.ryan Next Review: 20-11-2019


STEPs is a specialist service for adults aged 18 and over with anorexic and bulimic type eating problems. The service provides primary care based assessment and cognitive behavioural therapy services. 

The community team is based at The STEPs Unit, Southmead Hospital with community psychiatric nurses covering the outlying areas of South Gloucestershire, Bath and North East Somerset and North Somerset. They are a multidisciplinary team with a wide skill mix including medical, psychological, dietetic, physiotherapy, occupational therapy, art psychotherapy and nursing input.

As a tertiary service they accept referrals from primary care mental health liaison teams in the Avon area and First Step in Bristol (see below). Please note that they do not accept direct referrals from GPs. Therefore to access the STEPs service, sufferers will need to visit their GP, who will refer them to the appropriate primary care liaison team, who in turn will contact STEPs.


First Step - Bristol

First Step is open to Bristol residents aged 18 and over. It provides the gateway into primary care services, and seamless onward referral to the STEPS specialist eating disorders team for those who need it.

See the Information Pack for GP Referrers (pdf) for further information, including advice on how to refer into this service.

To help your patient access this service and prepare for the appointment you may wish to provide them with the First Step Patient Information Sheet (pdf).

Referrals can be made using the First Step referral form (word doc) and further information on the service can be found by accessing their website.