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Anorexia Nervosa Intensive Service (ANIS)

The Anorexia Nervosa Service (ANIS) is made up of a small team who work intensively with adults who have a diagnosis of severe anorexia. We are currently commissioned to work with up to fifteen individuals at any one time. Our team includes eating disorder practitioners, psychologists and specialist dietitians. We can access advice from a psychiatrist.

We will work alongside you, your family and other staff involved in your care, such as community mental health service staff and your GP, in order to understand the impact anorexia has on your physical and psychological wellbeing and how it impacts upon how you live your life day to day.

The service is in place to bridge the gap between inpatient and community treatment, so that people can be treated within their local community, closer to home.

If you have severe anorexia then your GP will refer you to community mental health services and from there a decision is made to involve the ANIS team. Our assessment will take place alongside community mental health services who may continue to co-ordinate your care. Our assessment will involve us talking to your GP and Practice nurse and your physical health will be monitored on an ongoing basis.

We will offer you specialist dietitian input to help you develop a healthier relationship with food and meal planning, and therapy tailored to your individual needs, and, where appropriate to your family’s needs.  We believe that you and your family have a great deal of knowledge and expertise about your illness and so we want you to work with us to contribute to your recovery.

How can I get referred?

You can be referred by your  GP or other health professionals involved in your care through the local Community Mental Health Team (CMHT) Single Point of Access.

All adults seen by ANIS will also be receiving care co-ordination from the CMHT.

Helpful resources
Beat Eating Disorders
Self Harm Awareness (SAFA) Cumbrian charity  Telephone: 01229 841 372

‘Overcoming Anorexia Nervosa’ by Christopher Freeman

For carers and families
ANIS carers support group. Email: for more information

The New Maudsley Approach – a resource for professionals and carers of people with eating disorders

‘Skills based learning for caring for a loved one with an eating disorder – the new Maudsley method’ Janet Treasure, Grainne Smith and Anna Crane

‘Anorexia Nervosa: a survival guide for families, friends and sufferers’ Janet Treasure

Information for professionals

Criteria for ANIS

  • Has a Body Mass Index of 13 or below
  • Has a Body Mass Index of 15 which is decreasing despite standard interventions
  • Has been accessing services out of county for anorexia nervosa and who may have a recurrent pattern of out of county treatment
  • Is at significant risk because of the interaction between their anorexia nervosa and a marked physical illness and/or co-morbidity, including self harm.
  • Is at high risk as indicated by other physiological measures, eg core temperature below 34 degrees, pulse rate below 40 bpm,a systolic BP less than 80. (in such circumstances it is likely that the individual will be an inpatient in which case the team will in-reach, or these signs and symptoms were present at the time of a previous admission). See Kings College Guidelines.

BMI calculator:

NICE Guidelines

If you are a professional wanting advice about an individual with severe anorexia nervosa before referral contact ANIS as follows:
Central phone number: 07766 443 261
Central email:


01228 608 870


Carleton Clinic Cumwhinton Drive Carlisle CA1 3SX