Participating in Policy Idol was an incredible experience, one that pushed me far beyond my comfort zone and offered a unique opportunity to spotlight something I am truly passionate about. I had the chance to stand before an esteemed panel of judges - leaders in politics, academia, and industry - to present on early intervention for eating disorders. This is an issue that is deeply personal to me, and one that remains widely misunderstood, dismissed, and neglected by the public, policymakers and even our healthcare system.
The link between disordered eating and compulsive exercise
This link is well documented. Today’s booming health and fitness industries, driven by a society increasingly fixated on wellness, have created environments where these behaviours are easily missed, or worse, encouraged. While this growth has its benefits, it has also introduced significant unaddressed risks for individuals who are vulnerable to or already struggling with eating disorders and exercise addiction. My proposal aimed to tackle these issues through stronger safeguarding measures in UK gyms, with the goal of initiating early intervention, reducing harm, and shifting public perception.
Eating disorders (EDs) are serious, complex and increasingly prevalent mental health conditions. They are among the deadliest of all psychiatric illnesses, with anorexia nervosa carrying the highest mortality rate. EDs affect over 4% of the UK population: a figure that continues to rise at an alarming rate. These illnesses defy stereotypes and they do not discriminate, unlike the systems they exist within. Enduring stigma, assumptions, and systemic gaps delay recognition and prevent access to timely care.
EDs also come with extremely high costs - not only to individuals and their families, but to the NHS and the wider economy. Delayed diagnosis and limited community support often result in more intensive, invasive, and longer-term interventions. The emotional, financial and societal toll is immense.
We live in a society with a distorted perception of health, one that promotes disordered behaviours as desirable habits, not only normalising but inadvertently praising harmful mindsets and actions. Gyms are uniquely positioned: providing physical spaces where disordered habits - including compulsive exercise, a common but overlooked aspect of eating disorders - can take root and spiral, making them prime sites for early intervention and support. However, there is currently very little in place to safeguard those at risk.
My pitch
My proposal sought to address this systemic gap by strengthening safeguarding responsibilities in UK gyms. I called for the implementation of realistic, cost-effective measures to better support individuals vulnerable to EDs and compulsive exercise:
- Enhanced membership screenings: Expanding existing physical health questionnaires with validated ED and exercise screening tools to identify those at risk.
- Mandatory training for gym staff: Collaborating with the UK’s ED charity Beat to adapt existing teacher training models for fitness professionals, equipping staff to recognise early signs and signpost individuals to support.
- Public education and resource provision: Making educational, awareness, and support materials accessible to gym users - through posters, leaflets, text-based support, and constructive social media content to dismantle harmful narratives.
These are low-barrier, evidence-informed, person-centred interventions that use existing infrastructure and digital tools. They are scalable across local, regional, and national settings, with potential funding pathways across multiple sectors. Most importantly, they focus on early intervention, the strongest predictor of recovery, and therefore have the capacity to save lives and reduce costs.