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Background  Perspectives of young people with eating disorders and their parents on helpful aspects of care should be incorporated into evidence-based practice and service design, but data are limited.    Aims  To explore patient and parent perspectives on positive and negative aspects of care for young people with eating disorders.    Method  Six online focus groups with 19 young people aged 16–25 years with existing or past eating disorders and 11 parents.    Results  Thematic analysis identified three key themes: the need to (a) shift from a weight-focused to a more holistic, individualised and consistent care approach, with a better balance in targeting psychological and physical problems from an early stage; (b) improve professionals' knowledge and attitude towards patients and their families at all levels of care from primary to ‘truly specialist’; (c) enhance peer and family support.    Conclusions  Young people and parents identified an array of limitations in approaches to care for young people with eating disorders and raised the need for change, particularly a move away from a primarily weight-focused treatment and a stronger emphasis on psychological needs and individualised care.    Declaration of interest  None.

Care experiences of young people with eating disorders and their parents: qualitative study