Commissioning guidance for weight assessment and management in adults and children with severe complex obesity |
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| Authors: | R Welbourn J Hopkins J B Dixon N Finer C Hughes R Viner J Wass |
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| Institution: | 1. Department of Upper GI and Bariatric Surgery, Musgrove Park Hospital, Taunton, UK;2. North Bristol Centre for Weight Loss, Metabolic and Bariatric Surgery, Southmead Hospital, Bristol, UK;3. Baker Heart and Diabetes Institute, Melbourne, Australia;4. UCLH Centre for Weight Loss, Metabolic and Endocrine Surgery, University College London Hospitals, London, UK;5. Fakenham Weight Management Service, Norfolk, UK;6. University of East Anglia, Norwich, UK;7. Royal College of Paediatrics and Child Health, UCL GOS Institute of Child Health, University College London, London, UK;8. Royal College of Physicians, London, UK |
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| Abstract: | The challenge of managing the epidemic of patients with severe and complex obesity disease in secondary care is largely unmet. In England, the National Institute of Health and Care Excellence and the National Health Service England have published guidance on the provision of specialist (non‐surgical) weight management services. We have undertaken a systematic review of ‘what evidence exists for what should happen in/commissioning of: primary or secondary care weight assessment and management clinics in patients needing specialist care for severe and complex obesity?’ using an accredited methodology to produce a model for organization of multidisciplinary team clinics that could be developed in every healthcare system, as an update to a previous review. Additions to the previous guidance were multidisciplinary team pathways for children/adolescent patients and their transition to adult care, anaesthetic assessment and recommendations for ongoing shared care with general practitioners, as a chronic disease management pathway. |
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| Keywords: | Bariatric surgery children/adolescent and adult clinical pathways obesity management service access |
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