Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity:a Critique of NHS England Policy

Hazelhurst, Jonathan and Logue, Jennifer and Parretti, Helen and Abbott, Sally and Brown, Adrian and Pournaras, Dimitri and Tahrani, Abd (2020) Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity:a Critique of NHS England Policy. Current Obesity Reports. (In Press)

[img]
Text (CLEAN_SUBMITTEDobesity_review_Revised_version)
CLEAN_SUBMITTEDobesity_review_Revised_version.pdf - Accepted Version
Restricted to Repository staff only until 1 January 2050.
Available under License Creative Commons Attribution-NonCommercial.

Download (650kB)

Abstract

Purpose of the Review: Pathways for obesity prevention and treatment are well documented, yet the prevalence of obesity is rising, and access to treatment (including bariatric surgery) is limited. This review seeks to assess the current integrated clinical pathway for obesity management in England and determine the major challenges. Recent Findings: Evidence for tier 2 (community-based lifestyle intervention) and tier 3 (specialist weight management services) is limited, and how it facilitates care and improve outcomes in tier 4 remains uncertain. Treatment access, rigidity in pathways, uncertain treatment outcomes and weight stigma seems to be major barriers to improved care. Summary: More emphasis must be placed on access to effective treatments, treatment flexibility, addressing stigma and ensuring treatment efficacy including long-term health outcomes. Prevention and treatment should both receive significant focus though should be considered to be largely separate pathways. A simplified system for weight management is needed to allow flexibility and the delivery of personalized care including post-bariatric surgery care for those who need it.

Item Type:
Journal Article
Journal or Publication Title:
Current Obesity Reports
ID Code:
148942
Deposited By:
Deposited On:
11 Nov 2020 10:20
Refereed?:
Yes
Published?:
In Press
Last Modified:
11 Nov 2020 10:20