Draft NHS Leicester, Leicestershire and Rutland Adult Obesity Pathway

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Draft NHS Leicester, Leicestershire and Rutland
Adult Obesity Pathway
Interventions City County
Risk Level
Is the patient ready to lose weight?
Intervention Descriptor
Refer for Bariatric Assessment/Surgery
If Yes, after brief intervention refer to
appropriate intervention T1,T2 or T3 NB All
patients should be encouraged to use TIER
0 interventions
Very High Risk Patients presenting with a BMI
of 50 or 45 with significant co- morbidities
(local) East Midlands Commissioning Guidance
Bariatric Surgery Policy
ASSESSMENT ( NICE Guidance NICE CG43
EXIT STRATEGY Post intervention lifestyle change
should be self sustained to achieve/maintain
healthy weight
IDENTIFICATION
TIER 3 Surgical Intervention
DHAL LEAP 11 Dietetic Appointments
(LNDS) (Referral form hyperlink) ALS

TIER 2 Specialist Community Weight Management
Services Intensive behavioural change service for
individuals suffering with complex co-morbidities
and/or long term weight issues
High Risk -Patients presenting with A BMI 30-39
with co-morbidities -Patients with a BMI
gt40 -South Asian with a BMI 25
with co-morbidities
FAB Counter- Weight ALS
(link) ALS Criteria

TIER 1 Community Weight Management
Services First line weight intervention service
Provides basic nutrition and exercise support to
reduce weight and improve quality of life
Medium Risk Patients presenting with a BMI
25-29.9 or Patients presenting with A BMI
30-39.9 without co- morbidities
-Health Trainers Leicester Health Trainers
-Change 4 Life (C4Life hyperlink) -Physical
Activity Groups -Leisure Centre/ Community Based
Classes (3 x 30 Pledge) Active Together Self
referral to other suitable commercial groups
that have multi- component approach and
follow NICE Guidance
Low Risk Patients presenting with a BMI 25 and
have no co-morbidities
If patient NOT ready, Signpost to TIER 0 And
encourage patient to utilise
TIER 0 Universal Healthy Weight
Activity Population Wide intervention and
services (Open Access e.g. Leisure Centres, Green
Spaces, Active Travel, Workplace Health,
Community Physical Activity Sessions)
RELAPSE RE-ASSESSMENT NEEDED
RE-ASSESS
If patient has specific condition refer to
specific condition charts for in depth
assessment/ intervention