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

J Hazelhurst, Jennifer Logue, Helen M. Parretti, Sally Abbott, A Brown, Dimitri J. Pournaras, Abd A. Tahrani

Research output: Contribution to journalArticlepeer-review

29 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)530-543
Number of pages14
JournalCurrent Obesity Reports
Volume9
Issue number4
DOIs
Publication statusPublished - 12 Nov 2020
Externally publishedYes

Keywords

  • Clinical pathways
  • Integrated pathway
  • Medical management
  • NHS
  • Obesity
  • Obesity management
  • Tier 2
  • Tier 3
  • Tier 4
  • Weight management

ASJC Scopus subject areas

  • Internal Medicine
  • Medicine(all)

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