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

Hazlehurst, Jonathan M, Logue, Jennifer, Parretti, Helen M, Abbott, Sally, Brown, Adrian, Pournaras, Dimitri J and Tahrani, Abd A (2020) Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy. Current obesity reports. ISSN 2162-4968.

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Official URL: https://link.springer.com/article/10.1007/s13679-0...

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. 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: Article
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD10 Diet and nutrition
WY Nursing > WY100 Nursing care
Divisions: Ambulatory Care > Diabetes
Ambulatory Care > Endocrinology
Related URLs:
Depositing User: Mrs Yolande Brookes
Date Deposited: 13 Nov 2020 17:48
Last Modified: 13 Nov 2020 17:48
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3672

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