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Nice obesity guidance on the prevention network: Obesity: identification, assessment and management - NICE guideline

The guidance aims to:.

William Murphy
Saturday, September 8, 2018
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  • Working party including senior OH nurse, health improvement manager and specialist registrar to develop strategy. Criterion 1: All workplaces should address prevention and management of obesity NICE guidelines database with electronic tracker of compliance, needs assessment, CG43 implementation group, staff survey, Health and Work Group, obesity strategy.

  • Cost effectiveness of clinical interventions Delivery: for health professionals working with preschool, childcare and family settings 1.

  • Obesity Silver Spring ; 17 : —

  • Published quality standards on this topic 3 New quality standards in the last 6 months 0 Updated quality standards in the last 6 months 0 In development quality standards 0. In the recommendations, the term 'specific' is used if the training will be in addition to staff's basic training.

  • Occupational Health Law. View Metrics.

Introduction

The North—West Strategic Health Authority had the largest number of admissions with an obesity diagnosis and the most obesity-related prescriptions in the UK in Status: Current. The department was poorly resourced and BMI was not routinely recorded nor obesity comprehensively treated. Select Format Select format.

  • Related articles in Web of Science Google Scholar.

  • Research recommendations Appendices.

  • Tackling Obesity—Future Choices 2nd edn. As a working document for OH departments, CG43 has some shortcomings, being a complex work of pages.

  • Results were checked for compliance with CG43 standards. Leadership of strategy by a senior OH consultant who networked with key stakeholders through membership of the health and well-being committee, ensuring maintenance of momentum and the multidisciplinary approach advised by NICE.

  • Introduction Working with people to prevent and manage overweight and obesity: the issues Person-centred care: principles for health professionals Key priorities for implementation 1 Guidance 2 Notes on the scope of the guidance 3 Implementation 4 Research recommendations 5 Other versions of this guideline 6 Related NICE guidance 7 Updating the guideline Appendix A: The Guidance Development Groups Appendix B: The Guideline Review Panel Appendix C: The algorithms Appendix D: Existing guidance on diet, physical activity and preventing obesity Changes after publication About this guideline. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

Tailoring advice to address potential barriers such as niice, personal tastes, availability, time, views of family and community members is particularly important for people from black and minority ethnic groups, people in vulnerable groups such as those on low incomes and people at life stages with increased risk for weight gain such as during and after pregnancy, menopause or smoking cessation. Published date: February This guideline covers preventing children, young people and adults becoming overweight or obese. The recommendations are based on the best available evidence of effectiveness, including cost effectiveness. Download PDF. We checked the public health recommendations in section 1. Children should be supervised at mealtimes and, if possible, staff should eat with children.

The trust had an established strategy for managing NICE guidance, including CG43, and some departments had begun implementation. One large chair, one large sphygmomanometer cuff and two large beds were available in total. It included an abridged version of CG43 Table 4 as a user-friendly document to facilitate implementation. No information relating to obesity was available in clinical or waiting rooms.

Socioeconomic deprivation, with which obesity positively correlates, dominated its employment preevntion area, with life expectancy 4 years less than national average. Obesity nice obesity guidance on the prevention network incident injury among career firefighters in the central United States. To address criterion 4 the adequacy of specialist settings for treating obese staffsix OH clinical rooms on the main trust site were examined for equipment and information. Abstract Background. Criterion 4: Specialist settings for treating obese people should be equipped with adequate seating, weighing and monitoring equipment. The Drug and Therapeutics Committee oversaw the implementation of CG43, allocating to the Division of Facilities the responsibility for developing the CG43 implementation group and an impact analysis.

Account Options

For this to be effective, commitment from senior management, enthusiastic catering management, a strong occupational health lead, links to other on-site health initiatives, supportive pricing policies and heavy promotion and advertisement at point of purchase are likely to be needed. In the recommendations, 'children' refers to anyone younger than 18 years. The Wanless report 'Securing good health for the whole population' stressed that a substantial change will be needed to produce the reductions in preventable diseases such as obesity that will lead to the greatest reductions in future healthcare costs.

The environment in which people live may influence their ability to maintain a healthy weight — this includes access to safe spaces to be active and to an affordable, healthy diet. For all workplaces 1. This should involve:. NICE has also published a quality standard for obesity in adults: prevention and lifestyle weight management programmes. It does not cover assessing and managing obesity, obesity: clinical assessment and management NICE has also published a quality standard for obesity in children and young people: prevention and lifestyle weight management programmes.

How to use NICE quality standards and how we develop them Quality standards help you improve the quality of care you provide or commission. The public health recommendations are divided according to their key audiences and the settings they apply to:. We checked the public health recommendations in section 1. Individual as well as family-based interventions should be considered, depending on the age and maturity of the child. Management of obesity 1 NICE has also produced guidelines on preventing excess weight gain and weight management: lifestyle services for overweight or obese adults.

Produced by:

House of Commons Health Committee. To address criterion 4 the adequacy of specialist settings for treating obese staffsix OH clinical rooms on the main trust site were examined for equipment and information. Issue Section:. Int J Manag Rev ; 5—6 : 91 — Select Format Select format.

Tackling obesity was considered a key priority. One large chair, one large sphygmomanometer cuff and two large beds were available in total. Criterion 8. Criterion 7: Healthcare practitioners should use clinical judgement to investigate comorbidities hypertension, type 2 diabetes, cardiovascular disease, osteoarthritis, sleep apnoea.

ALSO READ: Best Style Of Dress For Obese Women

Supporting organisations A number of organisations recognise the benefit of this quality standard in improving care. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Introduction 1 Recommendations 2 Research recommendations Finding more information and committee details Update information. It also covers lifestyle weight management programmes for children and young people who are overweight or obese. This guideline covers preventing children, young people and adults becoming overweight or obese.

A significant mice of clinicians noted three other barriers to obesity management, namely lack of written guidance, lack of a care pathway and lack of time. Circulation ; : — J Occup Environ Med ; 50 : 39 — The North—West Strategic Health Authority had the largest number of admissions with an obesity diagnosis and the most obesity-related prescriptions in the UK in

Research shows that two factors are essential to implement guidance successfully: clinical leadership of any action plan and close involvement of stakeholders [ 19 ]. Status: Current. The action plan recommended both. NICE guidelines database with electronic tracker of compliance, needs assessment, CG43 implementation group, staff survey, Health and Work Group, obesity strategy. Criterion 6: Enquiry should be made into underlying causes of weight gain diet, exercise, psychological distress, socioeconomic difficulties, previous failure to lose weight, motivation, obesogenic medication. Search Join Login.

Nothing in this guideline nice obesity guidance on the prevention network be interpreted in a way that would be inconsistent with complying with those duties. This quality standard does not cover areas of national policy, such as legislative changes and marketing of high-calorie drink and food products. It describes high-quality care in priority areas for improvement. Training will need to address barriers to health professionals providing support and advice, particularly concerns about the effectiveness of interventions, people's receptiveness and ability to change and the impact of advice on relationships with patients. NICE Pathways Interactive topic-based flowcharts that allow you to navigate our recommendations on any subject.

  • In view of this, we conducted an audit to determine whether the guidance was being implemented. Problems identified included lack of written guidance, time and care pathways.

  • Delivery: for health professionals in primary care 1. Dedicated resources should be allocated for action.

  • New issue alert.

  • Concerns nics include the availability of services and the cost of changing behaviour, the expectation that healthier foods do not taste as good, dangers associated with walking and cycling and confusion over mixed messages in the media about weight, diet and activity. Tailoring advice to address potential barriers such as cost, personal tastes, availability, time, views of family and community members is particularly important for people from black and minority ethnic groups, people in vulnerable groups such as those on low incomes and people at life stages with increased risk for weight gain such as during and after pregnancy, menopause or smoking cessation.

It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. How we develop NICE guidelines. This should involve:. Executive summary and recommendations 2.

Obesitg CG43 does not recommend waist circumference measurement routinely, it is advised as an indicator of risk of long-term health problems. Email: ngc-office rcplondon. Charging for NHSPlus: an inferential study based on the internal provision of occupational health services within the National Health Service. Table 1 presents a summary of the audit criteria and principal findings. Issue Section:. Health and Well-Being Review.

It also obeity lifestyle weight management programmes for children and young people who are overweight or obese. Concerns might include the availability of services and the cost of changing behaviour, the expectation that healthier foods do not taste as good, nice obesity guidance on the prevention network associated with walking and cycling and onn over mixed messages in the media about weight, diet and activity. The guidance aims to: stem the rising prevalence of obesity and diseases associated with it; increase the effectiveness of interventions to prevent overweight and obesity; improve the care provided to adults and children with obesity, particularly in primary care. Implementing these recommendations will contribute to meeting the target to halt the annual rise in obesity in children younger than 11 years by and implementing the Children's NSFs for England and Wales, the National Healthy Schools Programme and the Welsh Network of Healthy Schools Schemesand 'Every child matters' and similar initiatives in Wales.

Planning decisions may therefore have an obeskty on the health of the local population. Methodology References Section 2. Executive summary, introduction and methods 1. Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. Implementing these recommendations will contribute to the English target to halt the annual rise in obesity in children younger than 11 years byand similar initiatives in Wales.

There is no evidence that school-based interventions to prevent obesity, improve diet and increase activity levels foster eating disorders or extreme dieting or exercise behaviour. In addition to recommending nice obesity guidance on the prevention network more effective delivery framework for health services providers, the report proposed an enhanced role for schools, local authorities and other public sector agencies, employers, and private and voluntary sector providers in developing opportunities for people to secure better health. Next 1 Guidance 1. This should enable health professionals with specific training, including public health practitioners working singly and as part of multidisciplinary teams, to provide interventions to prevent and manage obesity. Excerpt This is the first national guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children in England and Wales. It also covers lifestyle weight management programmes for adults who are overweight or obese.

Many clinicians were unaware of CG43 and this was guidabce by absence of training and significant barriers to addressing the issues the guidance raised. Recommendations This guideline includes recommendations on: identification and classification assessment lifestylebehaviouraldietary and pharmacological interventions physical activity surgeryincluding bariatric surgery for people with recent-onset type 2 diabetes. Sign In or Create an Account. The stigma of obesity: a review and update.

Guidance Tools and resources Evidence History Overview. This should involve:. There is no evidence that school-based interventions to prevent obesity, improve diet and increase activity levels foster eating disorders or extreme dieting or exercise behaviour. They work with us to promote it to commissioners and service providers:.

More on this topic Why I became an occupational physician…. To address criterion 1 trust-wide policies to manage staff obesityqualitative data were collected from trust policies and minutes, a NICE database, and interviews with managers of facilities, catering, transport, dietetics, exercise, human resources, manual handling and health improvement. Subject alert. Fam Pract ; 17 : S3 — S6. A study day for OH clinical staff introduced the audit. Criterion 4: Specialist settings for treating obese people should be equipped with adequate seating, weighing and monitoring equipment. A retrospective review of degenerative lumbar spine surgeries.

This section has been replaced by Maintaining a healthy weight and preventing excess weight gain among adults and children NICE guideline NG7. On-site catering should promote healthy food and drink choices for example by signs, posters, pricing and positioning of products. Delivery: for health professionals working with workplaces 1. Recommendations This guideline includes recommendations on: identification and classification assessment lifestylebehaviouraldietary and pharmacological interventions physical activity surgeryincluding bariatric surgery for people with recent-onset type 2 diabetes Who is it for? Download PDF. Published quality standards on this topic 3. These recommendations apply to: senior managers and budget holders in local authorities and community partnerships, who manage, plan and commission services such as transport, sports and leisure and open spaces not just those with an explicit public health role staff providing specific community-based interventions.

Publication types

Published guidance on this topic Published quality standards on this topic 3. This guideline was previously called obesity: guidance on the prevention of overweight and obesity in adults and children. These recommendations apply to: senior managers and budget holders in local authorities and community partnerships, who manage, plan and commission services such as transport, sports and leisure and open spaces not just those with an explicit public health role staff providing specific community-based interventions. Fundamental concerns about safety, transport links and services need to be addressed.

Tackling obesity was considered a key priority. Improvements in catering, stairwells and exercise facilities, staff recreational and education programmes, active travel policies, health checks. Article Contents Abstract. Faculty of Occupational Medicine. A study day for OH clinical staff introduced the audit.

Dedicated resources should be allocated for action. This section has been replaced by Maintaining a healthy weight and preventing excess oobesity gain among adults and children NICE guideline NG7. Barriers identified in this way should be addressed. Published products on this topic Next 1 Guidance 1. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

Quality standard

Keogh KBE. Conflicts of interest. A significant majority of clinicians noted three other barriers to obesity management, namely lack of written guidance, lack of a care pathway and lack of time.

A significant majority preventipn nice obesity guidance on the prevention network noted three other barriers to obesity management, namely lack of written guidance, lack of a care pathway and lack of time. For criterion 3, 20 responses out of 21 questionnaires were completed. Nice Guidelines CG Measuring people and performance: an evidence-based framework applied to health service organisations. Br Med J ; : This audit identified that even though there was some good management of overweight in OH there was no health and well-being objective and no obesity policy or coordinated protocols.

The action plan recommended both. Table 2. Eighty-eight per cent had some comorbidity recorded. Economic consequences of sick-leave and early retirement in obese Swedish women.

Quality standards

Published guidance on this topic 11 New guidance in the last 6 months 3 Updated guidance netwokr the last 6 months 0 In development guidance 4 Quality standards Set out priority areas for quality improvement in health and social care. Supporting organisations A number of organisations recognise the benefit of this quality standard in improving care. Training will need to address barriers to health professionals providing support and advice, particularly concerns about the effectiveness of interventions, people's receptiveness and ability to change and the impact of advice on relationships with patients.

The nice obesity guidance on the prevention network of the audit was simple to discover whether the trust was complying with CG Receive exclusive offers and updates from Oxford Academic. The CG43 implementation group which included the OH manager formulated an action plan including establishment of the Health and Work Group enabling the Obesity Strategy in Many clinicians were unaware of CG43 and this was compounded by absence of training and significant barriers to addressing the issues the guidance raised. Criterion 8. Table 3. The North—West Strategic Health Authority had the largest number of admissions with an obesity diagnosis and the most obesity-related prescriptions in the UK in

Many clinicians were unaware of CG43 and this was compounded by absence of training and significant barriers to addressing nice obesity guidance on the prevention network issues the guidance raised. This may be considered contentious in patients presenting with conditions unrelated to weight gain, but it is acknowledged that patients who are reluctant to do so may prefer healthcare professionals to raise the issue [ 20 ]. Technical Report Series Number It could, therefore, be argued that improving staff health and well-being by reducing obesity is likely to improve patient outcomes and have financial benefits.

Delivery: for health professionals in broader community settings The nice obesity guidance on the prevention network in this section are for health professionals working in broader community settings, including healthy living obesiyy and Sure Start programmes. Many of the recommendations below also highlight the need to provide ongoing support — this can be in person, or by phone, mail or internet as appropriate. Overarching recommendation 1. For NHS, public organisations and large commercial organisations 1. With specific training, staff such as pharmacy assistants or support staff in general practices may also be able to give advice and support. Taking action may result in significant benefit for employers as well as employees.

NHS Commissioning Board. Compliance with criteria. Recommend referral to general practitioner for consideration of pharmacotherapy or bariatric surgery. NICE has also produced guidelines on obesity preventionmaintaining a healthy weightand lifestyle weight management services.

Clinical assessment and management of adult obesity. Google Scholar Crossref. Michie S West MA. NICE has also produced guidelines on obesity preventionmaintaining a healthy weightand lifestyle weight management services. Recommendations This guideline includes recommendations on: identification and classification assessment lifestylebehaviouraldietary and pharmacological interventions physical activity surgeryincluding bariatric surgery for people with recent-onset type 2 diabetes. One large chair, one large sphygmomanometer cuff and two large beds were available in total. Permissions Icon Permissions.

  • CG43, the only clinical guideline in the portfolio of public health documents, was regarded the hardest to implement and identified as one on which little work was being done.

  • The workplace may have an impact on a person's ability to maintain a healthy weight both directly, by providing healthy eating choices and opportunities for physical activity such as the option to use stairs instead of lifts, staff gym, cycle parking and changing and shower facilitiesand indirectly, through the overall culture of the organisation for example, through policies and incentive schemes.

  • To complete the audit an action plan, to follow analysis of the results, was planned.

  • A retrospective review of degenerative lumbar spine surgeries.

Criterion 4: Specialist settings for treating obese netwirk should be equipped with adequate seating, weighing and monitoring equipment. Just over half had been offered multiple interventions. Project Report. Spyridonidis D Calnan M. I do not consider obesity a priority in the time available 2 10 10 50 1 5 6 30 1 5. Department of Health ,

They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Cost effectiveness of clinical interventions Some of the recommendations are at a strategic level primarily for those involved in planning and management of service provision and policiesand others are at delivery level for individual staff, teams and team managers. The clinical management of obesity cannot be viewed in isolation from the environment in which people live. The following guidance is based on the best available evidence. This section has been replaced by Managing overweight and obesity in adults — lifestyle weight management services NICE guideline PH Published date: August

To address criterion 1 metwork policies to manage staff obesityqualitative data were collected from trust policies and minutes, a NICE database, and interviews with managers of facilities, catering, transport, dietetics, exercise, human resources, manual handling and health improvement. As a working document for OH departments, CG43 has some shortcomings, being a complex work of pages. Project Report. Littlejohns P Cluzeau F.

Oxford University Press is a department of the University of Oxford. Economic consequences of sick-leave and early retirement in obese Swedish women. Email: ngc-office rcplondon. Opportunities include consultations for obesity-related medical conditions and routine health checks.

  • Arch Intern Med ; : —

  • Strategy: for senior managers and budget holders 1.

  • View Metrics. Eighty-eight per cent had some comorbidity recorded.

  • Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. It also covers lifestyle weight management programmes for children and young people who are overweight or obese.

  • I do not consider obesity a priority in the time available 2 10 10 50 1 5 6 30 1 5.

A number of the prevention recognise the benefit of this quality standard in improving care. Implementing these recommendations will contribute to nettwork the target to halt the annual rise in obesity in children younger than 11 years by and implementing the Children's NSFs for England and Wales, the National Healthy Schools Programme and the Welsh Network of Healthy Schools Schemesand 'Every child matters' and similar initiatives in Wales. The need to work in partnership should be reflected in the integrated regional strategies and reviewed regularly. NICE has also produced guidelines on obesity preventionmaintaining a healthy weightand lifestyle weight management services.

Email: ngc-office rcplondon. The aim of the audit was simple to discover whether the trust was complying with CG Jetwork In or Create an Account. Criterion 2: OH should support the implementation of workplace programmes to prevent and manage obesity. All rights reserved. Audit results. CG43 was summarized to identify areas of relevance to OH and nine criteria derived from it formed the basis for the audit Table 1.

Short-term interventions and one-off events are insufficient on their own and should be part of a long-term integrated programme. Decisions on nice obesity guidance on the prevention network they apply in Scotland and Northern Ireland are made by ministers in the Scottish government and Northern Ireland Executive. Research recommendations This should enable health professionals with specific training, including public health practitioners working singly and as part of multidisciplinary teams, to provide interventions to prevent and manage obesity. Taking action may result in significant benefit for employers as well as employees.

Chartered Society of Physiotherapists. The department was poorly resourced and BMI was not routinely recorded nor obesity comprehensively treated. Seven-step obesity strategy for OH. Department of Health ,

Sign In or Create an Account. For criterion 3, 20 responses out of 21 questionnaires were completed. Conflicts of interest. Search ADS. Circulation ; : —

It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. Primary care staff should engage with target communities, consult on how and where to deliver interventions and form key partnerships and ensure that interventions are person centred. Taking action may result in significant benefit for employers as well as employees. Download PDF. Healthcare professionals Commissioners and providers Employers Local authorities Primary care trusts Head teachers and chairs of governors Children, young people and adults, and their families and carers Is this guideline up to date? We check our quality standards every August to make sure they are up to date.

Google Preview. Additionally, the nine NICE criteria audited could not be all subjected to objective evaluation, with issues of a qualitative nature requiring a more subjective assessment of compliance. Citing articles via Web of Science 3. Fam Pract ; 17 : S3 — S6. The Chief Audit Coordinator prepared baseline audit collecting tools, organized staff briefings, ensured maintenance of the NICE database on the trust intranet and informed the Governance Committee of progress.

Supporting organisations A number of organisations recognise the benefit of this quality standard in improving care. Section 3 has information about the status of NICE guidance in different settings, and links to tools to help with implementing the recommendations and meeting training needs. Published guidance on this topic 11 New guidance in the last 6 months 3 Updated guidance in the last 6 months 0 In development guidance 4 Quality standards Set out priority areas for quality improvement in health and social care. Implementing these recommendations will contribute to meeting the target to halt the annual rise in obesity in children younger than 11 years by and to implementing the England and Wales National Service Frameworks for children, young people and maternity services the Children's NSFs for England and Walesand 'Every child matters' and similar initiatives in Wales. Barriers identified in this way should be addressed.

  • Arch Intern Med ; : —

  • Prevention 6.

  • Quality and Audit in Occupational Health Obes Rev ; 10 : 17 —

  • Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. This guideline covers preventing children, young people and adults becoming overweight or obese.

Health economics It also covers lifestyle weight management programmes for children and young people who are overweight or obese. Some of the recommendations are at a strategic level obesith for those involved in ptevention and management of service nice obesity guidance on the prevention network and policiesand others are at delivery level for individual staff, teams and team managers. Research recommendations Introduction List of quality statements Quality statement 1: Vending machines Quality statement 2: Nutritional information at the point of choosing food and drink options Quality statement 3: Prominent placement of healthy options Quality statement 4: Maintaining details of local lifestyle weight management programmes Quality statement 5: Raising awareness of lifestyle weight management programmes Quality statement 6: Family involvement in lifestyle weight management programmes Quality statement 7: Evaluating lifestyle weight management programmes Quality statement 8 placeholder : Reducing sedentary behaviour Using the quality standard Diversity, equality and language Development sources Related NICE quality standards Quality Standards Advisory Committee and NICE project team About this quality standard.

This guideline covers preventing children, young people and adults becoming overweight or obese. Introduction List of entwork statements Quality nice obesity guidance on the prevention network 1: Vending machines Quality statement 2: Nutritional information at the point of choosing food and drink options Quality statement 3: Obwsity placement of healthy options Quality statement 4: Maintaining details of local lifestyle weight management programmes Quality statement 5: Publishing performance data on local lifestyle weight management programmes Quality statement 6: Raising awareness of lifestyle weight management programmes Quality statement 7: Referral to a lifestyle weight management programme for people with comorbidities Quality statement 8: Preventing weight regain Using the quality standard Diversity, obesiry and language Development sources Related NICE quality standards Quality Standards Advisory Committee and NICE project team About this quality standard. NICE has also produced guidelines on preventing excess weight gain and weight management: lifestyle services for overweight or obese adults. Many of the recommendations below also highlight the need to provide ongoing support — this can be in person, or by phone, mail or internet as appropriate. Schools play an important role in this by providing opportunities for children to be active and develop healthy eating habits, and by providing role models. Introduction Working with people to prevent and manage overweight and obesity: the issues Person-centred care: principles for health professionals Key priorities for implementation 1 Guidance 2 Notes on the scope of the guidance 3 Implementation 4 Research recommendations 5 Other versions of this guideline 6 Related NICE guidance 7 Updating the guideline Appendix A: The Guidance Development Groups Appendix B: The Guideline Review Panel Appendix C: The algorithms Appendix D: Existing guidance on diet, physical activity and preventing obesity Changes after publication About this guideline. These recommendations apply to: senior managers health and safety managers occupational health staff unions and staff representatives employers' organisations and chambers of commerce health professionals working with businesses.

A whole-school approach should be used to develop life-long healthy eating and physical activity practices. Guidance Tools and resources Evidence History Overview. Published quality standards on this topic 3. Delivery: for health professionals in broader community settings The recommendations in this section are for health professionals working in broader community settings, including healthy living centres and Sure Start programmes. Management of obesity in non-clinical settings Reference List Section 5.

  • More on this topic Why I became rpevention occupational physician…. To address the risk from obesity, in criteria 6 causes of obesity and 7 comorbidities the sample size was increased until 50 cases of raised BMI had been identified to determine what information on causes of weight gain and comorbidities had been recorded.

  • How we develop NICE guidelines. The clinical management of obesity cannot be viewed in isolation from the environment in which people live.

  • Criterion 4: Specialist settings for treating obese people should be equipped with adequate seating, weighing and monitoring equipment. The stigma of obesity: a review and update.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce guidance the environmental impact of om NICE recommendations wherever possible. Tailoring advice to address potential barriers such as cost, personal tastes, availability, time, views of family and community members is particularly important for people from black and minority ethnic groups, people in vulnerable groups such as those on low incomes and people at life stages with increased risk for weight gain such as during and after pregnancy, menopause or smoking cessation. Introduction 1 Recommendations 2 Research recommendations Finding more information and committee details Update information. Sections Sibutramine Reductil : marketing authorisation suspended Foreword Acknowledgements Abbreviations and glossary of terms Guidance Development Groups Registered stakeholder organisations Working with people to prevent and manage overweight and obesity: the issues Person-centred care: principles for health professionals Training Section 1.

  • Permissions Icon Permissions.

  • Management of obesity in clinical settings Reference List Section 6. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.

  • Conflicts of interest. Geneva, Switzerland ,

  • Staff who advise people on diet, weight and activity — both inside and outside the NHS — need appropriate training, experience and enthusiasm to motivate people to change.

  • Executive summary, introduction and methods 1.

Google Preview. The Drug and Therapeutics Committee oversaw the implementation of CG43, allocating to the Division of Facilities the responsibility for developing the CG43 implementation group and an impact analysis. Recommend referral to general practitioner for consideration of pharmacotherapy or bariatric surgery. Care Quality Commission.

Introduction This is the first national guidance on the prevention of overweight and obesity in adults and children in England and Wales. Published date: August Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. Effective interventions often require multidisciplinary teams and the support of a broad range of organisations. Published guidance on this topic 11 New guidance in the last 6 months 3 Updated guidance in the last 6 months 0 In development guidance 4 Quality standards Set out priority areas for quality improvement in health and social care.

A significant majority of clinicians noted three other barriers to obesity management, namely lack of written guidance, lack of a care pathway and lack of time. Improving the obesity-related aspects of professional education would also be valuable. BMC Public Health ; 6 :

The aim of the audit was simple to discover whether the trust was complying with CG The action plan recommended both. Recommendations This guideline includes recommendations on: identification and classification assessment lifestylebehaviouraldietary and pharmacological interventions physical activity surgeryincluding bariatric surgery for people with recent-onset type 2 diabetes. Obesity Silver Spring ; 21 : —

Guidance Tools and resources Evidence History Overview. Delivery: specific interventions 1. It also supports the joint Department of Health, Department for Education and Skills and Department for Culture, Media and Sport target to halt the rise ob obesity among children under 11 byand similar initiatives in Wales. A whole-school approach should be used to develop life-long healthy eating and physical activity practices. The clinical management of obesity cannot be viewed in isolation from the environment in which people live. Improving children's diet and activity levels may also have wider benefits: regular physical activity is associated with higher academic achievement, better health in childhood and later life, higher motivation at school and reduced anxiety and depression.

Shared learning examples

Ongoing support including appropriate written materials should be given nlce person or by phone, mail or internet. Healthcare professionals Commissioners and providers Employers Local authorities Primary care trusts Head teachers and chairs of governors Children, young people and adults, and their families and carers Is this guideline up to date? We checked this guideline in May and are planning to update it.

Fit Enough for Guieance Spyridonidis D Calnan M. Criterion 1: All workplaces should address prevention and management of obesity NICE guidelines database with electronic tracker of compliance, needs assessment, CG43 implementation group, staff survey, Health and Work Group, obesity strategy. I am overweight myself, which makes it difficult for me to address the issue in patients 1 5 3 15 3 15 12 60 1 5 9.

Audit results. Obesity and presenteeism: the impact of body mass index on workplace productivity. CG43 represents a new paradigm to manage obesity in the workplace. Results were checked for compliance with CG43 standards. Status: Current. Advanced Search.

Select Format Select format. The outcomes of dealing with obese patients have been negative 0 9 45 7 35 4 20 0 6. I do not consider obesity a priority in the time available 2 10 10 50 1 5 6 30 1 5. NHS Litigation Authority.

Measuring people and performance: an evidence-based framework applied to health service nice obesity guidance on the prevention network. Criterion 1: All workplaces should address prevention and management of obesity NICE guidelines database with electronic tracker of compliance, needs assessment, CG43 implementation group, staff survey, Health and Work Group, obesity strategy. Although CG43 does not recommend waist circumference measurement routinely, it is advised as an indicator of risk of long-term health problems. BMC Public Health ; 6 : It advocated high-quality prevention and early intervention for illnesses common in NHS staff, with the aim of reducing sickness absence by one-third. The aim of the audit was simple to discover whether the trust was complying with CG

The recommendations are based on the best available evidence of effectiveness, including cost tye. The following recommendations are made specifically for health professionals and managers in the NHS, but may also be relevant to health professionals in other organisations. The term 'relevant' is used for training that could be part of basic professional training or in addition to it. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. Delivery: for all health professionals 1. We use the best available evidence to develop recommendations that guide decisions in health, public health and social care.

I would like to thank my Educational Supervisor Dr Fiona Page for valuable guidance during the audit. Table 4. It advocated high-quality prevention and early intervention for illnesses common in NHS staff, with the aim of reducing sickness absence by one-third. Seven-step obesity strategy for OH.

  • Citing articles via Web of Science 3. Oxford Academic.

  • Delivery: for health professionals working with workplaces 1. Published date: August

  • Seven-step obesity strategy for OH. Eighty-eight per cent had some comorbidity recorded.

  • Introduction List of quality statements Guidance statement 1: Vending machines Quality statement 2: Nutritional information at the point of choosing food and drink options Quality statement 3: Prominent placement of healthy options Quality statement 4: Maintaining details of local lifestyle weight management programmes Quality statement 5: Raising awareness of lifestyle weight management programmes Quality statement 6: Family involvement in lifestyle weight management programmes Quality statement 7: Evaluating lifestyle weight management programmes Quality statement 8 placeholder : Reducing sedentary behaviour Using the quality standard Diversity, equality and language Development sources Related NICE quality standards Quality Standards Advisory Committee and NICE project team About this quality standard. Published date: August

  • We checked this guideline in May and are planning to update it. Guidance Tools and resources Evidence History Overview.

Next 1 Guidance 1. Supporting organisations A number of organisations ptevention the benefit of this quality standard in improving care. Introduction 1 Recommendations 2 Research recommendations Finding more information and committee details Update information. All problems adverse events related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme. Cost effectiveness of public health interventions Reference List Section 7. The recommendations are based on the best available evidence of effectiveness, including cost effectiveness.

WHO [ 8 ], obesity experts [ 29 ] and NICE [ 1 ] suggest surmounting the barrier of sensitivity netaork treating obesity as a serious medical condition, paving the way for respectful dialogue. Subject alert. Additionally, the nine NICE criteria audited could not be all subjected to objective evaluation, with issues of a qualitative nature requiring a more subjective assessment of compliance. As no waist circumference measurements were recorded, identification of raised BMI due to increased muscle mass was not possible. Psychosocial and other working conditions in relation to body mass index in a representative sample of Australian workers. Healthcare practitioners should consult the NICE Matrix to decide on intervention for the overweight patient.

In addition to recommending a more effective delivery framework for health services providers, the report proposed an enhanced role for schools, local authorities and other public sector agencies, employers, and private and voluntary sector providers in developing opportunities for people to secure better health. Delivery: specific interventions 1. Quality standard Tools and resources History Overview.

Protocol for assessment and management of nefwork overweight patient. Obesity is a chronic, relapsing, often disabling disease, relevant to employers and occupational health because of its relationship to absenteeism, presenteeism, early retirement, ergonomic problems, accidents, litigation, work stress and prejudice. Implementing clinical governance policy: NICE. At its heart was the establishment of key standards covering policy, record-keeping and clinical practice. Article Contents Abstract. Government Office for Science and Department of Health. Comparing the acute effects of shiftwork on mothers and fathers.

  • Interim Report. To record in an NHS trust baseline assessment and management of obesity by its occupational health OH service staff, with reference to the standards in CG43, enabling deficiencies to be identified and improvements to be recommended as a benchmark for future measurement.

  • This guideline covers identifying, assessing and managing obesity in children aged 2 years and overyoung people and adults.

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  • Prevention 6.

  • Criterion 2: OH should support the implementation of workplace programmes to prevent and manage obesity. NICE guidelines database with electronic tracker of compliance, needs assessment, CG43 implementation group, staff survey, Health and Work Group, obesity strategy.

  • Criteria relevant to OH in CG43 were identified and data were collected from trust policies, interviews with managers, questionnaires to OH staff, examination of OH resources and case notes of staff attending OH. Article Navigation.

CG43, the only clinical guideline in the portfolio of public health documents, was regarded the hardest to implement and identified as one on which little work was being done. None had height or tape measures and one had a BMI conversion chart. Criterion 3: Healthcare professionals delivering interventions should have undergone training on best practice approach to prevention, treatments including use of motivation techniquesbarriers and be confident. National Institute for Health and Care Excellence. Sign In. All rights reserved.

Psychosocial and other working conditions in relation to body mass index in a representative sample of Australian workers. The effectiveness of pgevention nurse-led home-based heart failure self-management programme the HOM-HEMP for patients with chronic heart failure: A three-arm stratified randomized controlled trial. Legal considerations of clinical guidelines: will NICE make a difference? To address criterion 4 the adequacy of specialist settings for treating obese staffsix OH clinical rooms on the main trust site were examined for equipment and information.

CG43, the only clinical guideline in the portfolio of public health documents, was regarded the hardest to implement and identified as one on which little work was being done. Bespoke questionnaires were distributed. Table 2. I do not consider obesity a priority in the time available 2 10 10 50 1 5 6 30 1 5.

Delivery: for all health professionals 1. Management of obesity in non-clinical settings Reference List Section 5. A number of organisations recognise the benefit of this quality standard in improving care. Guidance We use the best available evidence to develop recommendations that guide decisions in health, public health and social care.

In the recommendations, the term 'specific' is used if the training will be in addition to staff's basic training. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Programmes should have a clear aim to improve weight management. The clinical management of obesity cannot be viewed in isolation from the environment in which people live. Management of obesity 2

Publication types Review Practice Guideline. Fundamental concerns about safety, transport links and services need to be addressed. Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. Register now. The guidance aims to:. Identification and classification 5.

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