Weight management: lifestyle services for overweight or obese adults

National Institute for Health and Care Excellence


Adopt an integrated approach to preventing and managing obesity

  • Local authorities, working with other local service providers, clinical commissioning groups and health and wellbeing boards, should:
    • ensure there is an integrated approach to preventing and managing obesity and its associated conditions. Systems should be in place to allow people to be referred to, or receive support from (or across) the different service tiers of an obesity pathway, as necessary. This includes referrals to and from lifestyle weight management programmes. All the options in the local obesity pathway should be made clear to both professionals and the public
    • identify local services, facilities or groups that could be included in the local obesity pathway, meet the needs of different groups and address the wider determinants of health. Examples include community walking groups or gardening schemes
    • ensure staff in local health services are aware of, and make referrals to, the lifestyle weight management service. This includes staff working in: GP teams, pharmacies, health visiting, the NHS Health Check programme and services for smoking cessation, fertility, or type 2 diabetes
    • ensure lifestyle weight management services for adults meet local needs as identified by the joint strategic needs assessment (JSNA) and other local data

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