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    Rights statement: The final publication is available at Springer via https://doi.org/10.1007/s13679-020-00416-8

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

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Published

Standard

Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy. / Hazelhurst, Jonathan; Logue, Jennifer; Parretti, Helen et al.
In: Current obesity reports, Vol. 9, 01.12.2020, p. 530–543.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Hazelhurst, J, Logue, J, Parretti, H, Abbott, S, Brown, A, Pournaras, D & Tahrani, A 2020, 'Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy', Current obesity reports, vol. 9, pp. 530–543. https://doi.org/10.1007/s13679-020-00416-8

APA

Hazelhurst, J., Logue, J., Parretti, H., Abbott, S., Brown, A., Pournaras, D., & Tahrani, A. (2020). Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy. Current obesity reports, 9, 530–543. https://doi.org/10.1007/s13679-020-00416-8

Vancouver

Hazelhurst J, Logue J, Parretti H, Abbott S, Brown A, Pournaras D et al. Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy. Current obesity reports. 2020 Dec 1;9:530–543. Epub 2020 Nov 12. doi: 10.1007/s13679-020-00416-8

Author

Hazelhurst, Jonathan ; Logue, Jennifer ; Parretti, Helen et al. / Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity : a Critique of NHS England Policy. In: Current obesity reports. 2020 ; Vol. 9. pp. 530–543.

Bibtex

@article{d7686ae2dafb4711a3886438e07ac45b,
title = "Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity: a Critique of NHS England Policy",
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.",
author = "Jonathan Hazelhurst and Jennifer Logue and Helen Parretti and Sally Abbott and Adrian Brown and Dimitri Pournaras and Abd Tahrani",
note = "The final publication is available at Springer via https://doi.org/10.1007/s13679-020-00416-8",
year = "2020",
month = dec,
day = "1",
doi = "10.1007/s13679-020-00416-8",
language = "English",
volume = "9",
pages = "530–543",
journal = "Current obesity reports",
issn = "2162-4968",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - Developing Integrated Clinical Pathways for the Management of Clinically Severe Adult Obesity

T2 - a Critique of NHS England Policy

AU - Hazelhurst, Jonathan

AU - Logue, Jennifer

AU - Parretti, Helen

AU - Abbott, Sally

AU - Brown, Adrian

AU - Pournaras, Dimitri

AU - Tahrani, Abd

N1 - The final publication is available at Springer via https://doi.org/10.1007/s13679-020-00416-8

PY - 2020/12/1

Y1 - 2020/12/1

N2 - 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.

AB - 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.

U2 - 10.1007/s13679-020-00416-8

DO - 10.1007/s13679-020-00416-8

M3 - Journal article

VL - 9

SP - 530

EP - 543

JO - Current obesity reports

JF - Current obesity reports

SN - 2162-4968

ER -