Summary

‘Obese’ refers to a person who has excess body fat. We use body mass index (BMI) to measure if a patient is a healthy weight based on their height. Most adult patients are considered obese if they have a BMI of 30-39.9, or severely obese with a BMI of 40 or above. Waist size can too be used to assess obesity - women with a waist size of 80cm or more, and men with a waist size of 94cm or more are more likely to develop obesity-related health problems.

Care pathways

This pathway is designed to assess how well obese patients are managing their condition, and to make sure it does not lead to any other health problems such as diabetes or hypertension.

1️⃣ Book the appointment

1. We are using a combination of platforms / tools / teams to book patients in correctly with minimal manual effort. If @Louis Williams hasn’t already been in touch, check out the page to find our Monthly Summary plans or reach out to him to find out what you should be doing:
• If we’re using Hippo Labs, log into app.hippolabs.co.uk to find patient lists (see for more information)
• If we’re using Hero Health or AccuRX, @Louis Williams will send your team manual excel recall lists

2. Call the patient to book an appointment with an HCA

Explain that the appointment is for a weight management review, and advise them that they will have a blood test on the day

2️⃣ Patient arrives for appointment

1. Record that the patient has arrived in the appointment book
2. Allow the patient a moment to relax before asking to capture data on height, weight, blood pressure, smoking status, and alcohol status (if possible) and add to patient’s EMIS record
‣
How-to guides

3️⃣ Carry out review

1. Open the clinical template ‘Weight Management and Obesity (v17.3)’
2. Draw bloods (for HbA1c, lipid profile), take 🪗Blood Pressure Readings, and collect any data not obtained by reception (BMI, smoking, alcohol status)
3. Complete the template
4. Provide dietary and physical activity advice
5. Make appropriate referrals
‣
Referrals

4️⃣ Check & triage results

1. Review pathology results, and action as per the 🔬Lab Reports (Path Links) page. If, according to this page, a follow-up appointment is required, progress to step 5 below and follow the steps under the appropriate clinician.