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Develop a patient charter for those with obesity problems
RELATED ARTICLES
Explain
⌅
Tackling obesity in the UK
Tackling obesity in the UK☜With concern growing that the Foresight analysis—that 50% of the UK population could be obese by 2050, at an annual cost to the nation of around £50 billion per year [2]—substantially underestimates the scale of the unfolding obesity crisis, the College of Contemporary Health is working with the wider policy community to develop a whole systems map of the obesity crisis and the potential responses.☜F1CEB7
⌃
Tackling obesity
Tackling obesity☜Many policy interventions have been suggested to address the obesity crisis across multiple studies—and indeed many such measures have been implemented, and are being implemented, now. Theres recognition too that these interventions need to be part of a coherent and comprehensive whole systems strategy [4]; with some grounds for optimism that such an approach has the potential to accomplish a significant reduction in the prevalence of obesity in the UK across the next decade. [2]☜5CA4D9
⌃
Develop a coherent fiscal, regulatory and governance framework
Develop a coherent fiscal, regulatory and governance framework☜Take every opportunity, iteratively over time, to bring the public fiscal, regulatory and governance framework into alignment with public health goals on obesity. Use taxes, subsidies, targets and pricing signals to incentivise change in behaviour, supply and consumption by aligning measures with the health properties of food and drink and behaviour—and seek, wherever practical, to amplify positive patterns that are aligned with the policy goals and damp those that pull against.☜5CA4D9
⌃
Invest in weight management services
Invest in weight management services☜The departments of health in the four nations should extend and increase the provision of weight management services across the country, to mirror the provision of smoking cessation services.☜5CA4D9
⌃
Improve support for people with severe and complicated obesity
Improve support for people with severe and complicated obesity☜Greater focus needs to be devoted to strategies supporting individuals who are already obese. Current government policy is focused largely on prevention, which is vital in ensuring the scale of the obesity problem and its associated costs do not increase. It does not, however, address the problems of those people already obese or morbidly obese and the costs associated with their health conditions. Moreover, obesity treatment is often cost effective.☜9FDEF6
■
Develop a patient charter for those with obesity problems
Develop a patient charter for those with obesity problems☜☜9FDEF6
⇤
Improve support for people with severe and complicated obesity
Improve support for people with severe and complicated obesity☜Greater focus needs to be devoted to strategies supporting individuals who are already obese. Current government policy is focused largely on prevention, which is vital in ensuring the scale of the obesity problem and its associated costs do not increase. It does not, however, address the problems of those people already obese or morbidly obese and the costs associated with their health conditions. Moreover, obesity treatment is often cost effective.☜FFFACD
⇤
Institutional inertia
Institutional inertia☜In most human activity systems a change in the functioning of the whole system requires a significant number of people within the system to change; they may have to change some or all of their habits, behaviour and values. [1]☜FFFACD
⇤
Personal resistance to change
Personal resistance to change☜☜FFFACD
□
Multidisciplinary teams to cover severe and complex obesity across UK
Multidisciplinary teams to cover severe and complex obesity across UK☜Commissioning of specialist obesity services should be for multidisciplinary care of ‘severe and complex obesity’ and not directly for rather than just bariatric surgical treatment. Need multidisciplinary teams (MDTs) available to cover severe and complex obesity throughout the UK.☜9FDEF6
□
Bariatric surgery can be cost effective
Bariatric surgery can be cost effective☜Analysis by the Office of Health Economics estimated that between around 10,000 and 140,000 of patients could receive bariatric surgery based on the assumption of between 1% and 25% of patients eligible for surgery choosing to take this option. Overall the economic benefit ranged between £382m and £1,295m savings after three years to the NHS after surgery if 25% of patients potentially eligible for surgery chose this option.☜98CE71
□
NICE guidance has been ignored on bariatric services
NICE guidance has been ignored on bariatric services☜An investigation by GP newspaper published in December 2014 found that over half of the UKs primary care organisations (PCOs) do not follow NICE or SIGN guidance on bariatric surgery [2].☜98CE71
□
Pharmacological treatment can be cost-effective
Pharmacological treatment can be cost-effective☜A systematic review of pharmacological treatment in primary care (orlistat, sibutramine and rimonabant– the latter two now withdrawn) has shown all were effective at reducing weight and BMI, and cost effective when using a threshold of £20,000 per QALY. ☜98CE71
□
Graph of this discussion
Graph of this discussion☜Click this to see the whole debate, excluding comments, in graphical form☜dcdcdc
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