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    Indicator development programme: Consultation on new NICE indicators

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    Weight management: nutritional status monitoring in primary care after bariatric surgery (all patients)

    IND2023-159: The percentage of patients aged 18 years and over discharged from bariatric surgery service follow-up more than 12 months previously with a record of nutritional status monitoring in the preceding 12 months.

    Indicator type

    General practice indicator suitable for use in the QOF.

    Rationale

    After bariatric surgery, unidentified nutritional deficiencies can occur and cause long-term harm (such as Wernicke's encephalopathy, peripheral neuropathy, anaemia, osteoporosis or night blindness) or death. This indicator aims to help manage potential risks by focusing on annual monitoring of nutritional status, as part of a shared-care model with primary care.

    Source guidance

    Overweight and obesity management. NICE guideline NG246 (2025), recommendation 1.18.18.

    Specification

    Numerator: The number of patients in the denominator with a record of nutritional status monitoring in the preceding 12 months.

    Denominator: The number of patients aged 18 years and over discharged from bariatric surgery service follow-up more than 12 months previously.

    Definition: Nutritional status monitoring includes asking about dietary intake, eating habits, behaviours, identifying any nutritional deficiencies, including vitamins, minerals and trace elements, and providing appropriate nutritional supplements.

    Exclusions: None.

    Personalised care adjustments or exception reporting should be considered to account for situations where the patient declines or does not attend.

    Questions for consultation

    6. Should children and young people be included in this indicator?

    7. This indicator does not aim to capture people who have had surgery privately or abroad, unless they have subsequently been included in an NHS bariatric surgery service follow-up. Is it still a useful indicator if that population is not included?