Next review: 2017

This guidance makes recommendations on lifestyle weight management (sometimes called tier 2) services for overweight and obese children and young people aged under 18. These services are just one part of a comprehensive approach to preventing and treating obesity.

The recommendations are for commissioners in local authorities and the NHS and providers of community-based services that take a ‘lifestyle’ approach to helping overweight or obese children and young people manage their weight. They are also for health professionals and people working with children and young people as well as members of the public.

The recommendations cover:

  • planning services
  • commissioning programmes
  • core components of lifestyle weight management programmes
  • developing a tailored programme plan to meet individual needs
  • encouraging adherence
  • raising awareness of programmes
  • formal referrals to programmes
  • providing ongoing support
  • programme staff: training, knowledge and skills
  • training in how to make programme referrals
  • supporting programme staff and those making programme referrals
  • monitoring and evaluating programmes.

This guideline was previously called managing overweight and obesity among children and young people: lifestyle weight management services.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

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