NICE public health guidance
Issued: October 2013
PH47

Managing overweight and obesity among children and young people: lifestyle weight management services

This is an extract from the guidance. The complete guidance is available at guidance.nice.org.uk/ph47

Introduction: scope and purpose of this guidance

What is this guidance about?

This guidance aims to provide recommendations on lifestyle weight management services for overweight and obese children and young people. 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 guidance does not cover services that focus on preventing obesity (sometimes called universal obesity prevention services or tier 1 services), specialist obesity services (sometimes called tier 3 services) or the use of pharmacological or surgical treatments for obesity (sometimes called tier 4 services). In addition, it does not make recommendations for adults. (See Related NICE guidance for other recommendations that may be relevant to managing obesity among adults, children and young people.)

See About this guidance for details of how the guidance was developed and its current status.

Who is this guidance for?

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.

Although local terminology varies, these are sometimes called tier 2 services and are just 1 part of a comprehensive approach to preventing and treating obesity.

The guidance may also be of interest to children and young people, their parents, carers, families and other members of the public.

The guidance complements but does not replace NICE guidance on obesity, body mass index and waist circumference among minority ethnic groups, how local communities can prevent obesity, physical activity for children and young people, and weight management in pregnancy. (For further details, see Related NICE guidance.)