017 Weight ES
The latest version is 017 Weight ES v5.0.0
See our separate support article about the Weight Management Enhanced service and the requirements for this.
This collection of searches has been designed to support Practices with the Weight Management Enhanced Service. Built in line with the Enhanced Service criteria, searches are grouped by eligibility cohorts to assist in prioritising groups of patients to invite, and then to monitor uptake across each of the cohorts. A data quality folder offers searches to highlight missed or incorrect coding to ensure that all activity will be funded following the monthly CQRS extracts.
0) Cohorts
The cohorts folder allows you to comply with the requirement of the enhanced service to "Maintain your Obesity register, at a minimum, to the level it was at 31st March 2024". If you run both searches, ES-W001 will show you the number of patients on your Obesity register as at 31st March 2024 and ES-W002 will show you your current obesity register
1) Work to do
The searches in this folder identify:
- Those who can be considered for referral now:
- ES-W003 - BMI >27.5 this fiscal year with a BAME ethnicity
- ES-W004 - BMI >30 this fiscal year with a non-BAME ethnicity or no ethnicity recorded
- ES-W005 - Those who have previously had a raised BMI in the last 5 years but have not had any BMI calculated in the last 12 months.
- This can be used as a prevalence improvement search for your obesity register.
- ES-W019 - This report should help you find the subset of patients who are eligible for the Digital Weight Management programme for patients with Diabetes or Hypertension.
Patients are eligible for referral to the Weight Management if they have had at least 1 BMI above the required range in the last 12 months. If a more subsequent BMI puts them below the range, they may still be eligible.
However, eligible patients for the Digital Weight Management programme require their latest BMI to be above the required range.
Also, patients who have an active eating disorder are not eligible for the Digital Weight Management programme. However, PCIT have made a decision to exclude all patients with history of an eating disorder, as it is difficult to define a register of active eating disorder and us such, it is likely that inappropriate patients may get invited/referred.
For those who are eligible for referral practices may wish to consider how they communicate with them about eligibility for referral.
For those who need reweighing, a text message to collect this information via your usual messaging platform would be an effective way of achieving this.
2) Data quality
The first search will show you where a code for weight management referral has been made which doesn't count for the Weight Management ES. These patients should be considered for being re-coded with one of the codes that counts:
SNOMED term | SNOMED code |
Referral to weight management service | 1326201000000101 |
Referral to National Health Service Diabetes Prevention Programme (procedure) | 1025321000000109 |
Referral to total diet replacement programme (procedure) | 1239571000000105 |
Referral to National Health Service Digital Weight Management Programme (procedure) | 1402911000000108 |
Referral to National Health Service Tier 3 specialist weight management service (procedure) | 1403011000000103 |
Referral to National Health Service Tier 4 specialist weight management service (procedure) | 1402991000000104 |
The second search will show you people you may have incorrectly referred this year.
3) Referred
The referred folder will give you your activity reporting for the numbers of patients referred to the weight management service for your Weight Management Enhanced Service, both this fiscal year and last month.
4) Monitoring & Activity
Here you will find a selection of searches reporting on your obesity register or wider population.
- ES-W010 shows you all of your practice register who has never had a BMI. You may want to take this search and run it against, for example, your CVD or Diabetes register. Or, use the aggregate report here to focus on over 65s.
- ES-W011 will give you an overview of your obesity register, and the latest data for the last 12 months on the 8 KPIs. These KPIs are not part of the ES, they are just recommended monitoring to consider. The KPIs are:
- BP & Pulse
- BMI & Waist circumference
- Alcohol & Smoking
- Diet & Exercise
- ES-W012 will show you all your patients on the obesity register who have 3 or fewer of the above KPIs completed.
- ES-W013 will show you those few patients who are on your obesity register due to a code such as O/E Obesity. It could be that these patients are unable to give a height or weight, but its worth keeping an eye on this particular cohort.
- ES-W014 Excludes BAME patients and will show you patients whose BMI is 25 to 29.9, or who is coded as overweight.
- ES-W015 Includes BAME patients and will show you patients whose BMI is 22.5 to 27.4, or who is coded as overweight. Note that some overweight codes such as Body Mass Index 25-29 - overweight are included here despite stating a different BMI in the description.
Sources:
Section 1.3.6 https://www.ncbi.nlm.nih.gov/books/NBK588750/
Last updated 29th May 2025
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