017 Weight ES
The latest version is 017 Weight ES v4.2.0
See our separate support article about the Weight Management Enhanced service for 2024/25 and the requirements for this.
This collection of searches has been designed to support Practices with the Weight Management Enhanced Service 2024/25. 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.
This year there are 4 folders of searches available to use. Folder 4 is new from v4.2.0
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 2023". If you run both searches, ES-W001 will show you the number of patients on your Obesity register as at 31st March 2023 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:
- BMI >27.5 this fiscal year with a BAME background
- BMI >30 this fiscal year with a non-BAME background
- Those who have previously had a raised BMI before 1st April and need reweighing
- Note that this does not exclude people who have been referred previously or declined referral
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
New for Winter 2024, 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.
Section 1.3.6 https://www.ncbi.nlm.nih.gov/books/NBK588750/
Last updated 19th November 2024
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