017 Weight ES

017 Weight ES


Info
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) Eligible for referral


The searches in this folder identify:
  1. Those who can be considered for referral now:
    1. ES-W003 - BMI >27.5 this fiscal year with a BAME ethnicity
    2. ES-W004 - BMI >30 this fiscal year with a non-BAME ethnicity or no ethnicity recorded
  2. 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.
    1. This can be used as a prevalence improvement search for your obesity register.
  3. 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.
Info
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 as such, it is likely that inappropriate patients may get invited/referred.
Idea
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.
  1. 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.
  2. 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:
    1. BP & Pulse
    2. BMI & Waist circumference
    3. Alcohol & Smoking
    4. Diet & Exercise
  3. ES-W012 will show you all your patients on the obesity register who have 3 or fewer of the above KPIs completed. 
  4. 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.
  5. ES-W014 Excludes BAME patients and will show you patients whose BMI is 25 to 29.9, or who is coded as overweight.
  6. 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: 

  1. https://www.mayoclinic.org/diseases-conditions/obesity/diagnosis-treatment/drc-20375749
  2. Section 1.3.6 https://www.ncbi.nlm.nih.gov/books/NBK588750/
  3. https://www.england.nhs.uk/digital-weight-management/information-for-healthcare-professionals/

Last updated 4th of June 2025

    • Related Articles

    • 034B Eligible for shingles vaccination searches

      This folder (v2.6) now sits within 034 Eligibility. It was previously found in 020 Practice Administration. The shingles eligibility searches were completely re-written to account for the changes to the vaccination programme from September 2023. ...

    • 034C NHS Health Check

      This folder sits within Primary Care IT - Reporting Group within folder 034 Eligibility. The NHS Health Check eligibility searches are provided to help Practices call and recall patients based on the nationally specified criteria. A separate folder ...

    • CQRS: RSV for pregnant women

      The current version of CQRS: RSV for pregnant women is v1.0. This search folder is available in 001 CQRS v5.4 and above Introduction: Unlike most other indicators on CQRS which are extracted automatically from your system approximately 10 days after ...

    • 016 Seasonal Influenza searches

      This collection of searches has been designed to support Practices running a call/recall programme for their seasonal influenza campaign. Built in line with the Enhanced Service criteria, searches are grouped by eligibility cohorts to assist in ...

    • Weight Management Enhanced Service Eligibility alert (HP202)

      Purpose: This protocol will: Help users to understand which patients need actions undertaking for the Weight Management Enhanced service What does it actually do? The protocol performs the following functions: Identifies patients who are BAME origin ...