Severe and complex obesity generally refers to people with a BMI> 40 or those with a BMI > 35 kg / m2 and significant complications. Services to support people with severe and complex obesity exist to provide medical care and support together with multicomponent lifestyle interventions, appropriate use of pharmacotherapy and bariatric surgery. These have gradually developed in the UK over the last 20-25 years and are termed by the NHS as tier 3 (medical weight management) and tier 4 (surgical weight management). Despite a significant need, surveys suggest that only about 2/3 of the population in England have access to any sort of service, despite support from NICE guidelines and guidance from NHS England. The ideal service needs to be easily accessible to patients with severe obesity, include a full multidisciplinary team with at least, medical, dietetic, psychology and physical activity expertise plus a surgical and anaesthetic team. Services need to provide an appropriate environment whether they are delivered in hospital or community settings and it is essential that they collect data in a format that can easily be audited. They should provide support for people with obesity for as long as they need it as time-limited services may be of limited value for a chronic disease that may progress and frequently relapses after treatment has stopped. Few, if any, services in the UK currently meet these standards.
Join us on the 7th December to hear John Wilding and an expert panel continue discussions surrounding obesity services.
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Novo Nordisk has provided sponsorship to the Association of British Clinical Diabetologists (ABCD) to fully fund all costs for the development and delivery of this webinar, including creation, administration, promotion and speaker honoraria. Novo Nordisk has had no influence on the content and full editorial control remains the sole responsibility of ABCD.