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    Indicator development programme: Consultation on new NICE indicators

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    Weight management: advice for people living with overweight (18 to 39 years)

    IND2023-158: The percentage of patients aged 18 to 39 years with a BMI of 23 kg/m2 to 27.4 kg/m2 (or 25 kg/m2 to 29.9 kg/m2 if ethnicity is recorded as White) in the preceding 12 months who have been given weight management advice within 90 days of the BMI being recorded.

    Indicator type

    General practice indicator suitable for use in the QOF.

    Rationale

    This indicator focuses on the provision of opportunistic and preventative weight management advice to people aged 18 to 39 years who are overweight prior to becoming eligible for the NHS Health Check. Providing information about weight, central adiposity and the risk of developing other long-term conditions (such as type 2 diabetes and cardiovascular disease) could help support weight reduction and prevent weight gain.

    Source guidance

    Overweight and obesity management. NICE guideline NG246 (2025), recommendations 1.9.2, 1.9.10, 1.9.11, 1.11.1, 1.11.2, 1.11.3 and 1.11.4

    Specification

    Numerator: The number of patients in the denominator who have been given weight management advice within 90 days of the BMI being recorded.

    Denominator: The number of patients aged 18 to 39 years with a BMI measured in the preceding 12 months of 23 kg/m2 to 27.4 kg/m2 (or 25 kg/m2 to 29.9 kg/m2 if ethnicity is recorded as White).

    Definition: None.

    Exclusions: None.

    Personalised care adjustments or exception reporting should be considered to account for situations where the patient declines, does not attend or if weight management advice is not appropriate.

    Question for consultation

    5. NICE is currently testing the indicator using a primary care research database given the potential large number of eligible patients per practice. Would you expect large numbers of eligible patients per practice?

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