Obesity: clinical assessment and management

Quality statements

Statement 1 People are informed of their body mass index (BMI) when it is calculated and advised about any associated health risks.

Statement 2 Adults with obesity for whom tier 2 interventions have been unsuccessful have a discussion about the choice of alternative interventions for weight management, including tier 3 services.

Statement 3 Children and young people who are overweight or obese and have significant comorbidities or complex needs are referred to a paediatrician with a special interest in obesity.

Statement 4 Adults with a BMI of 35 kg/m² or more who have been diagnosed with type 2 diabetes within the past 10 years are offered an expedited referral for bariatric surgery assessment.

Statement 5 Adults with a BMI of 40 kg/m² or more, or between 35 kg/m² and 39.9 kg/m² with a significant health condition that could be improved if they lost weight, are offered a referral for bariatric surgery assessment.

Statement 6 People who have had bariatric surgery have a postoperative follow-up care package within the bariatric surgery service for a minimum of 2 years.

Statement 7 People discharged from bariatric surgery service follow-up are offered monitoring of nutritional status at least once a year as part of a shared-care model of management.