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FOI Disclosure Log

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CCG 1119 Obesity related intervention provision and weight management

Request 1

Please state the name of your clinical commissioning group: 

Response 1

NHS Rotherham Clinical Commissioning Group 

Request 2

Who is the designated policy lead for weight management/obesity-related intervention provision in your CCG? Please provide their name and email address. 

Response 2

Dr Richard Cullen, rotherhamccg@rotherham.nhs.uk 

Request 3

PREVALENCE

Please state the number of patients requiring weight management intervention(s) in the past years 2014, 2015 and 2016 by tier 1, 2, 3 or 4. 

Response 3

RCCG does not hold this information as it has not commissioned any of these services in these years. 

Request 4

SERVICE PROVISION

General

What tier weight management intervention(s) do you commission? Please select all that apply:

  • Tier 3
  • Tier 4 

Response 4

Tier 3 from August 2017 (previously Public Health until July 2017)

Tier 4 since April 2017 (previously NHS England). 

Request 5

Who is the commissioned organisation to deliver the intervention? Please specify and indicate which tiers each intervention covers (e.g. Tier 3, Tier 4 etc): 

Response 5

Tier 3 – still procuring, provider not yet announced

Tier 4 – Sheffield Teaching Hospitals. 

Request 6

Please state the name of the relevant organisation and intervention previously provided that has been decommissioned in the past five years. 

Response 6

Not applicable, Rotherham CCG has never commissioned services previously. 

Request 7

Referral route and entry criteria

How do patients access this intervention(s)? Please select all that apply from the list below:

  • Universally available
  • Self-referral
  • GP/nurse referral
  • Other health professional referral
  • Direct referral from NHS Health Checks 

Response 7

GP/nurse referral.

 

Request 8

What is the eligibility criteria for adults? Please select all that apply from the list below:

  • BMI
  • Postnatal Black and Minority Ethnic (BME) groups
  • People with learning disabilities
  • People with poor mental health
  • People with physical disabilities
  • Low income groups
  • Unemployed
  • Other, please specify: 

Response 8

BMI. 

Request 9

Intervention details

What is the title and name of the intervention(s)? 

Response 9

Bariatric pathway. 

Request 10

What are the aims and objectives of these intervention(s)? 

Response 10

To support weight loss. 

Request 11

What NICE guidance is the intervention(s) based on?

  • NICE Guidance PH47
  • NICE Guidance PH53
  • NICE Guidance CG43
  • NICE Guidance PH27
  • Other: 

Response 11

Other: 2016 NHS England Guidance for CCGs for severe and complex obesity. 

Request 12

How long does the intervention last for? Please specify in weeks, months and years: 

Response 12

6 months monitored exercise and weight management prior to assessment for weight loss medication and/or bariatric surgery dependent on progress anticipated to be a further 6 month process. 

Request 13

What is covered by the intervention?

  • Behaviour change concept - please specify under ‘other’
  • Healthy eating principles - please specify under ‘other’
  • Physical activity
  • Physical activity theory
  • Prescription drugs
  • Building resilience
  • Other, please specify: 

Response 13

  • Behaviour change concept
  • Healthy eating principles - please specify under ‘other’
  • Physical activity
  • Prescription drugs.

Other:   Psychological input, Medical MDT input, assessment for bariatric surgery. 

Request 14

Cost

What is the amount that has been spent on all commissioned weight management intervention by your CCG, and amount budgeted for the 2014/2015  2015/2016 and 2016/2017 financial years? 

Response 14

None – until 2017/18 weight management was managed by Public health and monies were transferred when PCTs ceased. 

Request 15

What is this spend as a percentage of the total health programme spend for your local authority for the years 2014/2015, 2015/2016 and 2016/2017 financial years? 

Response 15

Please see response 14 

Request 16

How long is the intervention commissioned for? Please specify in months/years: 

Response 16

1 year

 

Rotherham CCG does not hold the information required to answer questions 17 to 23. 

Request 17

How many individuals access or are referred these intervention(s)? 

Request 18

How many individuals are eligible to access the intervention(s)? 

Request 19

What is the average weight loss at the end of the intervention (%)? 

Request 20

What is the average weight loss at 12 months (%)? 

Request 21

How many patients as a percentage of those receiving obesity interventions have sustained weight loss beyond the 12 months following the intervention? 

Request 22

As a percentage, how many people have voluntarily ceased receiving an intervention before its completion in the years 2014, 2015 and 2016. 

Request 23

Exit routes

Are participants directed into any other intervention(s) at the end?

  • Yes
  • No
  • Please specify: 

Request 24

Additional Comments

Please provide any additional comments relating to weight management services in your area that you have. 

Response 24

No further comments to make. 

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