Table of contents

Unmet needs and service gaps

Background papers: Lifestyle and wider determinants :: Healthy weight :: Obesity :: Unmet needs and service gaps

A tiered-based system is recommended for weight management treatment services for children, with different tiers covering different activities. Usually tier 1 includes population-wide interventions largely focused on preventing obesity; tier 2 covers lifestyle interventions; tier 3 covers specialist weight management services; and tier 4 covers bariatric surgery.[1]

While Medway currently has services available at every tier for adults, children and young people who are overweight or obese only have access to services at tier 1 and tier 2. These services are not designed to provide the multi-disciplinary, holistic support that children with higher BMIs and/or more complex physical or mental health needs may require in order to achieve a sustainable change in weight trajectory. A tier 3 children's weight management service is therefore a service gap in Medway.

There is also currently no formal service provision for supporting pregnant women with healthy weight related issues during pregnancy.


[1]   National Institute for Health and Clinical Excellence. Public health guideline [PH47]. Weight management: lifestyle services for overweight or obese children and young people 2013;