Developing integrated clinical pathways for the management of clinically severe adult obesity: A critique of NHS England policy

Jonathan M. Hazelhurst, Jennifer Logue, Helen M. Parretti, Sally Abbott, Adrian Brown, Dmitri J. Pournaras, Abd A. Tahrani

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)
18 Downloads (Pure)


Purpose of the review: Pathways for obesity prevention and treatment are well documented yet the prevalence of obesity is rising and access to treatment (including bariatric surgery) is limited. This review seeks to assess the current integrated clinical pathway for obesity management in England and determine the major challenges.
Recent findings: Evidence for Tier 2 (community-based lifestyle intervention) and Tier 3 (specialist weight management services) is limited and how it facilitates care and improve outcomes in Tier 4 remain uncertain. Treatment access, rigidity in pathways, uncertain treatment outcomes and weight stigma seems to be major barriers to improved care.
Summary: More emphasis must be placed on access to effective treatments, treatment flexibility, addressing stigma and ensuring treatment efficacy including long-term health outcomes. Prevention and treatment should both receive significant focus though should be considered as largely separate pathways. A simplified system for weight management is needed to allow flexibility and the delivery of personalised care including post bariatric surgery care for those who need it.
Original languageEnglish
Pages (from-to)530–543
Number of pages14
JournalCurrent Obesity Reports
Issue number4
Early online date12 Nov 2020
Publication statusPublished - Dec 2020


  • Clinical pathways
  • Integrated pathway
  • Medical management
  • NHS
  • Obesity
  • Obesity management
  • Tier 2
  • Tier 3
  • Tier 4
  • Weight management

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