Endocrine Abstracts

Background: In England 15% of children are obese and 29% children are overweight (including obese). This data has huge implications for children and young people’s (CYP) quality of life and increased risk of complications as young adults, also has great costs implications for the NHS. If we can identify and support the overweight and obese CYP and their families, we should prevent them from progressing to adult obesity and reduce associated complications.

Objective: 1. To measure our practice against NICE Guideline: Obesity: identification, assessment and management (CG 189)

2. To identify areas for improvement in our management of obese and overweight children and young people in our Trust.

Method: NICE Guideline used as audit standard - (CG189). We performed a retrospective review of patient notes of patients seen in paediatric clinics from May 2014 to July 2015 (15 months). An audit questionnaire was created, and was completed based on information from clinical notes.

Results: About 47 children identified as being obese/overweight by consultant colleagues.

Out of those, 37 notes were analysed, 6 deemed unsuitable for analysis, 4 notes could not be obtained in time.

Statistics obtained from anlysis of data: 62% given general lifestyle advice. About 19% given a weight management programme. About 21% given behavioural change advice/referred to psychologist. About 5.4% parents asked to consider their own weight. About 16.2% given information on health risks. About 2.7% given information on realistic targets. About 24.3% given information on voluntary/organisational groups. About 75.7% followed up by a paediatrician. About 51.4% followed up by dietician. About 13.5% followed up by psychologist.

Conclusion: We are good at giving general lifestyle advice, but have to involve the whole family in the life style modification plan.

We have to document better information given to CYP and their parents regarding health risks posed by their condition for the future.

We have to be better at working together in an multi-disciplinary team (MDT) approach to ensure cohesive follow up plans.

We proposed to create a leaflet to give to CYP and their parents documenting health risks/ realistic targets/ organizations available to help them.

We consider developing a one-stop obesity clinic with MDT approach (paediatrician, dietician and psychologist).