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GMS Contract Guide - Obesity

Obesity is worth eight points, generating a payment of £996 in 2007/8 for the practice with average list size and prevalence.

Obesity: Clinical Indicators
Target (%)Points
Records
Register of patients aged 16 and over with a BMI of 30 or above recorded in the past 15 monthsRegister8
Total 8

ACTION PLAN

Overview

  • Prevalence of obesity in the UK is at least 21 per cent in men and 23.5 per cent in women and looks likely to continue to rise. The National Obesity Forum says a GP with 1,800 patients could expect to have 250 adults with obesity on the list.

  • Figures from the QoF data for 2006/7 shows national prevalence of obesity was 7.22 per cent in England and 7.98 per cent in Northern Ireland.

  • The framework guidance says obesity is a major factor in some of the most common causes of death and disability, most notably greater rates of diabetes and accelerated onset of cardiovascular disease. It has become a major health issue for the UK and the setting up of obesity registers is expected to inform public health measures.


Step 1: Setting up the register


  • There is only one indicator in this disease area, requiring practices to establish a register of all patients aged 16 and over with a body mass index (BMI) greater than or equal to 30.

  • The register is prospective and, it is envisaged, will include all people whose BMI has been recorded in the practice as part of routine care.

  • Run a search to identify patients for the register from your records and code them with the preferred Read code.


Step 2: From now onwards


  • Run regular searches to update the register thoughout the year and make sure the preferred Read code for the register is used when a BMI of 30 or over is recorded.

  • Note that the guidance emphasises the indicator is designed to cover BMI recorded as part of routine care, although the National Obesity Forum recommends that BMI is recorded for all patients on a practice list.


Useful Resources for Obesity

1. Adult socioeconomic, educational, social and psychological outcomes of childhood obesity: a national birth cohort study.
Russell et al. BMJ 2005; 330: 1354.
2. Obesity, inactivity, and the prevalence of diabetes and diabetes-related cardiovascular comorbidities in the US, 2000-2002
Sullivan et al. Diabetes Care 2005; 28 (7): 1599-603.
3. Secular Trends in Cardiovascular Disease Risk Factors According to Body Mass Index in US Adults
Gregg et al. JAMA 2005; 20; 293 (15): 1868-74.

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