Criteria

Points

Weight management

On the day of the declaration, all non-registered patient facing pharmacy staff who provide health advice must have completed the PHE All Our Health bite-size training and assessments on Adult Obesity and Childhood Obesity to gain a broader understanding of the causes and effects of obesity.

 

On the day of the declaration, all registered pharmacy professionals working at the pharmacy must have satisfactorily completed section one and three of the CPPE weight management for adults: understanding the management of obesity e-learning and e-assessment.

 

Pharmacy teams are also required to complete a weight management action plan of how they would assist a person who would like support with their weight. For contractors who claimed for the Prevention domain in the PQS 2020/21 Part 2, an update to the previous action plan will be required.

 

Pharmacy teams must proactively discuss weight management with a minimum of 25 patients taking waist measurements and calculating BMI. Patients may be referred to either Local Authority tier 2 weight management services or the NHS Digital Weight Management Programme (where the individual meets the criteria for referral)

Band 1 = 1.0

Band 2 = 13.33

Band 3 = 16.67

Band 4 = 20

Band 5 = 23.33

Band 6 = 26.67

The points allocation for meeting the Healthy Living Support Domain ranges from 1.0 to 26.67 and will be dependent on your total prescription volume for 2020/2021.  Each point will be worth between £67.75 and £135.50 and so a contractor can earn between £67.75 and £3613.79

The aim of this criterion is to aid the prevention of ill health by raising awareness with pharmacy users of the impact of weight and waist circumference on health and the relevance of body mass index (BMI), promoting weight management services where appropriate and supporting people to maintain a healthy weight

Obesity and poor diet are linked with diabetes, high blood pressure, high cholesterol and increased risk of respiratory, musculoskeletal and liver disease. People with obesity are also at increased risk of certain cancers, including being three times more likely to develop colon cancer.

Nearly two-thirds of adults (63%) in England were classed as being overweight (a body mass index of over 25) or obese (a BMI of over 30) in 2018.  In England, the proportion who were categorised as obese increased from 13.2% of men in 1993 to 26.9% in 2015 and from 16.4% of women in 1993 to 26.8% in 2015. The rate of increase has slowed down since 2001, although the trend is still upwards.

Research has shown that brief, opportunistic interventions delivered in primary care can result in a five-fold increase in the proportion of patients engaging in weight management services. Despite this, engagement of certain population groups, including men, with weight loss services is low. Simple advice from a health or care professional to lose weight increases patients’ intentions to lose weight. However, referring people to weight management services can more than double the amount of weight they lose.

Pharmacy teams are also required to complete a weight management action plan of how they would assist a person who would like support with their weight. The weight management action plan should include, but should not be limited to, a list of local support and exercise groups that the person could be referred to and support materials/tools they could use, for example, NHS materials such as Better Health, Let’s do this (contractors should note that “Let’s do this” should not be recommended on its own but in conjunction with other support because exercise on its own has been shown not to lead to weight loss) and the NHS website. It should also include details of how to refer people to the NHS Digital Weight Management Programme for those with hypertension and/or diabetes or available Local Authority funded tier 2 weight management services (where the individuals meet the criteria for referral).

Pharmacy teams must proactively discuss weight management with a minimum of 25 patients. Pharmacy teams are encouraged to review the PHE Let’s Talk About Weight infographic and Let’s talk about weight: a step-by-step guide to brief interventions with adults for health and care professionals guidance for support with initiating and managing conversations with people about weight management.

It is expected that a competent individual within the pharmacy (for example, registered pharmacy professional or nominated team member) should be able to offer to measure weight and height (or support the patient to do this accurately) and calculate a patient’s BMI, using an appropriate BMI calculator such as, the NHS healthy weight calculator, as well as measure waist circumference or support the patient to do so. This should include explaining the purpose of measuring BMI and waist circumference. Pharmacies are expected to support those who wish to lose weight through advice and referral to the NHS Digital Weight Management Programme (where the individual meets the criteria for referral) or Local Authority funded tier 2 weight management services.

Pharmacies are expected to have access to equipment to accurately measure height, weight and waist circumference.

For contractors who claimed for the Prevention domain in the PQS 2020/21 Part 2, an update to the previous action plan will be required. In addition, the pharmacy team’s knowledge and understanding of weight management and how to identify and engage suitable patients must be reviewed. Methods used to identify patients for referral must be reviewed for effectiveness.

To gain the maximum number of points for this criterion (e.g., 20 points for band 4), the pharmacy must have completed the above quality criteria and referred at least one patient (who meets the criteria for referral) to either a Local Authority funded tier 2 weight management service or the NHS Digital Weight Management Programme. The number of points attributed to the referral and the intervention aspect of this domain is outlined in the table below for each of the bands:

 

Band 1

Band 2

Band 3

Band 4

Band 5

Band 6

Intervention

0.75

10

12.5

15

17.5

20

Referral

0.25

3.33

4.17

5

5.83

6.67

If contractors are unable to identify a patient who meets the criteria and agrees to be referred to either a Local Authority funded tier 2 weight management service or the NHS Digital Weight Management Programme, they are still able to claim for the Intervention stage.

When making a declaration for this criterion, the following information must be reported on the MYS application:

  • the total number of non-registered patient facing pharmacy staff who provide health advice working at the pharmacy who have completed the PHE All Our Health bite-size training and assessments on Adult Obesity and Childhood Obesity;
  • the total number of registered pharmacy professionals working at the pharmacy who have satisfactorily completed section one and three of the CPPE Weight management for adults: understanding the management of obesity e-learning and e-assessment;
  • a declaration that the contractor has available, at premises level, a new or updated weight management action plan on how they would assist a person who would like support with their weight, with demonstrable evidence of completion;
  • the total number of patients who had their BMI calculated and waist circumference measured, including explanation of the definition of BMI and the potential health impact of each;
  • the total number of patients referred to Local Authority funded tier 2 weight management services; and
  • the total number of patients referred to the NHS Digital Weight Management Programme for those with hypertension and/or diabetes.

Numark resources for use in action planning and data collection:

Weight Management Action Plan Template

Weight Management Audit Data Collection Sheet

Training log