To provide a high quality, efficient and acceptable weight management service to all women and men who are over the age of 18 years and under 75 years of age and who live in the City of London or Hackney and meet the inclusion criteria.
The following eligibility criteria applies to the patients who wish to receive this service:
- Patients must be aged 18 years and over
- Patients should have BMI >30 kg/m2, or 27.5 kg/m2 in Asian (South Asian or Chinese) and Black and Afro- Caribbean population, or BMI > 25 kg/m2 plus at least one obesity-related co-morbidity, such as Diabetes and Hypertension.
- Clients must live in the City of London or Hackney.
Clients will be recruited onto the service through a range of referral routes such as the following:
- Self referral
- Physical Activity Programmes (including Healthwise) http://www.hackneyicare.org.uk/kb5/hackney/asch/service.page?id=pRSeMyso9zQ
- Health Coaches at Health Hubs
- Referral from other healthcare professionals, including:
- District Nurses
- Other Community Pharmacists
- On going systematic progress management will be provided which includes:
- Personal obesity management programme will be offered on a one to one support.
- Baseline height and weight, in order to calculate BMI
- Waist measurements
- Blood Pressure
- Blood pressure reading will provide an assessment on cardiovascular risk.
- Lifestyle assessment will also be provided which includes checks on diet and physical activity levels, readiness to change, and degree of family and social support available.
- Tailored advice, support and information will be provided in the form of a management plan to:
- Promote healthy eating
- Provide advice about food labelling
- Provide advice about portion sizes
- Increase and sustain physical activity
- Reduce sedentary behaviours
- Diary monitoring
- Goal Setting
Patients will be referred, where appropriate, to:
- GP or dietician
- Exercise referral programme
- Local physical activity or healthy eating programme (such as free exercise or cooking classes)
- Walking programmes
- Mental health service
- Health coaches at Health Hubs
The initial consultation will last approximately 30 minutes.
The follow up consultations will be held with the pharmacist
- Weekly from weeks 1 to 4
- Fortnightly week 6 to week 12
- Monthly week 12 to week 24
Advice, support or referral at each session will be based on the outcome of the measurements.
Orlistat can only be supplied after a minimum of 4 weeks of participation by the patient in the pharmacy weight management service. It is recommended for Orlistat to only be prescribed after the patients have lost at least 2kg or 5lb of their starting weight.
Dosage and Frequency
Adults aged over 18 years: The recommended dose of Orlistat is one 120mg capsule which should be taken immediately before, during or up to one hour after each main meal (2-3 times daily).
Duration of Treatment
Treatment with Orlistat will be discontinued after 12 weeks if patients have been unable to lose at least 5% of their body weight as measured at the start of the drug therapy.
Patients should undergo a review with their GP at 12 months.