- Age 1-17
AND
- BMI >4 SDS (12y+) OR BMI >5 SDS (1-11y) (even if no complications identified) + motivated (or part of Child Protection Plan)
OR
BMI SDS ≥ 2.67 SDS (99.6th centile) OR (≥2 SDS / 98th centile for BAME patients)1for age and sex and one of the below:
- One or more co-morbidities related to excess weight (NAFLD, pre diabetes (e.g. HbA1c 40-47 mmol/mol)*, OSA needing intervention, joint or mobility problems requiring surgery and/or causing severe impact on ADL, hypertension, Idiopathic intracranial hypertension, dyslipidemia, hidradenitis suppurativa, a significant psychological co-morbidity)
- Confirmed genetic cause of obesity
- Secondary cause of obesity such as pituitary surgery
- On a child protection plan for severe obesity
- Patient being considered for bariatric surgery
- The Young Person and their parents/ carers have agreed to the referral and are motivated to engage with the service (unless they are on a child protection plan for severe obesity and engagement with the CEW service is a part of the plan. In these cases, please discuss with a CEW consultant prior to referring)
* If symptoms of diabetes, check a point-of-care finger-prick glucose level and, if diabetes confirmed refer same day to the local paediatric diabetes team. If HbA1C or glucose level (POC or lab glucose) consistent with a diagnosis of diabetes, refer same day to local paediatric diabetes team. Children under-18 with any type of diabetes must be under secondary care
