Evidence map›Paper›PMID 39523664›Full record

ArticleClinical obesity2025

Effect of the National Enhanced Service for weight management on the content of annual review consultations for patients living with obesity and hypertension and/or diabetes.

Stella J P Haffner, Sarah Mounsey, Rachna Begh, Anisa Hajizadeh, Alice E Hobson, Paul Doody, Charlotte Albury, Suzanne Mara, Laura Heath, Kayley McPherson and 2 more

Abstract read
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In one paragraph

Article in Clinical obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Stella J P HaffnerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID https://orcid.org/0009-0000-1153-3724
Sarah MounseySchool of Geography and the Environment, University of Oxford, Oxford, UK.
Rachna BeghNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Anisa HajizadehNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Alice E HobsonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Paul DoodyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Charlotte AlburyNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Suzanne MaraNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Laura HeathNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Kayley McPhersonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Susan A JebbNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Paul AveyardNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-1802-4217

Funding

NIHR Oxford and Thames Valley Applied Research CollaborationNIHR Oxford Biomedical Research CentreNIHR Oxford Health Biomedical Research Centre
6 · The paper itself

Abstract

Guidelines specify that clinicians should support patients living with obesity by referring to weight management programmes (WMPs), but clinicians do so infrequently. To provide additional support to patients living with obesity and weight-related conditions, the UK government instated the National Enhanced Service (NES) for weight management in England, including a reimbursement to general practices for referring eligible patients to WMPs. To assess the impact of the NES on conversations regarding weight and relevant behavioural risk factors in primary care consultations we recruited 11 medical practices in England where the NES was operating and six comparator practices from Scotland and Wales where the NES was not implemented. Clinicians audio-recorded annual review appointments of patients living with obesity and hypertension and/or diabetes. The content of these consultations was synthesised using quantitative content analysis. Consultations with 92 patients were analysed: 58 in England and 34 in Scotland and Wales. No difference was found between the NES sites (England) and non-NES sites (Scotland and Wales) in the proportion of referrals made to WMPs. Clinicians in England weighed patients and took other body measurements more often, mentioned body mass index more often, and had more detailed discussions about patients' diets, but there was no evidence that they differed in their discussion of WMPs or other modifiable risk factors. We found no strong evidence that the NES affected how clinicians addressed weight management or related behavioural risk factors within annual review consultations for patients living with obesity and hypertension and/or diabetes.

Indexed as

Diabetes MellitusHypertensionObesityReferral and ConsultationWeight Reduction ProgramsAdultAgedBody Mass IndexEnglandFemaleHumansMaleMiddle AgedPrimary Health CareScotlandWalesdiabeteshypertensionNational Enhanced Serviceobesityprimary careweight management

Identifiers

PMID39523664
PMCPMC11907094

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.