FOI 2025/1201

As part of an academic project, we are investigating the provision of care across England for adults living with overweight and obesity which is accessible via primary care. In particular, the availability of support for adults with eating disorders related to overweight and obesity.

In the below queries people with obesity refers to adults with a BMI

≥

30kg/m2 and people with overweight refers to people with a BMI

≥

25kg/m2.

We would appreciate information on the following as a Freedom of Information request:

A study to investigate the provision of care across England accessible via primary care for people living with overweight and obesity.

This study aims to investigate the provision of care across England for adults living with overweight and obesity which is accessible via primary care. In particular, the availability of support for those with eating disorders related to overweight and obesity.

In the below queries people with obesity refers to adults with a BMI30kg/m² and people with overweight refers to people with a BMI25kg/m².

1. Is your IAPT service commissioned to treat those with eating disorders related to overweight and obesity such as, but not limited to, binge eating/emotional eating/disordered eating/other eating disorder?
   1. If yes, what are the specific criteria to access this service (including for example, which and what severity of eating disorders are they commissioned to treat)?
   2. If yes, what treatments are they commissioned to provide.
   3. Please provide the name of the service provider and contact details for the service.
2. Is your eating disorders service commissioned to treat eating disorders related to overweight and obesity such as, but not limited to, binge eating/emotional eating/disordered eating/other eating disorder?
   1. If yes, what are the specific criteria to access this service (including for example, which and what severity of eating disorders are they commissioned to treat)?
   2. If yes, what treatments are they commissioned to provide.
   3. Please provide the name of the service provider and contact details for the service.
3. Do you have any other service commissioned to treat eating disorders related to overweight and obesity such as, but not limited to, binge eating/emotional eating/disordered eating/other eating disorder?
   1. If yes, what are the specific criteria to access this service (including for example, which and what severity of eating disorders are they commissioned to treat)?
   2. If yes, what treatments are they commissioned to provide.
   3. Please provide the name of the service provider and contact details for the service.
4. For the preceding three services (point numbers 1-3):
   1. How many patients (with any eating disorder) is the service commissioned to see annually; both currently, and in each of the last 5 years?
   2. How many patients are they commissioned to see annually: currently, and in each of the last 5 years, by category of eating disorder (for example: anorexia nervosa, bulimia nervosa, binge eating disorder, emotional eating, disordered eating, other eating disorder, etc)?
   3. How many patients have been referred to the service annually: currently, and in each of the last 5 years, by category of eating disorder (as above)
   4. How many patients have attended/been seen by the service annually: currently and in each of the last 5 years, by category of eating disorder (as above)?
5. Is your community dietetics service commissioned to help people living with overweight and obesity for example, for the management of nutritional intake and/or disordered eating?
   1. If yes, what are the specific criteria to access this service for people living with obesity and overweight?
   2. If yes,
      1. how many people is the community dietetics service commissioned to see annually: currently and in each of the last 5 years?
      2. how many people living with obesity and overweight have attended/been seen by the service annually; currently and in each of the last 5 years?

• how many people living with obesity and overweight have been referred to the service annually: currently and in each of the last 5 years?

1. If yes, please provide the name of the service and contact details?

6. Do you have a commissioned service for long term (>2 years post-surgery) follow up of patients who have had bariatric surgery under the NHS? If yes, please provide the name of the service and contact details.
7. Do you have a commissioned service for long term (>2 years post-surgery) follow up of patients who have had bariatric surgery privately (either UK or abroad)? If yes, please provide the name of the service and contact details.
8. Do you have a commissioned service for the follow up of patients who have had bariatric surgery abroad? If yes, please provide the name of the service and contact details.
9. How many individual funding requests (IFRs) have you received related to follow up of patients who have had surgery abroad in the last 2 years? What is the total number of IFRs received in this time.
10. Do you have a commissioned Tier 3 (specialist weight management service)? If so, how many people is it commissioned to see a year and how many people are currently on the waiting list to be seen?
11. Do you have a commissioned Tier 4 (specialist weight management service)? If so, how many people is it commissioned to see a year and how many people are currently on the waiting list to be seen?

1. NHS Greater Manchester (NHS GM) follow the national NHS England (NHSE) Talking Therapies (previously referred to as IAPT) guidance in commissioning services NHS England » NHS Talking Therapies for anxiety and depression manual and subsequent Positive Practice Guides.

This does NOT differentiate specific services to be commissioned to treat those with eating disorders related to overweight and obesity such as, but not limited to, binge eating/emotional eating/disordered eating/other eating disorder. Therefore, we do not expect commissioned services to exercise any specific inclusion/exclusion criteria, provide specific treatments and from any specialist providers.

We do commission a full range of specialist eating disorder community mental health services from Greater Manchester Mental Health  NHS Foundation Trust and Cheshire and Wirral Partnership  NHS Foundation Trust (working with BEAT Eating Disorders and other VCSE organisations) across our 10 localities in line with NICE and other Royal Colleges Best Practice Guidance NHS commissioning » All-age eating disorders.

2. No.
3. No.
4. NHS GM consists of the 10 Greater Manchester Localities, Bolton, Bury, Heywood, Middleton and Rochdale (HMR), Manchester, Oldham, Salford, Stockport, Tameside, Trafford and Wigan. NHS GM does not hold all the information requested and therefore, you may wish to contact the provider organisations directly for the information you seek. Please find below the limited information NHS GM does hold.

Adults:

Greater Manchester Mental Health NHS Foundation Trust

Cheshire and Wirral Partnership NHS Foundation Trust

Oakwood Psychology Services

a)

b)

c)

Note:

Bolton – Data available does not split according to category of eating disorder. Overall referral numbers are listed below (this includes full range of eating disorders)

d)

Note:

Bolton – Data available does not split according to category of eating disorder. Overall referral numbers are listed below (this includes full range of eating disorders).

NHS Greater Manchester (NHS GM) does hold the information requested however, due to the low numbers involved (where patient data is 5 or less <5) we consider this to be exempt under section 40(2) of the Freedom of Information Act 2000 as the disclosure of this information may lead to the identification of individuals. This exemption is not subject to the public interest test.

5. Yes a) Community Dietetic services are commissioned to support patients with their nutritional needs of the local population. The service offer varies slightly dependent. Services are provided by several providers.

Please see below / attached for our Acute providers of community dietetics.

Bolton NHS Foundation Trust

Not specifically referred to or included.

Northern Care Alliance NHS Foundation Trust

3 service specs listed / included in the contract as follows:

• Bury – Community – Dietetics (including Paediatric Dietetics)

**The Service Specification for Bury was also sent to the requester with this FOI response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net**

• Oldham – Community – Dietetics

**The Service Specification for Oldham was also sent to the requester with this FOI response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net**

• Salford – Community – Dietetics – listed in the contract, but no service specification included

Manchester NHS Foundation Trust

• Manchester Special Needs Nursing & Dietetics

**The Service Specification for Manchester was also sent to the requester with this FOI response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net**

• Manchester Community Nutrition & Dietetics

**The Service Specification for Manchester was also sent to the requester with this FOI response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net**

• Trafford nutrition and dietetics

**The Service Specification for Trafford was also sent to the requester with this FOI response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net**

Stockport NHS FT

• Nutrition & dietetics

**The Service Specification for Stockport was also sent to the requester with this FOI response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net**

Tameside & Glossop NHS ICFT

• Community Dietetics

**The Service Specification for Tameside was also sent to the requester with this FOI response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net**

Wrightington Wigan & Leigh NHS FT

The following services referred to in the contract, but no service specifications are included:

• Dietetics: Nutritional Support (home and clinics)
• Dietetics: Long terms conditions

b & c) NHS Greater Manchester (NHS GM) does not hold the information requested; it will be necessary for you to contact the Provider Trusts commissioned in Greater Manchester for the information you seek.  To assist you, please find below links to their websites with information about how to make a Freedom of Information request.

Bolton NHS Foundation Trust – Freedom of information – Bolton NHS FT (boltonft.nhs.uk)

Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance

Manchester University NHS Foundation Trust – Freedom of Information – Manchester University NHS Foundation Trust (mft.nhs.uk)

Stockport NHS Foundation Trust – Freedom of Information – Stockport NHS Foundation Trust

Tameside and Glossop Integrated Care NHS Foundation Trust – Freedom of Information Requests :: Tameside and Glossop Integrated Care (tamesideandglossopicft.nhs.uk)

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust – WWL Teaching Hospitals NHS Foundation Trust | FOI Disclosure Log

6. Yes, this is delivered as part of the Tier 4 Bariatric Surgery Pathway. The provider is the Northern Care Alliance.

NHS Greater Manchester (NHS GM) does not hold the information requested; it will be necessary for you to contact the Provider Trust, Northern Care Alliance, commissioned in Greater Manchester, for the information you seek.  To assist you, please find below link to their website with information about how to make a Freedom of Information request.

Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance

7. No.
8. No.
9. No IFRs have been received.
10. There is a commissioned Tier 3 (specialist weight management service) in 7 out of the 10 localities in Greater Manchester.

However, the Bolton, Wigan and Manchester Locality services are currently paused.  Work is currently underway to redesign a new model of care for weight management services in Greater Manchester.

NHS Greater Manchester are in the process of validating the waiting lists of Tier 3 Specialist Weight Management Services.  For the most up to date information, you would need to contact the provider directly. To assist you, please find below links to their websites.

ABL Health Ltd – https://www.ablhealth.co.uk/contact/

Morelife (UK) Ltd – https://www.more-life.co.uk/contact-us/

Manchester University Hospitals NHS Foundation Trust –  https://mft.nhs.uk/freedom-of-information/

Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance

11. NHS GM commissions Tier 4 Bariatric Services from the Northern Care Alliance NHS Foundation Trust.

NHS Greater Manchester (NHS GM) does not hold the information requested in respect of numbers of patients waiting; it will be necessary for you to contact the Provider Trusts commissioned in Greater Manchester for the information you seek.  To assist you, please find below links to their websites with information about how to make a Freedom of Information request.

Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance