Tier 1/2 CYP Weight Management Services BNSSG - (DRAFT)

Overview

Tier 1 and 2 weight management services across BNSSG are commissioned by local councils and funding for these is often limited. As a result, options available vary across the region and local pathways are subject to change and may have restricted places

Generally, children should have received Tier 1 or Tier 2 support prior to a referral for Tier 3 and 4 services, although there may be exceptions. If a child has specific needs, and criteria are met, then the Care of Childhood Obesity (COCO) clinic at the Bristol Children's Hospital may be an option for some children and offers Tier 3/4 services.

 More general advice and support can be found in the national resources and information section below.

Local Services - Bristol

Tier 1 and 2 weight management services in Bristol are provided by Beezee Families, offered by Maximus UK who promote healthier lifestyles for families. Services available and how to access them are outlined below.

Beezee Families Academy (Tier 1)

A free healthy lifestyle online learning platform, Beezee Families Academy is designed to help families have fun learning about healthy living at their own pace.

This option is available to all Bristol families with children aged 4 – 15 years and patients can sign up at Beezee Families Academy | Sign Up

Beezee Families (Tier 2)

Offers two options:

• An online program in which the whole family are involved
• The Beezee Families Academy for self-paced learning

1) Beezee online

• Online group sessions for one hour every week for 10 weeks.
• Two 1-1 check-in calls with a nutritionist.
• Fun online games and activities to keep children engaged.
• The whole family get involved.

Eligibility:

Families with children aged 4-12 years old with a BMI centile > 95^th

Exclusions:

• Having a significant health condition or illness (co-morbidity) in the same individual which has a substantial impact on the patient's health and their ability to take part in the programme. This would mean the Tier 2 intervention is unsuitable.
• Having a complex need which requires an elevated level of support or may rely on other services due to a significant health condition, disability or broader life circumstances. This may involve challenges around mental health, communication, behaviour, sensory input or cognitive ability. As the programme is designed for Tier 2, the individuals need to be able to have autonomy over their participation. 
• Having a diagnosed eating disorder
• Having had bariatric surgery in the last two years

Referral:

Self or Health Professional Referral via website:

• Patient follows the simple steps here: Beezee Families - Free Healthy Lifestyle Services | Bristol
• Health professional referral using:  Referrers - Free Healthy Lifestyle Services | Bristol 

Or email:

hellobristol@maximusuk.co.uk providing as much detail as possible including name, DOB, gender, home address (including post code), and BMI. A contact phone number for the patient/parent/carer is required on referral as this is the key contact method. Consent is needed for us to contact them.

2) Beezee Families

Please see information above.

Community resources and activities

Explore free resources for adult, children and families on mental health and getting active in their area. Community resources and activities - Free Healthy Lifestyle Services | Bristol

Bristol Active City (only available via Facebook) - useful local opportunities for being active and where to get healthier food.

Local Services - North Somerset

Tier 1

Better Health North Somerset has lots of health and wellbeing information available including:

Healthy families – Information about local support and services available to keep you and your family healthy throughout pregnancy, parenthood, early years, school years and beyond.

Healthy early years (1-4) – Information about local support and services available to keep your child healthy. toothbrushing, children’s centres

Active under 18’s​ - Information about a range of schemes designed to help under 18s living in North Somerset to be active. Find out about activities for all abilities.

Any questions, or for leaflets and posters for Healthy Start please contact healthystart@n-somerset.gov.uk

Tier 2

A children/young people/families service is currently under development for North Somerset. It will be possible for stakeholders to input views as part of the consultation which will be shared as soon as it becomes available.

Local Services - South Glos

Tier 1

One You South Gloucestershire – For families in South Gloucestershire to support them to live healthy, happy lives. This page contains information on local programmes as well as well as how to access online support such as tools and apps.

Healthy Weight Programme (families) - Tier 2

Eligible South Gloucestershire families can access a free 12-week programme delivered by the Active Lifestyle Centres. The includes 12 weekly family sessions which provides support around physical activity, healthier eating and emotional wellbeing, as well as access to 12 family physical activities such as swimming, badminton and table tennis. 

Eligibility

• Aged 5 to 17 years
• Has a BMI ≥91st centile with no co-morbidity
• Lives in South Gloucestershire. or registered at a GP surgery in South Gloucestershire
• Parents/carers must consent to the referral and attend/engage in all provision alongside the child or young person

Exclusions:

• Does not have a history of or an ongoing eating disorder 

Referral:

To refer a family to the South Gloucestershire Tier 2 Healthy Weight Programme please complete the ‘South Glos Weight Management on Referral Form’ via EMIS and email to healthyweight@circadiantrust.org.

Families can also self-refer by completing the One You family referral form.

If you have any questions relating to the Healthy Weight Programme (families) please call 01454 865337 or email oneyou@southglos.gov.uk.  

Healthy Start

The Healthy Start scheme provides assistance to families who are receiving qualifying benefits and are pregnant or have parental responsibility for at least one child under the age of 4. The scheme offers pre-loaded chip and pin cards to purchase healthy food and milk, along with access to free vitamins.

Families can apply as follows:

​Online form, phone 0300 330 7010 or email. No printer or signatures needed. ​​

Online access and application assistance now available in NSC libraries.​​

Applicants will need a National Insurance number and all details must match those on other benefit awards (current address, children’s names)​​

If parent is not a British citizen (no access to public funds), they can only apply if they have a child who is a British Citizen under 4yrs. ​If so, apply by this email ​​https://assets.publishing.service.gov.uk/media/62063c6b8fa8f5109d2d6d53/physical-activity-for-children-and-young-people-5-to-18-years.

National resources and information

• Children’s Healthy Weight- advice for parents of healthy weight children.
• Change for Life- tips for parents and children on how to eat well and move more.
• Advice for parents of overweight children - NHS - Tips to help your child reach a healthier weight
• BMI Healthy Weight Calculator - Calculate body mass index (BMI) for children and teenagers
• Physical activity for early years: birth to 5 years - Infographic
• Physical activity for children and young people: 5 to 18 years – Infographic

Useful links

Health Visiting - for children under 5, Health Visitors will have information to support parents.

School Nurse Service - for school aged children, school nurses can be accessed via the school, or children or parents can self-refer.

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.