Further details of the core elements of the framework are available as a supporting document upon request from With clinics and regions having developed tailored models to suit their local population, this call for research provides an opportunity to understand the patient cohort at a national level and to evaluate a range of different service configurations and treatment interventions.
Nationally, high level principles in the CEW Clinics Framework have set out what care delivery through the CEW clinics should entail. CEW clinics aim to: identify factors involved in the development of severe obesity through a holistic assessment, treat complications relating to severe obesity, and consider an individualised comprehensive plan that may include interventions such as family-based therapy, behavioural coaching, dietary strategies, and mental health support.Įvidence is needed on which service model and interventions are most likely to succeed for this cohort of children. Twenty-one clinics are currently operational and care is delivered by a multidisciplinary team, linked to a specialist children’s hospital. Complications from Excess Weight (CEW) clinics take a holistic approach to treating conditions related to obesity in children and young people.
The NHS is commissioning clinics across the country to provide a treatment offer for children and young people living with complications related to severe obesity. The NHS Long Term Plan contains ambitions to treat more children who have severe complications related to their obesity to prevent them needing more invasive treatment. Vulnerable children and young people have been disproportionately impacted by the COVID-19 pandemic, and childhood obesity rates have starkly increased. Childhood obesity and excess weight are significant health issues for children and their families, with serious implications for a child’s physical and mental health which can continue into adulthood. Obesity affects one in four children in the UK and can increase the likelihood of a child developing serious health issues such as Type 2 diabetes, liver conditions and early heart disease. Any development or testing of new treatments, or the efficacy of medication, is out of scope for this call.
The proposed evaluation will include both analysis of routine data sets and primary data collection and the successful research team will work closely with NHS England and NHS Improvement (NHSEI) regarding access to data and sharing interim outputs. The HSDR Programme is interested in receiving applications for mixed-methods research studies, with strong theoretical grounding, to generate robust evidence on optimal service models, combinations of treatment interventions and conditions of success for this cohort of children and young people. The research should contribute to a national CEW clinic framework supporting the roll out of the programme, and to inform commissioning of services by Integrated Care Systems by 2024/2025. This research aims to develop the evidence base and learn from pilot clinics in order to generate understanding of the optimal models of care for complications relating to obesity in childhood. The Health and Social Care Delivery Research (HSDR) Programme wants to fund a high-quality research evaluation of a national programme of Complications from Excess Weight (CEW) clinics for children and young people.
Version: 1.0 December 2022 Print this document
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