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NICE GUIDELINES/STANDARDS UPDATES

NICE QUALITY STANDARD [QS127] OBESITY: CLINICAL ASSESSMENT AND MANAGEMENT

Published August 2016 Covering children, young people and adults, this includes those with established comorbidities and those with risk factors for other medical conditions. Full information is available at - www. nice.org.uk/guidance/qs127 ; This QS does not, however, cover public health strategies to prevent people becoming overweight or obese, or the delivery of lifestyle weight management interventions. These are covered by obesity in children and young people: prevention and lifestyle weight management programmes (NICE quality standard 94) and obesity in adults: prevention and lifestyle weight management programmes (NICE quality standard 111).

NICE GUIDELINES [NG49] NON-ALCOHOLIC FATTY LIVER DISEASE (NAFLD): ASSESSMENT AND MANAGEMENT

Published July 2016 This guideline covers the assessment and care of adults who are at risk of or who have cardiovascular disease (CVD), such as heart disease and stroke. It aims to help healthcare professionals identify people who are at risk of cardiovascular problems. Including people with Type 1 or Type 2 diabetes, or chronic kidney disease. It describes the lifestyle changes people can make and how statins can be used to reduce their risk. In July 2016, recommendation 1.2.2 was amended to clarify the advice on saturated and monounsaturated fat. www. nice.org.uk/guidance/cg181

PUBLIC HEALTH ENGLAND

9% OF THE UK ADULT POPULATION HAVE DIABETES

The Public Health England (PHE) National Cardiovascular Intelligence Network (NCVIN) have produced and launched the new Diabetes Prevalence Model. It estimates that the total number of adults with both Type 1 and Type 2 diabetes in England is around 3.8 million people - that’s 9% of the UK adult population - with approximately 90% of these being cases of preventable Type 2 diabetes. The burden of care this creates for the NHS is huge, costing around £8.8 billion each year. With overweight and obesity, ethnicity and age significantly contributing to the risk of developing diabetes, PHE has launched the Healthier You: NHS Diabetes Prevention Programme (NHS DPP), which can be accessed via NHS England and Diabetes UK and is to be rolled out across the whole of England by 2020. It aims to help those at high risk of Type 2 diabetes to reduce their risk through referral opportunities to improve their diet, discuss weight loss and increase physical activity. www.gov.uk/government/news/38-millionpeople-in-england-now-have-diabetes

DEPARTMENT OF HEALTH

HOT TOPIC: THE GOVERNMENT’S PLAN TO TACKLE CHILDHOOD OBESITY

Published on 18th August 2016, this report was longawaited and left many healthcare professionals and lobbyists unsatisfied by its lack of stronger support for stricter legislation around food manufacturing (particularly the sugar content of food) and junk food advertising to children. The Government’s Childhood obesity - a plan for action publication aims to give guidance to reduce England’s rate of childhood obesity within the next 10 years. The key messages the plan focus on encouraging: • industry to cut the amount of sugar in food and drinks with Public Health

England (PHE) to set targets for sugar content per 100g and calorie caps for certain products; • primary school children to eat more healthily and stay active through a new voluntary ‘healthy schools rating scheme’, which will be considered during school inspections.

If you haven’t read it already, visit www.gov.uk/ government/publications/ childhood-obesity-a-plan-foraction for the full version.