Local interventions include LEAP (Lifestyle Eat-well Activity Positivity), a service based at Homerton University Hospital to cover Hackney and the City. It accepts referrals from healthcare professionals for obese children aged up to, and including, 18 years of age who have a BMI above the 98th centile or a weight above the 99.6th centile (see definition in Section 3.7.2). Children with a BMI between the 91st and 98th centile may also be accepted if they have other medical conditions, psychosocial dysfunction or complex needs/learning difficulty. 3 LEAP provides holistic support through a multi-disciplinary approach that includes a paediatrician, dietician, nutritionist, physiotherapist and clinical psychologist. Intervention length varies but is generally up to six months with further follow up at three and six months post-intervention to assess progress and support the maintenance of weight loss. Over the 12 months to December 2014, LEAP received 178 referrals, of which 127 clients attended one or more appointments 4

Tier four provision, commissioned by NHS England, covers children aged 12-18 and involves the bariatric service.

References

  1. “LEAP (Lifestyle Eat-well Activity Positivity),” London Borough of Hackney: Local offer, [Online]. Available: http://www.hackneylocaloffer.co.uk/kb5/hackney/localoffer/service.page?id=9U3kdH9ZPHM. [Accessed September 2016].
  2. Departmental communication,” Homerton University Hospital NHS Foundation Trust, 2015.
  3. “LEAP (Lifestyle Eat-well Activity Positivity),” London Borough of Hackney: Local offer, [Online]. Available: http://www.hackneylocaloffer.co.uk/kb5/hackney/localoffer/service.page?id=9U3kdH9ZPHM. [Accessed September 2016].
  4. Departmental communication,” Homerton University Hospital NHS Foundation Trust, 2015.