Overweight and obesity management
NICE guideline
NG246
Published: 14 January 2025
Monitoring and evaluating
services and interventions
People have the right to be involved in discussions
and make informed decisions about their care, as
described in NICE's information on making decisions
about your care (https://www.nice.org.uk/about/nice-
communities/public-involvement/your-care).
Making decisions using NICE guidelines
(https://www.nice.org.uk/about/what-we-do/our-
programmes/nice-guidance/nice-guidelines/using-
NICE-guidelines-to-make-decisions) explains how we
use words to show the strength (or certainty) of our
recommendations, and has information about
prescribing medicines (including off-label use),
professional guidelines, standards and laws (including
on consent and mental capacity), and safeguarding.
Health and social care professionals should follow our
general guidelines for people delivering care:
Babies, children and young people's experience of
healthcare
(https://www.nice.org.uk/guidance/ng204)
Decision making and mental capacity
(https://www.nice.org.uk/guidance/ng108)
Medicines adherence
(https://www.nice.org.uk/guidance/cg76)
Medicines optimisation
(https://www.nice.org.uk/guidance/ng5)
Multimorbidity
(https://www.nice.org.uk/guidance/ng56)
Patient experience in adult NHS services
(https://www.nice.org.uk/guidance/cg138)
People's experience in adult social care services
(https://www.nice.org.uk/guidance/ng86)
Service user experience in adult mental health
(https://www.nice.org.uk/guidance/cg136)
Shared decision making
(https://www.nice.org.uk/guidance/ng197)
Transition from children's to adults' services
(https://www.nice.org.uk/guidance/ng43).
Read this guideline alongside:
NICE guidelines on behaviour change: digital and
mobile health interventions
(https://www.nice.org.uk/guidance/ng183),
behaviour change: individual approaches
(https://www.nice.org.uk/guidance/ph49), eating
disorders (https://www.nice.org.uk/guidance/ng69),
and looked after children and young people
(https://www.nice.org.uk/guidance/ng205)
the National Obesity Audit
(https://digital.nhs.uk/data-and-information/clinical-
audits-and-registries/national-obesity-audit)
Public Health England's Whole systems approach to
obesity
(https://www.gov.uk/government/publications/whole-
systems-approach-to-obesity) and weight
management interventions: standard evaluation
framework
(https://www.gov.uk/government/collections/weight-
management-guidance-for-commissioners-and-
providers)
the UK Chief Medical Officers' physical activity
guidelines
(https://www.gov.uk/government/publications/physical-
activity-guidelines-uk-chief-medical-officers-
report)
the NHS Eatwell guide (https://www.nhs.uk/live-
well/eat-well/)
the Childhood obesity: applying All Our Health
guidance
(https://www.gov.uk/government/publications/childhood-
obesity-applying-all-our-health/childhood-obesity-
applying-all-our-health).
Read this section alongside:
Public Health England's:
Adult weight management: key performance
indicators (https://urlsand.esvalabs.com/?
u=https%3A%2F%2F2.zoppoz.workers.dev%3A443%2Fhttps%2Fwww.gov.uk%2Fgovernment%2Fpublications%2Fadult-
weight-management-key-performance-
indicators&e=9f250c40&h=f6a57b5c&f=y&p=n)
Standard evaluation framework for weight
management interventions
(https://www.gov.uk/government/publications/weight-
management-interventions-standard-evaluation-
framework)
Guide to commissioning and delivering tier 2
adult weight management services
(https://www.gov.uk/government/publications/adult-
weight-management-services-commission-and-
provide)
NHS Digital's Community services data set
(https://digital.nhs.uk/data-and-information/data-
collections-and-data-sets/data-sets/community-
services-data-set/submitting-data-for-the-csds-to-
the-sdcs-cloud#what-data-to-submit)
the National Obesity Audit
(https://digital.nhs.uk/data-and-information/clinical-
audits-and-registries/national-obesity-audit).
These recommendations are for commissioners and
providers of overweight and obesity services
1.21 Data to collect
1.21.1 Measure a broad range of outcomes and use validated
tools to capture the full benefits of a sustainable,
integrated health and wellbeing strategy. These include:
anthropometric measures such as BMI or waist-to-
height ratio
indicators of dietary intake (for example intake of fruit
and vegetables or sugar-sweetened drinks), physical
activity (for example time spent in moderately
vigorous activities such as brisk walking) or sedentary
behaviour (for example leisure-based screen time or
car use)
prevalence of obesity-related diseases
wider health outcomes such as indicators of mental
health and wellbeing, improvements in self-esteem
and quality of life
process outcomes such as service use, engagement
of groups subject to health inequalities groups,
establishment or expansion of community groups
indicators of structural changes (such as changes to
procurement contracts).
(See the UK government's standard evaluation
framework for weight management interventions
(https://www.gov.uk/government/publications/weight-
management-interventions-standard-evaluation-
framework) for other possible outcome measures.)
[2014]
1.21.2 Consider collecting and assessing other outcomes
at the end of the intervention, such as changes in:
dietary habits, physical activity and sedentary
behaviour
self-esteem, depression or anxiety
health outcomes, such as blood pressure. [2014]
1.22 Sharing and using the results
1.22.1 Log data in the National Obesity Audit and ensure all
monitoring and evaluation results are accessible and
easy to use by all who can use them in their work,
both in the local community and nationally, including
those involved with obesity prevention, local groups
and networks, the media and the public. [2012]
1.23 Additional principles on
monitoring provision for children
and young people
These recommendations are for commissioners and
providers.
1.23.1 Ensure monitoring focuses on sustaining changes in
the longer term, including reports on the following
data:
the number of children and young people taking
part in the intervention
the percentage who complete it
the percentage followed up at 6 months and 1
year after completion
BMI and BMI adjusted for age and sex:
at the start and end of the intervention
6 months after completing the intervention and
1 year after completing the intervention. [2013]
1.23.2 Ensure data collection tools are validated for the age
range or population group covered by the
intervention and are feasible and affordable in
practice settings. Do not rely on self-reported
measures of height or weight, or interpretations of
BMI based on them. [2013]
1.23.3 Monitor any variation in the numbers of children and
young people who join and who complete the
intervention, and the proportion of people retained
by the intervention. Analyse this by population
subgroup. [2013]
© NICE (National Institute for Health and Care Excellence) 2025. All rights reserved. Subject to Notice of rights
(https://www.nice.org.uk/terms-and-conditions#notice-of-rights).
