Offer a higher level of intervention, such as referral to specialist overweight and obesity management services, for example, complications from excess weight clinics (CEW) or paediatric services, to children and young people with weight-related comorbidities or who need specialist support, depending on their clinical needs NICE NG246.
Refer adults with weight-related comorbidities or increased health risk based on their waist-to-height ratio to specialist services NICE NG246.
Assess associated comorbidities and possible causes for children and young people living with overweight or obesity in specialist services, including investigations of blood pressure, lipid profile, fasting insulin, fasting glucose, liver and endocrine function, especially if they have significant comorbidities or complex needs NICE NG246.
Consider referral to an appropriate specialist for children and young people with significant comorbidities or complex needs, such as SEND or physical disabilities NICE NG246.