CYP Obesity Transformation TeamNational CEW Clinics Insight Proforma CEW Clinic Details Clinic location and contact Details: Lead clinician details: Lead nurse details: Lead administrator details: Key information governance contact and details: Clinic catchment ICS regions: (Please check all ICS regions appropriate to your clinic catchment area) Humber and North Yorkshire North East and North Cumbria South Yorkshire West Yorkshire Cheshire and Merseyside Greater Manchester Lancashire and South Cumbria Birmingham and Solihull Black Country Coventry and Warwickshire Derby and Derbyshire Herefordshire and Worcestershire Leicester, Leicestershire and Rutland Lincolnshire Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Staffordshire and Stoke on Trent Bedfordshire, Luton and Milton Keynes Cambridgeshire and Peterborough Hertfordshire and West Essex Mid and South Essex Norfolk and Waveney Suffolk and North East Essex Bath and North East Somerset, Swindon and Wiltshire Bristol, North Somerset and South Gloucestershire Cornwall and the Isles of Scilly Devon Dorset Gloucestershire Somerset Buckinghamshire, Oxfordshire and Berkshire West Frimley Hampshire and the Isle of Wight Kent and Medway Surrey Heartlands Sussex North Central London North East London North West London South East London South West London Frequency of clinics: Number of appointments per clinic session: Number of patients currently on clinic register: Length of each clinic appointment: Current data fields captured in clinic: NHS no. Date of birth Ethnicity Postcode Date of initial assessment Co-morbidities e.g., ASD, ADHD, learning disability, eating disorder (not complications of excess weight) Date of discharge from service (and whether this was at completion of treatment, or prior e.g., due to non-engagement Height Weight Waist circumference Body fat % Presence/absence of impaired glucose tolerance, insulin resistance or type 2 diabetes Fasting plasma glucose Fasting insulin HbA1c OGTT result Systolic BP Diastolic BP 24hr BP monitoring results Presence/absence of abnormal lipid profile Fasting total cholesterol Fasting HDL Fasting non-HDL Fasting TGs Suspicion/absence of obstructive sleep apnoea Sleep study results Details re. interventions, for example, need for non-invasive ventilation Whether underlying cause of obesity has been identified Presence/absence of non-alcoholic fatty liver disease ALT AST GGT Bilirubin Albumin PT Imaging results e.g. USS or MRI Fibroscan results Biopsy results Presence/absence of idiopathic intracranial hypertension Whether or not child/young person is in education or employment Parent reported school attendance over preceding 12m Teacher reported school attendance over preceding 12m Interventions offered as part of treatment under CEW clinic Does clinic use a standardised patient action / care plan template: System used for data entry for patients attending clinic (excel/ clinical systems/other): What system is used for monthly data capture of number of patients seen: What system is used for monthly data capture of Clinic DNA rate: What system is used for monthly data capture of number of patients having monitoring tests: What system is used for monthly data capture of number of patients receiving genomic analysis: What Pathology System does the clinic / Trust utilise: Regional method of referrals to clinic: Clinic referral criteria utilised currently: Number of patients on waiting list: Average time for patients to be seen: Number of patients referred for genomic testing (total and as percentage of total patients seen): Estimated time between genomic referral and receipt of analysed results: Which Questionnaires do you use for patients and how often: (Dietetics, mental health, activity etc.) Which Questionnaires do you use for parents and how often: (Dietetics, mental health, activity etc.) Do you use any Trust provided Electronic Patient Record solution for wider patient insight: Does the clinic use any wearable devices with patients? Names of device/devices: If so - criteria for use: If so - method of integration: Does the clinic use any third-party apps with patients? Names of app / apps: If so - criteria for use: If so - method of integration: Thank you!
