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LET’S TALK ABOUT WEIGHT A step-by-step guide to brief interventions with adults for health and care professionals the nation’s healthoving ASK Weigh and measure the patient “Before you leave, could I check Calculate BMI your weight today?” BMI = Weight in kg divided by height in metres 2 squared [weight (kg) / height (m )] Consider referral options: ADVISE See supporting guidance for referral criteria “One of the best ways to lose weight Considerations: State that referral is available (*and free if is with support and [insert name of this applies in your area. Consider weight management service] is directing to commercial services if available today*. I can refer local provision is not available) you now if you are willing to give it a go?” Keep conversations brief (30 seconds) Confidence is key ASSIST ACTIONS Patient receives • Let the patient know what the next steps are 1 advice positively • Suggest a follow up appointment to monitor Make the referral the patient and to provide help and encouragement with their weight if patient accepts offer Patient is receptive • Show acceptance of patient’s wishes, but non-committal acknowledge their concerns and recognise the 2 about a referral e.g. difficulties of weight loss. Re-emphasise the importance of working to achieve a healthier Note in patient’s wants to try to lose weight, re-offer your support records any weight themselves • Suggest a follow up appointment to monitor the conversations patient and to provide help and encouragement about weight and with their weight the outcomes Patient does not • Show acceptance of patient’s wishes, 3 want to engage in re-offer your support should they conversation about change their mind Remember to • Don’t force the issue – leave the follow up with weight management door open your patient
