Home > Services > Complications from Excess Weight (CEW) clinic

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Who we treat

The service is designed to support obese children and their families to lead a heathier lifestyle. We take a holistic approach, providing advice and interventions, to help young people make sustainable changes to improve their health and quality of life.

We treat children and young people, aged from 2 years old up until their 18th birthday, with obesity and significant health issues. They need to live in South-West London and have been referred by a paediatrician. Both the children and their families need to be motivated and engaged to work with the service to implement strategies to help manage their weight and medical issues.

Key staff

  • Paediatric Consultant
  • Physiotherapist
  • Dietitian
  • Mental Health Practitioner

Location

St George’s Hospital
Blackshaw Road
Tooting
SW17 0QT

Referral criteria

  1. Obesity
  2. Significant obesity-related medical comorbidity that would benefit from weight loss (eg type 2 diabetes, sleep apnoea, NAFLD with fibrosis) that has not responded to treatment with specialist team
  3. Family wants help to change

Or

  1. Severe Obesity – BMI is currently set at >3.33 Z Score (although this may increase in the future)
  2. Family wants help to change

CEW services are based on home address and corresponding London borough. We will accept referrals for south-west London (SWL): Croydon, Kingston, Merton, Richmond, Sutton, Wandsworth.

Complications from Excess Weight Referral Form

Contact Details

Email: paedscew@stgeorges.nhs.uk

Telephone Paediatric medical secretaries: 0208 725 2990

What to expect  

You will be asked to come into hospital for an initial appointment with the consultant. We will take some baseline measurements and ask you to complete some baseline questionnaires.  We will link you up with other members of our multi-disciplinary team of professionals to help support your child’s journey.

We will review your child over a period of time, reflective of their needs. We will support you as a family and your child, to implement strategies and deliver treatment plans to support their needs. This can include:

  • Changing eating habits
  • Improving physical activity
  • Improving sleep hygiene
  • Medical advice on health issues
  • Signposting to local support

Once we have implemented strategies, you will be expected as a family to continue to apply these into daily life to support your child with their onward journey.

What to bring to the appointment

Bring your child ready for a physical assessment and baseline measures which might include blood testing. Loose clothing or shorts and t-shirt will be helpful.

Bring the completed questionnaires you received with your appointment letter – completed.

Please know your child’s school attendance percentage and medication list (if they take any).

Useful Resources

Advice for parents of overweight children – NHS (www.nhs.uk)

Healthier Families – Home – NHS (www.nhs.uk)

Physical activity for early years: birth to 5 years (publishing.service.gov.uk)

Physical activity for children and young people: 5 to 18 years (publishing.service.gov.uk)

YoungMinds | Mental Health Charity For Children And Young People | YoungMinds