https://www.gosh.nhs.uk/wards-and-departments/departments/clinical-specialties/complications-from-excess-weight-clinic-cew/
Complications from excess weight clinic (CEW)
A very warm welcome to the Complications from Excess Weight (CEW) Clinic for Children at Great Ormond Street Hospital (GOSH). Our clinic will identify and treat the complications of obesity such as diabetes, heart disease, sleep apnoea and poor mental health.
How will the clinic work?
The clinic is run by specialists from two hospitals: Great Ormond Street Hospital and University College London Hospital.
Children and young people will need a referral from a local paediatrician or specialist service using our referral form:
Download referral form for Complications from Excess Weight (CEW) Clinic.
All children and young people will have an assessment at Great Ormond Street Hospital where they will meet members of the team. At this assessment we will make an individualised plan for each patient based on their needs.
Our family support worker will contact families before the first appointment to help plan the visit. This will include support to make the visit possible, including transport, reimbursement, translators, proof of attendance and advocates.
We aim to make all treatment easily accessible. This includes video and telephone appointments, online support as well as support near where you live.
What services will we be providing for our patients and their families?
We are here to provide you with expert advice and support to become healthier.
Helping you have a healthier lifestyle and having better health:
● Eat differently: Healthy eating ideas, increasing motivation, meal planning, support for picky and binge eating, low calorie eating plans, meal replacements
● Get more active: finding the right activity, accessing low cost activities, help with pain and stiffness, building up physical fitness, increasing motivation, reducing barriers to exercise
● Sleep better
● Specialist medical advice about medical conditions related to weight, such as type 2 diabetes
● Medications to control hunger and appetite. The drug saxenda is currently licensed for young people aged 12 year and over.
● Access to research studies testing new treatments for weight.
Other support and signposting:
● Getting home adaptations such as showering and toileting, special beds and chairs (via local borough services)
● Finding clothes that fit
● Getting access to the right financial support.
Who is able to come to our clinic?
The Complications from Excess Weight (CEW) Clinic is for children and young people aged two years up to their 18th birthday who have serious health conditions caused by weight. Examples include type 2 diabetes, sleep apnoea or problems with mobility.
CEW clinics are available throughout England with funding from NHS-England.
The CEW at GOSH is for children and young people who live in the following London boroughs:
● North-central London (NCL): Barnet, Camden, Enfield, Haringey, Islington
● North-west London (NWL): Brent, Ealing, Hammersmith & Fulham, Harrow, Hillingdon, Hounslow, Kensington + Chelsea, Westminster
● South-west London (SWL): Croydon, Kingston, Merton, Richmond, Sutton, Wandsworth
Who will be the staff in our clinic?
● Consultant Obesity Specialist Lead - Dr Billy White
● Mental Health Lead - Dr Claire Dempster
● Clinical Nurse Specialist - Kelly Turner
● Clinical fellow - Laura Bosch
● Senior Dietician - Emma Baty
● Youth & Family Support Worker - Katie Carr
● Psychologist - Dr Jasmina Harris-Cherguit
● Family Therapist - Louise Dang
● Clinic Coordinator and Data Manager - Vasso Kyrgia
● Exercise physiologist
Referral to our Complications from Excess Weight (CEW) Clinic
Please complete this form which details the criteria to refer a patient through to our clinic:
Download referral form for Complications from Excess Weight (CEW) Clinic.
Contact the team:
Email: gos-tr.cew@nhs.net
Clinical advice (Mon, Tues, Weds, Thurs and Fri): 07513-702-796
Admin support (Mon, Tues and Wed): 020 7405 9200 – extension 5027
Coming to your first appointment:
Please note, as the service develops these details may change. The attached file is a guide on preparing for clinic and explains what will happen at your first appointment:
What to expect when coming to Complications from excess weight clinic (CEW) Clinic
Online Resources that are free to access
Please see some helpful YouTube channel links in the document below, relating to mindfulness and mental health. This list will be updated regularly and if you have any suggestions for channels you enjoy, please let someone on the team know.
Youtube Channels Mental Health and Mindfulness
Here are some virtual exercise and movement activities that you can try out from the comfort of your home. This list will also be updated regularly:
Virtual Physical Activity Resources
Here are some videos with lots of helpful information on how to get a better nights sleep, as well as videos with relaxing music and stories to help you drift to a calm, peaceful sleep:
Help with Sleep Youtube Videos
This document has a list of mental health supports which you can access from your mobile phone. This list will also be updated regularly.