“It’s the biggest not one-size-fits-all service I’ve ever worked in”: the realities of delivering a ‘Complications of Excess Weight’ service for children and young people in England from a multidisciplinary team perspective
Rebecca A. Stone, Jordan Marwood, Paige Davies, James Nobles, Karen Coulman, Elysa Ioannou, Adam Martin, Veronica Swallow, Lucie Nield, Louisa Ells, Catherine Homer · 2026
Read “It’s the biggest not one-size-fits-all service I’ve ever worked in”: the realities of delivering a ‘Complications of Excess Weight’ service for children and young people in England from a multidisciplinary team perspective by Rebecca A. Stone, Jordan Marwood, Paige Davies, James Nobles, Karen Coulman, Elysa Ioannou, Adam Martin, Veronica Swallow, Lucie Nield, Louisa Ells, Catherine Homer (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13270842.txt.
Description
Rebecca A Stone and co-authors report in 2026 how staff experience England's pilot specialist services for children and young people living with severe obesity. Thirty-eight Complications of Excess Weight services were launched to offer holistic, person-centered care through multidisciplinary teams. As part of a national evaluation, the researchers interviewed twenty-eight team members across seven services about barriers, demand, and fit with wider care.
Three themes emerged: achieving person-centered care, navigating a complex patient journey, and the strain of delivering a pilot. Staff described children needing innovative, whole-family support, but faced heavy demand, no step-down services for graduates, and missing transition paths into adult care at sixteen to eighteen. Pilot funding uncertainty threatened staffing and continuity. The authors call for a long-term commissioning plan so gains made in these services are not lost.
Catalog record
| CREATOR | Rebecca A. Stone, Jordan Marwood, Paige Davies, James Nobles, Karen Coulman, Elysa Ioannou, Adam Martin, Veronica Swallow, Lucie Nield, Louisa Ells, Catherine Homer |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 56 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |