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At the heart of general practice since 1960

Are you the perfect GP ­ or a Health Secretary?

A GP involved in the Counterweight Project is pleased with the results ­ but not convinced quality targets for obesity are appropriate.

Dr Paul Singer, a GP in Luton, said the project was 'useful' but 'fairly intensive in nursing time'.

He warned it was far more dependent on patient motivation than existing quality markers.

'It's far more difficult to control obesity than cholesterol, blood sugar and blood pressure. I can see the importance of a structure for measuring how we are dealing with obesity, but I'm not sure it should be in the quality framework,' he said.

What the Counterweight Project involved

Either

Fortnightly, hour-long group sessions, run by GP or nurse for three months, on nutrition, exercise and behaviour modification

Or

Fortnightly one-to-one sessions for 10-15 minutes, over three months, and focused on goal-setting

Plus

Weight monitoring every three months for nine months

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