PROPOSAL TO DELIVER

CHILD WEIGHT MANAGEMENT SERVICES

TABLE OF CONTENTS

Introduction
Delivery Models
Outcomes & Impact
Cost

Introduction

Morelife’s Children's Weight Management services offer a premier, expertly crafted programme designed for children and adolescents living with obesity and their families. With over 20 years of clinical expertise and evidence-based strategies, our programme provides a comprehensive, whole-family-focused approach that addresses the complex factors contributing to obesity. By integrating physical health, psychological well-being, and family support, we empower families to improve their health behaviours by making sustainable, long-lasting changes.

Our evidence-based services draw on learning theory and adventure therapy to deliver fun and engaging sessions by addressing the physical, emotional, and social dimensions of obesity, Morelife has established a proven track record of success, making us a trusted leader in delivering impactful weight management programmes for children and families.

Morelife’s Child Weight Management programmes do more than help children manage their weight—they transform lives. Through a holistic, person-centered approach, we have achieved remarkable results, including:

Reducing social anxiety Improving mental-wellbeing
Boosting self-esteem and confidence Feeling more empowered
Enhancing academic performance Strengthening family relationships Supporting significant weight loss Increasing physical activity Reducing screen time
Making healthier food choices Increasing water intake Improving nutritional awareness
Boosting self-esteem and confidence

These outcomes underscore the significant and lasting impact of our services, firmly establishing Morelife UK as the leading partner in tackling childhood obesity. To date, we have successfully supported over 10,000 children through our Children’s Weight Management programmes, currently available in:

Bedfordshire & Milton Keynes
Manchester (Physical Activity Referral Service) Medway
Sheffield

While healthy weight is the focus of our programmes and pathways, we believe in a holistic approach, considering the diverse and multideterminant nature of obesity. Our programmes address:
- Family Dynamics
  Recognising the family’s role in creating supportive environments, while making changes which have a positive impact on all.
- Mental Well-Being
  Leveraging psychological frameworks (CBT, ACT, Family Systems Theory) to address behavioural triggers and build resilience.
- Nutrition
  Personalised dietary plans developed by registered dietitians, empowering families to make informed choices while still enjoying great food.
- Physical Activity
  Tailored, engaging activities promoting fitness and reducing sedentary behaviour. Promoting long-term engagement with local clubs and activities.
- The Impact of Social Media
  Raising awareness of the impact of social media on children and wider communities.
- Body Image
Addressing the issue of body image which can impact children and young people of all genders.
Delivery Models

All our models adopt a holistic approach and offer flexible delivery methods, including face-to-face, virtual sessions via Microsoft Teams, and hybrid options, ensuring they meet the diverse needs of participants and families. We offer:

Tier 2- an inclusive model, promoting healthy behaviour change for the whole family, our flexible curriculum and delivery style can be adapted for participants aged 5-18.

Tier 3- a whole family model supported by a multidisciplinary team.

Schools Healthy Lifestyle Programmes- focused on health, obesity prevention and reducing stigmatising behaviours and language

Tier 2 Specialist Child Weight Management

Purpose: To support children and families in making sustained lifestyle and dietary changes.

Target Group: Children and young people above the healthy weight range requiring foundational support (91st Percentile and above).

Key Features:
- Group-Based Approach
  Interactive physical activities and psycho-educational workshops on healthy eating and behaviour change. Our group-based approach cultivates peer support, fostering relationships and building community with children from the same area to build lasting friendships.
- Family Involvement
  Nutritional and psychoeducational workshops for parents, reinforcing a family-centered approach. Sessions for parents break stigma, create nonjudgmental environments and provide them with a platform of support from our expert staff as well as promoting peer support and shared learning.
- Delivery Team
  Nutritionists and specialist weight management practitioners fostering an encouraging and fun group environment.
  
  Goal: To instill long term, sustainable and SMART healthy behaviours in children and families through practical, supportive frameworks.
  
  Our Tier 2 programme is delivered over 10 weeks. Weekly sessions invite the eligible child, their siblings, parents, and wider family to engage with a different topic each week. Our approach draws on experiential learning theory, adventure therapy and storytelling to promote comprehension and reflective practice, this approach is immersive and engaging. In line with NICE guidance, topics include:
  
  Healthy habits Eatwell guide
  Portion sizes and energy intake Balanced meals
  Regular meals and snacks Influences and choices Learning about food labels
  Sugar and the importance of hydration Mental wellbeing and sleep
  Physical activity and NEAT
  
  Each session has an accompanying resource pack for families, filled with recipes, video links, stories and fun activities to do at home.
  
  Examples:
  Testimonials:
  
  “This place is amazing. You get to play games & learn stuff you may not have known. You get to make friends with people that have the same difficulties.”
  - Isabelle, Bedford
  
  “Alice (our practitioner) did a wonderful job. I have her five stars for her professionalism and support. She was always very friendly and helpful, shared lot of information, detailed plans suitable for each family based on their circumstances and ideas and tips. In short, everything session was very useful and informative.“
  - Susie (parent), Milton Keynes
  
  “Teams is a good way forward and you do not have to leave home when you have other younger children to look after.”
  - Jim (parent), Biggleswade
  
  Tier 3 Specialist Child Weight Management
  
  Purpose: To provide intensive, multidisciplinary care for children with complex obesity-related needs.
  
  Target Group: Children requiring tailored interventions to address broader and complex factors contributing to obesity.
  
  Key Features:
- Comprehensive Assessments
  Personalised dietary, physical activity, and psychological plans.
- Multidisciplinary Team
  Specialist nurses, dietitians, psychologists, and weight management practitioners.
- Psychological Support
  Addressing emotional and behavioural triggers with therapies like CBT and ACT.
  
  Goal: To empower children and families to achieve long-term positive, sustainable health changes and improve well-being.
  
  Multidisciplinary Team Collaboration:
  The Tier 3 Specialist Child Weight Management programme is delivered by a dedicated Multidisciplinary Team (MDT), ensuring holistic, client-centered care. The MDT works collaboratively, holding bi-weekly meetings to review client progress, address challenges, and refine intervention strategies. Shared care plans are co-developed with input from all team members and families to fully address physical, psychological, and social needs.
  
  Roles of Team Members
- Pediatric Nurses
  Conduct comprehensive physical assessments and educate families about obesity-related health risks.
- Psychologists
  Provide behavioural and emotional support through evidence-based therapies such as CBT and ACT, Positive Psychology, helping clients overcome emotional and behavioural barriers to weight management.
- Dietitians
  Develop tailored nutrition plans that consider cultural preferences and family dynamics, ensuring practical and sustainable dietary changes.
- Physical Activity Specialists
  Facilitate structured, engaging fitness sessions and promote active lifestyles through NEAT strategies.
- Programme Practitioners
  Coordinate care plans, provide ongoing support, and serve as the primary contact for families, ensuring programme adherence and engagement.
  
  Assessment Process
  A comprehensive assessment process is central to the Tier 3 Child Weight Management programme, ensuring personalised, holistic care for every child and their family. Assessments are designed to address the medical, psychological, and social dimensions of obesity, providing a robust foundation for effective interventions.
  
  Medical Assessments:
  
  Conducted by pediatric nurses, these include baseline measurements such as:
- BMI & Growth Charts
  Assessing weight, height, and percentile-based growth trends.
- Blood Pressure & Pulse
  Identifying potential comorbidities such as hypertension.
- Blood Tests
  Where clinically appropriate and/or indicated, tests for conditions like prediabetes or nutrient deficiencies may be requested and assessed.
- Family Medical History
  Is recorded to identify hereditary factors influencing obesity risk.
  
  Psychological Assessments:
  
  Delivered by psychologists or trained practitioners, these assessments focus on:
  
  Emotional triggers for overeating, self-esteem issues, and body image concerns.
  
  Screening for mental health conditions (e.g., anxiety, depression) using validated tools such as the Strengths and Difficulties Questionnaire (SDQ), Harter Self Perception Profile for Children or the Children’s Depression Inventory (CDI), Good Childhood Index.
  
  Input from the child and family is used to set behaviour change goals, tailored to individual needs.
  
  Social & Lifestyle Assessments:
  
  Assess family dynamics, cultural influences, and environmental barriers such as financial constraints or access to healthy food and activities.
  
  Tools such as the CPAQ, Child Eating Behaviour Questionnaire, Family Assessment Device (FAD) help explore family roles and interactions.
  
  Additional behaviours monitored include screen time and sleep quantity/quality.
  
  Outcome:
  The assessment process culminates in a shared care plan co-developed by the Multidisciplinary Team (MDT), child, and family. This plan includes specific, measurable goals for weight, dietary changes, physical activity, and mental well-being.
  Data Collection Points
  Baseline - 12 weeks - 6 months - 12 months
  These assessments provide a comprehensive evaluation of physical, behavioural, and emotional factors, ensuring a holistic understanding of each child’s progress.
  Phase 1: Intensive Intervention (weeks 1-12)
  Objective: Equip children and their families with the knowledge, skills, and confidence to make significant lifestyle changes during the foundational phase of the programme. Focus on building healthy habits, addressing emotional and behavioural barriers, and fostering family-wide engagement in sustainable behaviour change.
  Weekly Group Sessions or 1:1 appointments (1-2 hours per session)
  Phase 2: Monthly Maintenance (months 4–12)
  Objective: Provide ongoing support to reinforce habits, address barriers, and ensure sustained progress.
  Monthly Group or 1:1 Sessions (1 hour)
  
  6-Month and 12-Month Follow-Ups: Comprehensive progress reviews.
  Repeat assessments (e.g., BMI percentile, well-being metrics).
  Updated care plans for families needing further support.
  Testimonials:
  “My favourite activity was tennis. I went every week and didn’t miss a single class.”
  - Sid, Manchester
  “I am so grateful and really appreciate everyone’s efforts towards the wellbeing of my son. Morelife restored hope.”
  - Joel, Moston
  Tier 2 and 3 Digital Tools
  Digital Integration: MoreLife App and MyLifePlan
  The Morelife app, integrated with MyLifePlan, forms the backbone of our digital-first approach, enhancing face-to-face delivery for Tier 2 and Tier 3 Child Weight Management services. This combination creates a seamless hybrid model, ensuring families receive personalised support both in sessions and at home.
  What is the MoreLife App?
  The Morelife app is a comprehensive digital tool designed to support families in achieving their health and well-being goals. It provides a user-friendly, interactive interface where families can engage with tailored resources, track progress, and maintain accountability. The app is the digital gateway to MyLifePlan, creating an ecosystem that supports behaviour change at every stage of the programme.
- Personalised Dashboards
  Families access customised dashboards that display:
  Weekly progress updates on activity, nutrition, and mental well-being. Visual tracking of goals, such as daily steps or portions of fruits and vegetables consumed.
  Alerts for upcoming sessions or reminders for logging health data.
- Seamless Integration with Tier 2 and Tier 3 Services:
  The app complements face-to-face delivery by syncing practitioner guidance with in-app tools. For example:
  Session content is uploaded to the app, enabling families to revisit key learnings.
  Practitioners can monitor logged data (e.g., meals, activities) in real time to provide targeted support during sessions.
- Behavioural Nudges and Notifications
  Gamified features encourage engagement:
  "You’ve logged meals consistently for 5 days! Keep going!" Daily reminders to track mood, activity, or screen time.
  
  Personalised nudges to reinforce healthy habits:
  "Try this family-friendly recipe tonight based on your meal logs."
- Community Support
  Peer support groups within the app allow families to share experiences, success stories, and challenges.
  
  Parents can connect with other families managing similar challenges, such as picky eating or balancing screen time.
- Content Personalisation
  Resources are tailored based on assessments, session progress, and user input. For example:
  Families with dietary restrictions receive specialised meal plans and recipes.
  Children needing additional motivation are prompted with engaging activity challenges.
  MyLifePlan: Tailored Digital Programme
  Integrated into the Morelife app, MyLifePlan provides structured support aligned with the face-to-face programme.
- 12-Week Online Healthy Weight Programme
  Weekly modules that mirror in-session topics, such as: Nutrition basics, portion control, and meal planning.
  Managing emotional triggers and building positive routines. Engaging in family-oriented physical activities.
  Includes interactive quizzes, videos, and tasks to reinforce learning.
- On-Demand Resource Library
  Extensive content covering:
  Physical Activity: Home-based workout videos, step challenges, and movement games for children.
  Nutrition: Over 500 recipes, meal plans, and food substitution ideas. Behaviour Change: Tools for self-monitoring, habit tracking, and mindfulness exercises.
  Mental Well-Being: Stress management guides and techniques for improving self-esteem.
- Interactive Tools:
  Health Diary: Families log meals, activity, sleep, and mood, creating a holistic view of progress.
  Goal-Setting Feature: Customisable goals linked to rewards, fostering motivation and accountability.
  Progress Tracking: Dynamic visualisations, such as weight trends and activity streaks.
  How the Morelife App and MyLifePlan Complement Tier 2 & Tier 3 Services
- Pre-Programme Engagement:
  Families receive access to the app before their first session to log baseline behaviours and familiarise themselves with the tools.
  Practitioners use this data to personalise care plans during the initial assessment phase.
- During the Programme
  Session content uploaded to the app enables families to revisit materials, reducing information loss.
  Practitioners provide real-time feedback based on diary entries, ensuring interventions remain responsive.
  Families use the app to complete supplementary tasks, such as tracking eating habits or trying new activities.
- Post-Programme Maintenance
  Nudges and tailored content keep families engaged in their health journey. Families can use the app to access follow-up resources, connect with practitioners virtually, and continue logging behaviours.
  Advanced Features for Practitioners
- Data Insights
  Practitioners access aggregated data to identify trends and tailor interventions (e.g., identifying children who struggle with activity adherence).
- Integrated Reports
  The app generates reports summarising family progress, including activity levels, nutrition logs, and psychological well-being.
  Advanced Features for Practitioners
- Personalisation
  Tailored resources ensure families receive support that aligns with their unique needs, cultures, and preferences.
- Engagement
  Gamified features and interactive tools maintain high levels of participation.
- Scalability
  The app extends support beyond sessions, making services accessible for more families without increasing practitioner workload.
- Sustainability
  Families develop long-term habits through a combination of face-to-face guidance and ongoing digital support.
  
  Schools Healthy Lifestyle Programme
  Overview: Driving Health and Well-being Across Schools
  Morelife supports over 250 schools nationwide, delivering a flexible and engaging curriculum aligned with the Healthy Schools Rating Scheme (HSRS). By integrating evidence-based practices into classrooms, staff training, and family engagement, Morelife empowers schools to create sustainable, health-positive environments.
  
  Research into the efficacy of our programme, conducted across 130 schools showed significant reductions in BMI SDS scores of children who took part. 1*
  Key Features
- 6-Week In-Class Sessions
  Interactive and Practical: Sessions include hands-on activities such as: Food label reading and meal planning exercises.
  Fun, age-appropriate physical fitness routines to reduce sedentary behaviour.
  Mindfulness and resilience-building techniques to support emotional well-being.
  
  Evidence-Based Content: Lessons draw from proven behaviour change frameworks like Bandura’s Self-Efficacy Theory, ensuring content is both engaging and impactful.
  
  Outcome-Driven: Post-session evaluations measure changes in knowledge, attitudes, and behaviours.
- Whole School Approach
  Staff Training:
  Workshops for teachers and school staff to integrate health-positive practices into the classroom.
  Topics include promoting non-stigmatising language, identifying and addressing disordered eating, having the weight conversation and embedding active learning methods.
  
  Parent Workshops:
  Engages families in reinforcing healthy behaviours at home.
  Covers topics such as meal planning, reducing screen time, and fostering a supportive home environment.
  
  Environmental Integration and Audits:
  Supports schools in creating physical environments that promote health and well-being.
- Customisable Content
  Age-Appropriate Modules:
  Early Years: Fun activities to introduce the basics of healthy eating and active play.
  Primary: Modules focus on nutrition basics, portion control, and building confidence in physical activity.
  Secondary: Addresses challenges like stress eating, emotional resilience, and the importance of peer support.
  
  Targeted Health Issues:
  Modules designed for specific health challenges, such as reducing sugary drink consumption, increasing daily movement, or tackling social media’s impact on body image.
- Comprehensive Resources
  Digital Resources:
  An online portal for teachers and families to access lesson plans, instructional videos, and healthy lifestyle challenges.
  Gamified tools for students, such as health quizzes and movement trackers.
  
  Print Materials:
  Take-home guides for families covering meal planning, healthy snacks, and simple activity ideas.
  Posters and infographics for classrooms to reinforce messages visually.
  
  Enhancements for Impact
- Long-Term Support
  Quarterly follow-ups to assess programme impact and provide additional resources or guidance as needed.
  
  Access to digital resources for one year post-programme, allowing schools to continue promoting healthy behaviours.
- Community Collaboration
  Partnerships with local organisations - sports clubs, health centres, gyms
  ,community kitchens, etc. to provide additional opportunities for students and families to practice healthy habits.
- Evaluation & Feedback
  Pre- and post-programme surveys for students, staff, and parents to measure changes in knowledge, behaviour, and confidence.
  
  Regular reporting to schools, summarising outcomes and areas for further focus.
  Why This Approach Works
- Holistic Model
  The combined focus on students, staff, and parents creates a supportive ecosystem for behaviour change.
- Adaptability
  Tailored modules ensure relevance across different age groups, school environments, and health priorities.
- Sustainability
  Digital tools and long-term access to resources enable schools to continue promoting health long after the in-class sessions conclude.
  Testimonials:
  
  “A good way to physically engage children with important healthy eating and lifestyle content. It reinforces science and PHSCE learning.”
  - Year 2 Teacher
    
    “The children are talking about health and nutrition much more and looking at each other's snacks.”
  - Year 2 Teacher
Outcomes & Impact
Presented below, are recent outcomes from our current Child Weight Management contracts, showcasing the positive and transformative impact on the children and families we support.

- Medway (Tier 3) Year 1
85% of clients reported increased confidence and a 60% reduction in anxiety and depression symptoms.

75% increase in participation in sports and outdoor activities, with clients actively engaging in football, tennis, and daily walks.

70% of clients successfully achieved healthier BMI levels, with an average weight loss of 10% body weight over six months

Over 90% of clients attended at least 75% of their scheduled sessions, demonstrating high engagement and commitment.

Clients experienced an average of 24 contact points over six months, encompassing psychological support, dietary guidance, family sessions, and monthly follow-ups.

- Bedfordshire & Milton Keynes (Tier 2 and schools) Year 5 of delivery
100% of families told us the programme content was helpful and informative.

100% of participants told us they thought their Morelife Practitioner was Very Good or Excellent.

100% of participants said the 10-week programme was fun, engaging and sociable.

Supported 1067 children in healthy schools 6-week programmes. 320 of these children were above the healthy weight range.
- Suffolk (Tier 2.5) - Key Outcomes

Extensive Reach and Engagement
Supported over 62,500 residents in Suffolk with healthy lifestyle and behaviour change programmes since 2016.

Delivered tailored interventions addressing obesity and lifestyle changes for adults, children, and families.

Child Weight Management Success
Helped 70% of children participating in weight management programmes achieve or maintain a healthier BMI percentile over the course of 12 weeks.

90% of families reported improved confidence in managing mealtime behaviours and supporting their child’s health.

Enhanced family engagement, with 85% of parents/carers attending sessions alongside their child, fostering sustainable, whole-family change.

Learning Disabilities Support
Implemented a targeted programme for individuals with learning disabilities, achieving a 55% reduction in emotional eating behaviours and a 60% increase in daily physical activity among participants.

Over 80% of participants successfully completed the 12-week intervention, with significant improvements in self-confidence and well-being.

School-Based Interventions
Delivered healthy lifestyle education in over 300 schools, reaching thousands of children through interactive sessions on physical activity, nutrition, and well-being.

Increased participation in structured physical activity by 40% among primary school students through initiatives like active play and movement challenges.

National Recognition
Recognised as a leading provider of community-based healthy lifestyle programmes, with accolades for innovative delivery and positive client outcomes.
Cost

Activity

Tier 2 place per child

Tier 3 place per child

Tier 2 place per child

Tier 3 place per child

1 hour of in school training

6 week in class programmes

Assemblies

Delivery Type

Remote + MyLifePlan

Face-to-Face + MyLifePlan

Face-to-Face

Range £

220-275

600-750

350-425

1000-1250

340

Minimum participant number

200

As add-on only

We offer a range of pathways to support children in achieving and maintaining a healthy weight. Below is a summary of our pricing model, including programme details and participant volumes:

References:

1* Sanders GJ, Marwa WL, Wade B, Gately P. Efficacy of a county-wide schools weight management intervention. Perspect Public Health. 2022 Nov;142(6):319-

327. doi: 10.1177/17579139211006738. Epub 2021 May 15. PMID: 33998330; PMCID: PMC9720709.