Published evidence
Birmingham and Alder Hey have published evaluations specifically involving Evira, while other services have published outcomes from their wider CEW pathways.
From regional hubs to local spokes, Evira supports different models of specialist childhood obesity care across England — extending monitoring, communication and personalised support beyond individual clinic appointments.
NHS CEW services featured
Hubs + spokes
NHS England regions
Active CEW sites in England
NHS England · current CEW network ↗
One platform · different pathways
Specialist CEW services differ in geography, patient population, clinical model and local priorities. The cases below show how digital support can sit around very different NHS pathways.
Birmingham and Alder Hey have published evaluations specifically involving Evira, while other services have published outcomes from their wider CEW pathways.
Nottingham documents how specialist care has evolved as demand increased and capacity became more constrained.
Lancashire, Newcastle and Plymouth show how specialist support can extend through regional spokes, home visits, community care and remote interactions.
Manchester and Southampton demonstrate why specialist obesity treatment needs to address psychological, social and clinical needs alongside weight.
Customer stories
Specialist CEW services across England, each running care its own way.
A West Midlands CEW hub with a published service evaluation of Evira and practical implementation experience.
A South West specialist hub, with peer-reviewed research documenting the complexity of the population served across Bristol and Alder Hey.
A research-led regional service already designed around a mix of specialist appointments and remote follow-up.
A specialist CEW service reporting a clinically significant mean BMI-SDS reduction across a complex, diverse cohort.
Published service redesign across a regional CEW hub where demand continues to outstrip capacity.
Published Manchester research on mental health, stigma and mobility shapes a whole-person specialist pathway.
A CEW spoke at Royal Preston bringing specialist care closer to families, with implementation publicly reported.
A regional CEW service delivered across hospital, home, community, school and online, over 12 to 18 months of family-focused care.
A home-first specialist pathway: every child starts with an assessment at home, with support continuing by video, telephone, online, at school and in community settings.
A person-centred hub with published service research and an unusually strong youth-work component.
Customer network
Specialist services across England where Evira sits alongside the CEW pathway.
Services use Evira differently. Outcomes published by a service describe that service. Patient data is not shared between Trusts — each organisation is the controller for its own patients.
Across the NHS
NHS England's Complications from Excess Weight programme provides specialist multidisciplinary care for children and young people living with severe obesity and related health complications. Today, 36 active CEW sites operate across England.
active CEW sites in England, listed by NHS England
NHS Trusts working with Evira, from our own records
first use of Evira in routine clinical practice
countries where Evira is used in clinical practice
Evidence base
We can walk through how other services have set this up, what it asked of their teams, and what a proportionate first step would look like for you.