This information was last checked on 8-Aug-2023.

What is this service?

This is a tier 3, intensive 1-year weight management programme for people who are living with complex obesity. Group sessions take place every 2 weeks throughout the year.

The programme includes nutrition education and advice about:

• changing your eating behaviour
• mindful eating, helping you to be more aware of how you feel when you eat
• goal setting
• psychology
• exercise

Choice of 2 group programmes:

• Balance - aims for slow, steady weight loss over one year
• Fast - aims for greater weight loss within the first 3 months under medical supervision, then introduction of healthy eating with follow-ups over next 9 months

Criteria

• Patients must be registered with a GP in Lambeth, Lewisham or Southwark
• Aged 18 or over
• BMI above 30 (if patient is white) or 27.5 (all other ethnicities), and diagnosed with type 2 diabetes within the last 2 years
• BMI above 35 (white) or 32.5 (all other ethnicities), if patient has 2 or more co-morbidities
‣
Comorbidities
• BMI above 40 (white) or 37.5 (all other ethnicities), with no co-morbidities

Exclusions:

• Pregnant or planning pregnancy
• Previously failed to complete a tier 3 weight management programme
• Having cancer treatment, palliative or end-of-life care
• MI or stroke within last three months

How to refer

🖥️ eRS → Dietetics → Weight Management → SEL Tier 3 Healthy Weight Programme

Rejections, DNAs & other Quirks

• Referrals must include the following, or they will be rejected:
• Blood results (within the last 6 months) → full blood count, lipids, thyroid function test, renal function test, liver function test, HbA1c
• Blood pressure
• BMI
• Height

Contact info

☎️ 020 7188 2010

📧 gst-tr.tier3@nhs.net

🏡 Nutrition and Dietetics, 3rd floor, Block B, South Wing, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH