Tier 2 Adult Weight Management Service
Definition/Description
- Individuals aged 18 years or over
- Hull Resident
- BMI 30 up to 39.9 (BMI 27.5 - Black African, African-Caribbean and Asian Origin)
- Motivated to engage in the service.
- The service aims to support clients to lose weight (target 5%) over an intensive 12-week programme of motivational support, nutritional education and exercise/ physical activity. The service will encourage continuation of the behaviour changes and follow up progress at 12 and 26weeks.
- Standard Tier 2 referral form completed and sent through to - chcp.healthyhull@nhs.net
- Self-referral accepted
Red Flag Symptoms
BP over >180/>100 will not be able to participate in a supervised exercise programme . Medical management until stable and below the upper limit to safely exercise.
No recent cardiac event – alternative support through cardiac rehabilitation.
Pregnancy – alternative referral support route via midwife.
Guidelines on Management
Patients can also be advised to self-refer to the tier 2 service by:
- telephone 01482 247111
- text ‘healthy’ 61825
- email: chcp.healthyhull@nhs.net
Referral Criteria/Information
Check eligibility criteria:
- Individuals aged 18 years or over
- Hull resident
- BMI 30 up to 39.9 (BMI 27.5 - Black African, African-Caribbean and Asian origin)
- Motivated to engage in the service.
Complete standard referral form containing all required fields.
- Consent from patient
- Demographics
- Height, Weight, BMI, Blood Pressure
- Medical conditions (current)
- Medication
Send Referral form to:
Referrals
Clinical referral form to be sent to chcp.healthyhull@nhs.net or Self referrals – telephone, text or web enquiry from the patient
DO NOT REFER
- If the patient is not ready to make change/ participate in the programme
- BMI under 30 or over 39.9
- Patient has an active substance/alcohol misuse or dependence
- Patient is pregnant
- Patient has unmanaged co-morbidities
- Patient has an eating disorder
- Patient has undergone bariatric surgery within the past 2 years.
Individuals in the following categories are ineligible for this service and should be referred on or signposted to alternative services.
- Hull residents aged 17 years and under – children/ family services
- People with an underlying medical cause for obesity who would benefit from more intensive clinical management than a tier 2 service (i.e. referral on to the Tier 3 Multi-Disciplinary Team), including those with BMI 35+ with comorbidities.
- People who have significant co-morbidity or complex needs, as identified by their GP or other healthcare professional - referral on to the Tier 3 Multi-Disciplinary Team
- Pregnant women -referred to Healthy Lifestyle Midwife
Associated Policies
Specialties
Places covered by
- Hull