
Specialist Weight Management Service
Second Nature is now available to your patients via NHS Right to Choose. Find your local eligibility criteria, referral forms, and everything you need to get started.


Eligibility criteria
Add the eligibility criteria for this ICB, including who can be referred and any local inclusion or exclusion notes.
Add BMI eligibility details for this ICB.
Add comorbidity eligibility details for this ICB.
Add prior treatment eligibility details for this ICB.
Exclusion criteria
Two pathways, both consultant-led.
We assess each patient and personalise their care.
Our specialist team includes consultant physicians, specialist dietitians, health psychologists, pharmacists, nurses and exercise specialists.
Consultant-led MDT. GLP-1 prescribing (Wegovy) where clinically appropriate. Dietetic, psychological, and behavioural support for up to 24 months.
Consultant-led MDT. Dietetics, psychology, exercise support. Structured lifestyle programme for 12 months.
Refer to us
Add the referral steps for this ICB, including who should complete the referral and where the form should be sent.
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If you can't import files into your clinical system, download the .docx referral form and complete it as a Word document.
Use Ardens, DXS or another local form management system
Check there first; if we're not listed yet, ask your file management lead to add this form.
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