Specialist Weight Management Service

Kent and Medway

Kent and Medway

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.

Start referral process

  • NHS provider and partner for 9 years

  • NICE HTE14 recommended

  • CQC registered

  • 20+ peer-reviewed publications

  • 300,000+ Patients supported

  • NHS provider and partner for 9 years

  • NICE HTE14 recommended

  • CQC registered

  • Recommended by GPs

  • 300,000+ Patients supported

  • Clinically-proven treatment

  • NHS provider and partner for 9 years

  • NICE HTE14 recommended

  • CQC registered

  • 20+ peer-reviewed publications

  • 300,000+ Patients supported

  • Clinically-proven treatment

Eligibility criteria

Patients must meet all three of the following to be eligible:

BMI

40 kg/m² or above.
A tolerance of 2.5 kg/m² applies to each element of the criteria for at-risk groups with higher obesity prevalence, particularly people of Black African or Caribbean and South Asian origin.

Comorbidities

At least four of the following five: type 2 diabetes mellitus, high blood pressure (hypertension), heart disease (cardiovascular disease), obstructive sleep apnoea, or abnormal blood fats (dyslipidaemia).

Prior treatment

The patient must have completed Tier 1 and Tier 2 weight management interventions prior to referral.

Exclusion criteria

  • Under 18

  • Currently losing weight successfully with a dietetic or reputable evidence-based weight management intervention

  • Pregnant (patients who become pregnant during the programme can pause and return after the birth)

  • Previously referred and left the pathway early or disengaged, seeking re-referral within 12 months

  • Uncontrolled hypertension, heart condition, or medical condition preventing increased activity

  • Unstable or severe mental illness beyond the expertise of primary care

  • Active eating disorder

  • Suicide attempt within the last year

  • Self-harm in the past 3 months

  • Suicide plans in the past 3 months

  • Previous bariatric surgery

Eligibility criteria

Patients must meet all three of the following to be eligible:

BMI

40 kg/m² or above.
A tolerance of 2.5 kg/m² applies to each element of the criteria for at-risk groups with higher obesity prevalence, particularly people of Black African or Caribbean and South Asian origin.

Comorbidities

At least four of the following five: type 2 diabetes mellitus, high blood pressure (hypertension), heart disease (cardiovascular disease), obstructive sleep apnoea, or abnormal blood fats (dyslipidaemia).

Prior treatment

The patient must have completed Tier 1 and Tier 2 weight management interventions prior to referral.

Exclusion criteria

  • Under 18

  • Currently losing weight successfully with a dietetic or reputable evidence-based weight management intervention

  • Pregnant (patients who become pregnant during the programme can pause and return after the birth)

  • Previously referred and left the pathway early or disengaged, seeking re-referral within 12 months

  • Uncontrolled hypertension, heart condition, or medical condition preventing increased activity

  • Unstable or severe mental illness beyond the expertise of primary care

  • Active eating disorder

  • Suicide attempt within the last year

  • Self-harm in the past 3 months

  • Suicide plans in the past 3 months

  • Previous bariatric surgery

Our pathways

A specialist service built around your patient's needs

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.

Medication pathway

Medication pathway

Consultant-led MDT. GLP-1 prescribing (Wegovy) where clinically appropriate. Dietetic, psychological, and behavioural support for up to 24 months.

Behavioural pathway

Behavioural pathway

Consultant-led MDT. Dietetics, psychology, exercise support. Structured lifestyle programme for 12 months.

Refer to us

Referrals can be submitted via NHS e-RS or directly by NHS mail. Follow the steps below for your area.

1

Download and complete your referral form

Download and complete your referral form

Before referring, download the referral form and complete it in full.

Incomplete referrals cannot be processed.

Before referring, download the referral form and complete it in full. Incomplete referrals cannot be processed.

EMIS users
EMIS users

Import the auto-populating referral form template directly into your system. This pulls patient information from the record automatically, reducing manual entry. For guidance on how to do this, see the EMIS Setup and Referral Guide.

Import the auto-populating referral form template directly into your system. This pulls patient information from the record automatically, reducing manual entry. For guidance on how to do this, see the

EMIS Setup and Referral Guide.

EMIS Referral form

.ewdt

Second Nature T3 Weight Management Referral - Kent & Medway v1.0 (SN)

SystmOne users
SystmOne users

Import the auto-populating referral form template directly into your system. This pulls patient information from the record automatically, reducing manual entry.

Import the auto-populating referral form template directly into your system. This pulls patient information from the record automatically, reducing manual entry.

SystmOne Referral form

.xml

All other systems
If you can’t import files into your clinical management systems

If you can't import files into your clinical system, download the .docx referral form and complete it as a Word document.


Using 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.

Referral form

.docx

Second-Nature-T3WM-Referral-Form-Kent-and-Medway

2

Submit your referral form

Submit your referral form

Once the referral form is complete, submit it using one of the following methods.

Once the referral form is complete, submit it using one of the following methods.

NHS e-RS
NHS e-RS

Access e-RS directly or through your clinical system. Attach the completed referral form before submitting. Need a step-by-step walkthrough?

View our e-RS guidance

Access e-RS directly or through your clinical system. Attach the completed referral form before submitting. Need a step-by-step walkthrough? View our e-RS guidance

NHSmail
NHSmail

Send the completed referral form as an attachment to secondnature.referrals@nhs.net

Send the completed referral form as an attachment to secondnature.referrals@nhs.net

If you have a question about the referral process, contact

Matt Reid (Partnerships Associate) at matthew.reid@secondnature.io or call 07540235288.

If you have a question about the referral process, contact Matt Reid (Partnerships Associate) at matthew.reid@secondnature.io or call 07540235288.

Nine years delivering specialist weight management on the NHS

Nine years delivering specialist weight management on the NHS

We've supported over 300,000 patients, hold outcomes data for every ICB in England, and are backed by over twenty peer-reviewed publications. We don't just claim to deliver results. We can showcase years of exceptional outcomes for patients in your area.

Week 2

Building healthy habits

Week 2

Building healthy habits

Nine years delivering specialist weight management on the NHS

We've supported over 300,000 patients, hold outcomes data for every ICB in England, and are backed by over twenty peer-reviewed publications. We don't just claim to deliver results. We can showcase years of exceptional outcomes for patients in your area.

Week 2

Building healthy habits

Request your FREE welcome pack

We’ll post practical referral guidance and patient-ready materials straight to your practice.

Free UK delivery • Sent directly to your practice

Second Nature®

Scale Space, 58 Wood Lane, London, W12 7RZ

Email

hello@secondnature.io

Registration No: 08511152 registered in England and Wales © Second Nature Healthy Habits Ltd 2026

Scale Space, 58 Wood Lane, London, W12 7RZ

Email

hello@secondnature.io

Second Nature®

Registration No: 08511152 registered in England and Wales © Second Nature Healthy Habits Ltd 2026