Specialist Weight Management Service
North East London
North East London
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.
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
The patient must meet one of the following:
35 kg/m² or above
OR
30 to 34.9 kg/m²
AND meets the criteria for referral to specialist overweight and obesity management services:
The underlying causes of overweight or obesity need to be assessed
The patient has complex disease states or needs that cannot be managed adequately in behavioural overweight and obesity management services, such as the extra support needs of people with learning disabilities
Less intensive management has been unsuccessful
Specialist interventions such as a very low calorie diet, surgery or certain medicines are being considered
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 one of the following:
Hypertension
Dyslipidaemia
Obstructive sleep apnoea
Cardiovascular disease.
Prior treatment
The patient agrees to a sustained programme of lifestyle interventions, including a reduced calorie diet and increased physical activity with advice and management.
Exclusion criteria
Under 18
Currently losing weight successfully with a dietetic or reputable evidence-based weight management intervention
Pregnant, planning pregnancy, or breastfeeding
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
Untreated or unstable major mental illness
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
Known hypersensitivity to semaglutide or tirzepatide or their excipients
Known severe hypersensitivity reactions such as anaphylaxis or angioedema to another GLP-1 receptor agonist, for example liraglutide, dulaglutide, exenatide or lixisenatide
Personal or family history of medullary thyroid carcinoma (MTC)
History of multiple endocrine neoplasia syndrome type 2 (MEN2)
Current, recent (within 6 months), chronic or recurrent pancreatitis
Decompensated liver cirrhosis
Eligibility criteria
Patients must meet all three of the following to be eligible:
BMI
The patient must meet one of the following:
35 kg/m² or above
OR
30 to 34.9 kg/m²
AND meets the criteria for referral to specialist overweight and obesity management services:
The underlying causes of overweight or obesity need to be assessed
The patient has complex disease states or needs that cannot be managed adequately in behavioural overweight and obesity management services, such as the extra support needs of people with learning disabilities
Less intensive management has been unsuccessful
Specialist interventions such as a very low calorie diet, surgery or certain medicines are being considered
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 one of the following:
Hypertension
Dyslipidaemia
Obstructive sleep apnoea
Cardiovascular disease.
Prior treatment
The patient agrees to a sustained programme of lifestyle interventions, including a reduced calorie diet and increased physical activity with advice and management.
Exclusion criteria
Under 18
Currently losing weight successfully with a dietetic or reputable evidence-based weight management intervention
Pregnant, planning pregnancy, or breastfeeding
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
Untreated or unstable major mental illness
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
Known hypersensitivity to semaglutide or tirzepatide or their excipients
Known severe hypersensitivity reactions such as anaphylaxis or angioedema to another GLP-1 receptor agonist, for example liraglutide, dulaglutide, exenatide or lixisenatide
Personal or family history of medullary thyroid carcinoma (MTC)
History of multiple endocrine neoplasia syndrome type 2 (MEN2)
Current, recent (within 6 months), chronic or recurrent pancreatitis
Decompensated liver cirrhosis
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
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.
For guidance on how to do this, see the SystmOne 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 SystmOne Setup and Referral Guide.
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.
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?
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.
Free webinar
Tue 22 Sept, 13:00
Obesity is now in QOF.
What it means for your practice
Dr Rachel Hall MRCGP, MRCP
Principal Doctor and Registered GP
Dr Becky Richards PhD Lead Psychologist and HCPC Registered Health Psychologist
Register your interest
Free webinar
Tue 22 Sept, 13:00
Obesity is now in QOF.
What it means for your practice
Dr Rachel Hall MRCGP, MRCP
Principal Doctor and Registered GP
Dr Becky Richards PhD Lead Psychologist and HCPC Registered Health Psychologist
Register your interest
Free webinar
Tue 22 Sept, 13:00
Obesity is now in QOF.
What it means for your practice
Dr Rachel Hall MRCGP, MRCP
Principal Doctor and Registered GP
Dr Becky Richards PhD Lead Psychologist and HCPC Registered Health Psychologist
Register your interest
Free webinar
Tue 22 Sept, 13:00
Obesity is now in QOF.
What it means for your practice
Dr Rachel Hall MRCGP, MRCP
Principal Doctor and Registered GP
Dr Becky Richards PhD Lead Psychologist and HCPC Registered Health Psychologist
Register your interest
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
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
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
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
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
Second Nature®
Scale Space, 58 Wood Lane, London, W12 7RZ
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
hello@secondnature.io
Second Nature®
Registration No: 08511152 registered in England and Wales © Second Nature Healthy Habits Ltd 2026