Find NHS support near you

You can join Second Nature for free on the NHS if we offer a service in your local area and you meet the local or national NHS eligibility criteria.

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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

Why Second Nature?

Free on the NHS, no cost to you

Lose up to 18.1kg* of your body weight

Medication prescribed, managed, and delivered to your home each month where suitable

Expert clinical support from a dedicated team for up to 2 years

Guided movement and activity sessions every two weeks to help you stay active

*(Richards et al., JMIR Formative 2025)

Dr Rachel Hall

Clinical Lead

Hi Sarah! How can I help you today? 🙋

Grace Preston

Nutritionist, Dietitian, RD, ANutr

Robbie Puddick

Nutritionist (RNutr)

Nine years delivering NHS weight management services

Second Nature delivers multiple weight management programmes for the NHS, including the National Diabetes Prevention Programme and tier 3 weight management services for individuals living with complex obesity.

Week 2

Building healthy habits

Week 2

Building healthy habits

Nine years delivering NHS weight management services

Week 2

Building healthy habits

STEP 1

Are you eligible for NHS-funded weight-loss support?

Find out which NHS programmes you might qualify for in 2 minutes. We'll also tell you what to do if you're not currently eligible.

Meet our multi-disciplinary team

Our team of doctors, psychologists, and dietitians guide your journey

Dr Rachel Hall

Clinical Lead

Dr Piya Sen Gupta

Consultant in Diabetes and Endocrinology

Dr Becky Richards

Lead Psychologist

Rosie Carr, RD

Lead Dietitian & Exercise Specialist

Grace Wallace, RD

Safeguarding Lead

Rosie Carr, RD

Lead Dietitian & Exercise Specialist

Dr Piya Sen Gupta

Consultant in Diabetes and Endocrinology

Dr Rachel Hall

Clinical Lead

Dr Becky Richards

Lead Psychologist

Dr Becky Richards

Lead Psychologist

Grace Wallace, RD

Safeguarding Lead

Grace Wallace, RD

Safeguarding Lead

What patients say

Harriet M.
It has been an incredibly supportive intervention, I have learnt so much from Joel and am so grateful. I have started to use the tools in my day to day life and they have made such a positive difference to how I manage my emotional eating, leading to a far more sustainable approach to weight management. I am so happy and far more relaxed and confident.
Nadia K.
I feel like I have more freedom. I am more confident. I have learned new skills that I can use to support my weight loss. The course is very non judgemental which I find really encouraging. I have tried many different diets over the years and this time I feel very different. I know I'm going to succeed. It's not a quick fix solution but it is a lifelong toolbox that I can dip in and out of whenever I need it. Not a diet at all. It's a change of mental attitude from a position of strength not weakness.
Henry P.
I've really enjoyed it, I think the DBT element is so important and wish everyone who was receiving medication could also get this support to address the psychological reasons behind their weight.
Maya S.
The first 12 weeks have been excellent. So very informative and insightful. Eimear has been fantastic, so supportive and knowledgeable. Explains everything so well and checks for understanding. I’ve had so many positive changes, energy levels better, bending and moving much better and very successful in weight loss too. There hasn’t really been any challenges that I’ve come across that I wasn’t able to resolve from the learnings of the course.
Eleanor R.
I'm learning to cope with my feelings better so as not to turn to food and I can now see how weight loss is so much more than food.

Harriet M.
It has been an incredibly supportive intervention, I have learnt so much from Joel and am so grateful. I have started to use the tools in my day to day life and they have made such a positive difference to how I manage my emotional eating, leading to a far more sustainable approach to weight management. I am so happy and far more relaxed and confident.
Nadia K.
I feel like I have more freedom. I am more confident. I have learned new skills that I can use to support my weight loss. The course is very non judgemental which I find really encouraging. I have tried many different diets over the years and this time I feel very different. I know I'm going to succeed. It's not a quick fix solution but it is a lifelong toolbox that I can dip in and out of whenever I need it. Not a diet at all. It's a change of mental attitude from a position of strength not weakness.
Henry P.
I've really enjoyed it, I think the DBT element is so important and wish everyone who was receiving medication could also get this support to address the psychological reasons behind their weight.
Maya S.
The first 12 weeks have been excellent. So very informative and insightful. Eimear has been fantastic, so supportive and knowledgeable. Explains everything so well and checks for understanding. I’ve had so many positive changes, energy levels better, bending and moving much better and very successful in weight loss too. There hasn’t really been any challenges that I’ve come across that I wasn’t able to resolve from the learnings of the course.
Eleanor R.
I'm learning to cope with my feelings better so as not to turn to food and I can now see how weight loss is so much more than food.

Harriet M.
It has been an incredibly supportive intervention, I have learnt so much from Joel and am so grateful. I have started to use the tools in my day to day life and they have made such a positive difference to how I manage my emotional eating, leading to a far more sustainable approach to weight management. I am so happy and far more relaxed and confident.
Nadia K.
I feel like I have more freedom. I am more confident. I have learned new skills that I can use to support my weight loss. The course is very non judgemental which I find really encouraging. I have tried many different diets over the years and this time I feel very different. I know I'm going to succeed. It's not a quick fix solution but it is a lifelong toolbox that I can dip in and out of whenever I need it. Not a diet at all. It's a change of mental attitude from a position of strength not weakness.
Henry P.
I've really enjoyed it, I think the DBT element is so important and wish everyone who was receiving medication could also get this support to address the psychological reasons behind their weight.
Maya S.
The first 12 weeks have been excellent. So very informative and insightful. Eimear has been fantastic, so supportive and knowledgeable. Explains everything so well and checks for understanding. I’ve had so many positive changes, energy levels better, bending and moving much better and very successful in weight loss too. There hasn’t really been any challenges that I’ve come across that I wasn’t able to resolve from the learnings of the course.
Eleanor R.
I'm learning to cope with my feelings better so as not to turn to food and I can now see how weight loss is so much more than food.

Names have been changed to protect patient confidentiality

Over 8 years of published outcomes

Published outcomes,
not claims

Over twenty peer-reviewed publications across BMJ Open DRC, JMIR Diabetes, and JMIR Formative. Our results are independently evaluated and openly available.

Frequently asked questions

Who is eligible for this service?

What does this service include?

What medication is available?

What do we (the GPs) need to do?

How long is the waiting list for The Second Nature Specialist Weight Management Service?

Why has my patients referral been rejected?

What are the clinical outcomes like?

What happens at the end of the service?

Second Nature®

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

hello@secondnature.io

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

hello@secondnature.io

Second Nature®

Find NHS support near you