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
40 kg/m²* or above
With one or more comorbidities.
One or more of: hypertension, cardiovascular disease, dyslipidaemia, type 2 diabetes mellitus or sleep apnoea
35 kg/m²* or above
With one weight-related co-morbidity (not restricted to qualifying co-morbidities)
With one or more comorbidities from the following options
Active malignancy and need for urgent weight loss for planned therapy e.g. radiotherapy or surgery
Urgent weight loss needed for organ transplant
Idiopathic intracranial hypertension (IIH), needing frequent lumbar punctures and/or visual compromise
Undergoing planned time-sensitive surgery for life-limiting conditions, where a high BMI is the main barrier to surgery
Under the care of NHS fertility service and weight loss is needed for assisted conception
Obesity hypoventilation syndrome (OHS)
*For people from South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean ethnic backgrounds, the qualifying BMIs are 2.5 kg/m² lower (e.g. 37.5 kg/m² instead of 40 kg/m²).
Exclusion criteria
• Under the age of 18 and over the age of 69.
• Pregnant or breastfeeding.
• Uncontrolled hypertension/heart condition/medical condition preventing increase in activity level.
• Active or suspected eating disorders, including binge eating disorder.
• Bariatric surgery in the past two years.
• Unstable or severe mental illness in the past 12 months. This may prevent engagement with the behaviour change programme.
• Unstable alcohol or drug use (can be referred if the patient has received support and been in recovery for 3 months).
• Unstable hypothyroidism (can be referred if stable).
• Unstable Cushing's syndrome (can be referred if stable).
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
Referrals can be submitted via NHS e-RS or directly by NHS mail. Follow the steps below for your area.
1
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
Need help identifying eligible patients in your practice?
Find potentially eligible patients faster
For EMIS users
Our search files are built around the specialist weight management criteria for your area, so your team doesn’t have to build the search from scratch. Import once using the EMIS step-by-step guide, then run it whenever you want an up to date list.
Download the EMIS search file
If you have a question about the referral process, contact
Matt Reid (Partnerships Associate) at matthew.reid@secondnature.io or call 07540235288.
