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
Your patient must meet one of the following
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.
50 kg/m² or above
40 kg/m² or above
Has engaged with community weight services over a 2-year period but failed to achieve or maintain weight loss goals
35 kg/m² or above
Has engaged with community weight services over a 2-year period but failed to achieve or maintain weight loss goals
Has one or more weight-related comorbidity from the list below
Qualifiying comorbidities
Established cardiovascular disease
Type 2 diabetes
Hypertension
Idiopathic intracranial hypertension
Obstructive sleep apnoea
Non-alcoholic steatohepatitis (NASH)
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 service 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
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.
