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
Includes patients who may not have tried weight loss services, where the GP feels they will benefit from Tier 3 input sooner.
35 kg/m²* or above
With one or more comorbidity.
One or more of: Obstructive sleep apnoea, severe asthma, cor pulmonale, obesity hypoventilation syndrome, or receive CPAP (Continuous Positive Airway Pressure), Ischaemic heart disease, heart failure, or a *QRISK score >20%, Type 2 diabetes mellitus, Subfertility, Oesophagitis, severe gastro-oesophageal reflux disease, or Barrett’s oesophagus.
Has tried Tier 2 weight loss services for at least 12 weeks and been assessed as requiring specialist services
The patient is awaiting bariatric surgery and has not already accessed a Tier 3 programme
*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).
The patient has actively and persistently engaged with weight management through a structured Tier 2 service or equivalent programme, unless their GP has confirmed that Tier 2 is not suitable or appropriate for them.
Exclusion criteria
Under the age of 18.
• Pregnant or breastfeeding.
• Active eating disorders
• Active or suspected eating disorders, including binge eating disorder.
• Have undergone bariatric surgery in the past 12 months
• Previously attended a Tier 3 weight management programme in the last 2 years from date of discharge.
• Referrals can be made once the following conditions are stable: Alcohol or drug use, Hypothyroidism, Cushing’s syndrome, Mental illness
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.
