Specialist Weight Management Service

South Yorkshire

South Yorkshire

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.

Start referral process

  • 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

Your patient must meet one of the following

Route 1

BMI 50 kg/m² or above

An adjustment of 2.5 kg/m² applies to people from South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean backgrounds, including people of mixed race with one of these backgrounds.


Route 2

Meets the NHS England tirzepatide cohort

As set out in the NHS England interim commissioning guidance on NICE TA1026 and the funding variation for tirzepatide.


Route 3

On weight loss medical therapies

  • Despite maximum tolerated doses, has ongoing weight-related complications

  • Would benefit from evaluation for an alternative weight loss intervention


Route 4

Any BMI, transitioning from CEW services

Transition of care for young people from Complications of Excess Weight services.

Additional requirements

  • Aged 18 or over and registered with a South Yorkshire ICB general practice

  • Understands the requirements and demonstrates a commitment to actively participating

  • Can engage fully with the requirements

  • Has engaged in a supported attempt to modify diet and exercise levels within 24 months of referral, through one or more of:

    • A locally commissioned Tier 2 weight management service

    • An equivalent NHS nationally commissioned Tier 2 service

    • A commercial weight loss service

    • Primary care or local authority health coaching

    • Dietetic or practice nursing support

    • The 12-week free NHS Weight Loss Plan app

Exclusion criteria

  • Under 18

  • Does not satisfy the prerequisite and referral criteria

  • Pregnant or breastfeeding

  • Uncontrolled hypertension, heart conditions, or any medical condition preventing increased activity

  • Severe, unstable mental health conditions beyond primary care expertise, active eating disorders including binge eating disorder, suicide attempts within the past year, or mental health concerns preventing engagement

  • Less than two years post bariatric surgery

  • Unstable alcohol or drug use (can refer once support has been received and recovery maintained for at least 3 months)

  • Unstable hypothyroidism or Cushing's syndrome, which must be stabilised before referral

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

EMIS Setup and Referral Guide.

EMIS Referral form

.ewdt

Second Nature T3 Weight Management Referral - South Yorkshire v1.0

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.

Import the auto-populating referral form template directly into your system. This pulls patient information from the record automatically, reducing manual entry.

SystmOne Referral form

.xml

Second-Nature-T3WM-Referral-Form-South-Yorkshire

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.

Referral form

.docx

Second-Nature-T3WM-Referral-Form-South-Yorkshire V2

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?

View our e-RS guidance

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.

If you have a question about the referral process, contact Matt Reid (Partnerships Associate) at matthew.reid@secondnature.io or call 07540235288.

Nine years delivering specialist weight management on the NHS

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

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

Request your FREE welcome pack

We’ll post practical referral guidance and patient-ready materials straight to your practice.

Free UK delivery • Sent directly to your practice

Second Nature®

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

Email

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

Email

hello@secondnature.io

Second Nature®

Registration No: 08511152 registered in England and Wales © Second Nature Healthy Habits Ltd 2026