Weight Management Services

Weight Management Services image
Five staff members from the Weight Management team stand side by side indoors against a plain background. Four individuals are wearing matching burgundy clinical uniforms with name badges, and one person at the far left is wearing a patterned dress.

Watch the video below for information on our Tier 3 weight management service:

About the service

The Tier 3 Weight Management Service provides specialist support for people living with obesity.

Our highly-trained Specialist Weight Management dietitians help patients make sustainable lifestyle changes whilst considering the health conditions associated with obesity.

If you wish to be considered for bariatric weight loss surgery you will need to be first seen in the Tier 3 weight management service.

We apologise that waiting times are currently around three years due to high levels of demand.

To support patients during this waiting period we have a variety of resources to support patients in managing their weight. These can be found in the patient resources and links section below.

Injectable Weight Loss Medications

The availability of these medicines within the NHS is determined through national guidance and local commissioning arrangements.

Medications for weight management (such as tirzepatide, semaglutide, or liraglutide) are not currently offered within the Worcestershire Specialist Weight Management Service.

Mounjaro (Tirzepatide)

This is not available through our specialist weight management service.

For information about the limited access to these drugs via your GP please check the website by clicking the link below:

Weight Management website.

Wegovy (Semaglutide)

Wegovy is only prescribable by hospitals. At this time we are unable to start patients on Wegovy.

Saxenda (Liraglutide)

In line with national prescribing guidance, we are unable to prescribe Saxenda for weight management.

Patient Initiated Follow-Up (PIFU)

If you have been seeing a dietitian and it has been agreed with you that you are “Patient Initiated Follow-Up” (PIFU) you must get in touch with the department, as outlined in your letter, to be re-instated. Your GP can’t do this for you.

If we don’t hear from you within the time agreed in your letter you will be discharged from our service.

Further information:

  • Who are we?

    Five staff members from the Weight Management team stand side by side indoors against a plain background. Four individuals are wearing matching burgundy clinical uniforms with name badges, and one person at the far left is wearing a patterned dress.

    We are a friendly, approachable, and experienced team who specialise in weight management. Our team is specially designed to fully support you with all aspects of weight loss.

    The service is made up of a team of male and female dietitians.

  • Where are we based?

    We deliver services in Worcestershire Royal Hospital, Redditch, Bromsgrove and Kidderminster.

    Most appointments are now virtual. It is really important to let us know if you have limited access or ability to use a smartphone or the internet. We can make other arrangements.

  • Frequently Asked Questions (FAQs)

    How is the Tier 3 service different from the diets I have tried before?

    We are a specialist service offering you support to achieve long-term, sustainable weight loss. We often find that people who access our service have tried many diets in the past which have not worked for them. Our role is not to tell you what to do but to guide you to make decisions that will suit you and your lifestyle and to help you understand what you need to do to manage your weight in the longer term.

    We take a behavioural approach to weight management to help you to

    • Explore current habits and factors that are impacting on your weight
    • Identify and start to make changes to your eating, activity and thinking.
    • See the links between mood and the food choices that you make.
    • Develop skills and confidence to manage your weight in the longer term.
    • Feel more in control.
    • Support you with any gaps in your knowledge about what to eat.

    Do I have to have bariatric surgery?

    Not all patients referred to the service are interested in having bariatric surgery.  We help you to develop your skills and confidence so that you can manage your weight in the longer term. These skills will benefit you regardless of whether you choose to have bariatric surgery or not.

    Why do I need to complete the Tier 3 program before I can have bariatric surgery?

    The program will support you to make the necessary lifestyle changes that will enable you to manage your weight in the long term. In this time, you will be working towards non-scales victories which will be different for everyone e.g. making time for yourself, being a bit more active, signing up to start something new, stopping smoking. Losing a bit of weight before surgery will help lower the risk of complications.

    What to expect on the Tier 3 program?

    All patients will initially have an individual video appointment with a dietitian for a brief assessment.  Those who are suitable for the service will have access to online resources whilst waiting to be allocated to a dietitian in your locality; this will include workshops.

    When allocated to a dietitian, you will be offered a place on the weight management group, one-to-one virtual appointments and/or face-to-face appointments.

    You need to be willing to engage with the service and commit to attending these appointments. 

    If I want to have surgery what happens after I have completed Tier 3?

    Once you have completed the Tier 3 program you will need to attend the 2 pre-surgery group sessions. These sessions provide you with information about the 2 bariatric surgery options in our Trust; gastric sleeve and gastric bypass. This group is now being run virtually and you can find out more about the Bariatric service here.

  • Worcestershire Weight Management Pathway - support available

    A range of services are available to support a healthier lifestyle, though the options may differ depending on your location.

    You can access the following directly:

    Healthy Worcestershire offers support to people looking to stay active, stay socially connected and improve their wellbeing. The Worcestershire Community Services Directory has a list of services and support offered by charities, community groups, businesses and other local organisations. More details on how to access services can be found on the Healthy Lifestyle Referrals | Worcestershire County Council webpage, including information around the Nutrition and Lifestyle virtual course.

    If more support is needed:

    If you need more support with managing your weight, the services below are available by contacting your local practice, where a healthcare professional can advise and refer you to the most appropriate service:

    The NHS Digital Weight Management Programme is designed to help adults (18+) living with obesity who have a body mass index (BMI) of over 30 (or 27.5 for people from black, Asian and other ethnic minority backgrounds) and who also have a diagnosis of diabetes, hypertension, or both. This 12-week online programme focuses on behavioural and lifestyle changes and can be accessed via a smartphone or computer with internet access.

    The NHS Diabetes Prevention Programme is a behaviour change programme that looks at the factors that are increasing a patient’s risk of Type 2 diabetes and developing a plan to make healthy lifestyle changes to lower the risk of Type 2 diabetes.

    The Type 2 Diabetes Pathway to Remission Programme, provided by Oviva, is a 12-month behaviour change programme that provides a low calorie, total diet replacement treatment for people who are living with type 2 diabetes and are overweight.

    The Slimming World Voucher Scheme, offered through Worcestershire Public Health, provides 12-weeks of group-based personalised weight management support, focusing on weight loss, healthy eating, and long-term behaviour change. More information can be found on the Healthy Lifestyle Referrals page under the 'weight management' tab.

    Mental health wellbeing support:

    We also recognise that some individuals may not qualify for weight loss medications, which may lead to disappointment or worsen existing mental health and wellbeing concerns.

    For many NHS talking therapies may provide valuable support, as well as local support through Herefordshire and Worcestershire Health and Care Trust.

  • Useful links
  • CORE-study invitation

    Clinical Observations and Research on Engagement in Specialist Weight Management Services

    Are you attending a specialist weight management service in England or Wales? You may be eligible to participate in an important study aimed at improving care in weight management clinics.

    This research, called the CORE Study, seeks to gather valuable clinical and patient-reported information through hospitals and a dedicated PeopleWith app. By participating, you can help healthcare professionals better understand these clinics and enhance the support provided to patients like you.

    How to Get Involved: 

    All the details, including the consent form, are available through the app. Simply follow the link below.

    https://core.peoplewith.com/?id=SFECORE09

    Logo for the society for endocrinology

  • Referral information

    Referrals to the Tier 3 weight management service can now only be made via E-referral by a GP using the weight management triage pathway. Referrals either by post or email are no longer accepted.

  • Referral criteria

    In order to be referred through to the Worcestershire Specialist Tier 3 Weight Management Team you need to fulfil the local Care Commissioners’ criteria.

    • Aged at least 18 years
    • Either have a BMI >40 Kg/m² with or without obesity-related co morbidities or a BMI >35 kg/m² with at least one of the following: diabetes, hypertension, sleep apnoea or intracranial hypertension.
  • Contact the team

    If you would like to contact the team please use the details below:

    Specialist Weight Management Dietitians
    Email: [email protected]
    Telephone: 01905 760742 (answer phone)

    The Tier 3 weight management dietitians work closely with the Bariatric Tier 4 Surgical team. For more information about the Bariatric Service, visit: https://www.worcsacute.nhs.uk/services/item/bariatric-surgery

    The Tier 3 and 4 dietitians are part of the Worcestershire Nutrition and Dietetic Department. For more information about the Nutrition and Dietetic Service, visit:  https://www.worcsacute.nhs.uk/dietetics