Tier 2 Weight Management Services - North Somerset (DRAFT)

Overview

Tier 2 weight management services available for North Somerset residents, and how to access them, are outlined below.

Slimming World

Free 12 weeks access via GP referral 

Eligibility:

• Aged 16 years or more and resident in North Somerset AND
• Has not attended a slimming club in the 12 months prior to referral (self-funded or referred by health professional)
• Is ready to lose weight
• BMI equal to or greater than 30 or BMI equal to or greater than 28 with comorbidity, or from Black Caribbean, Black African and Asian ethnic group OR
• BMI > 91th centile on gender appropriate centile BMI charts, if aged 16-17. Those aged 16-17 will need to be accompanied by an adult when they attend.

Exclusions:

• Diagnosed eating disorder
• Significant unmanaged co-morbidity / underlying medical cause for obesity which requires more intensive support
• Person is pregnant
• Person has severe/moderate frailty as recorded on a frailty register
• Person has had bariatric surgery in the last two years

Note: there is no upper BMI limit for the service as per Weight management: lifestyles services for overweight or obese adults’ NICE guidance

Referral

GP should print/email the North Somerset Slimming World Referral Letter (also available as an EMIS template) and give to the patient.

Patient should then call or use the link / QR code provided to complete the online registration. Once they have registered, Slimming World will double check their eligibility and book them on to their preferred group for the first 12 weeks, free of charge.

Healthy Lifestyles Advisors

This is a free service available those who are over 18, living in North Somerset or registered with a North Somerset GP practice.
The service provides tailored advice to help achieve health goals (weight loss, get active, eat well, liver health) including 1:1 and group support over a duration of 12 weeks.

Please see Better Health North Somerset for additional information, including how patients can self-refer and a practitioner referral form.

The team can also be contacted by email on healthylifestyles@n-somerset.gov.uk or telephone 01934 427661.

H.E.N (Health, Exercise, Nutrition in Pregnancy)

Postnatal HEN is a free healthy lifestyles course for mums who have given birth in the last year.  The course offers weekly support for up to 12 weeks, to help mums feel better about themselves.

The course is designed as a rolling programme so that mums can join at any time and it is expected that participants attend at least 9 sessions within 12 weeks.

Eligibility:

• Must live in North Somerset or be registered with a North Somerset GP practice
• Have a baby aged 0-12 months old.

To find out more email: healthylifestyles@n-somerset.gov.uk or call 01934 426349.

Healthy You (previously called Choose 2 Lose)

12 weeks of free behaviour change support to improve healthy habits, focussed on healthy eating and exercise. Each session is interactive, lasts 90 minutes and covers different topics each week e.g. portion sizes, healthy food swaps, setting goals, taking part in physical activity, local support and signposting.  At each session participants will have the opportunity to take part in 45 minutes of physical activity which will vary each week.

This programme is currently available at:

• Hutton Moor Leisure Centre, Weston-Super-Mare
• Scotch Horn Leisure Centre, Nailsea

Eligibility criteria:

• Adults aged 18 years and above, living in North Somerset (or registered with a North Somerset GP practice)
• BMI ≥28 (adjusted to ≥25 in people of Black African, African-Caribbean and Asian origin and those living with comorbidities).

Better Health North SomersetTo get the most out of the course it is expected that participants attend at least 9 sessions (to include week 6 and week 12), those attending at least 9 of the 12 sessions will be eligible for two months free Legacy Leisure gym membership worth £88.

The service will focus on reaching higher risk groups, including adults living in areas of deprivation, BME groups, those with a disability and/or long-term health conditions.

Exclusion criteria
• An individual who does not meet the eligibility criteria as defined above
• Severe/moderate frailty as recoded on a frailty register
• Has a diagnosed eating disorder
• Has a significant unmanaged co-morbidity e.g. chronic obstructive pulmonary disease (unmanaged meaning not on medication and/or not subject to regular clinical review or have not completed a current active management programme such as diabetes management or cardiac rehabilitation)
• Has had bariatric surgery in the last two years

Referral:

Self refer via Healthy You | Better Health North Somerset

or contact Legacy Leisure:

Email: kylie.taylor@legacyleisure.org.uk

Call: 01934 425900 (ask for Kylie Taylor)

Additional local resources

The Lose Weight webpage lists all of the weight management support available in North Somerset

Also see the Better Health North Somerset page

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.