Tier 3 Weight Management Scheme

The service provides specialist dietetic input for patients with obesity requiring weight loss intervention.  Clinics take place at locations across Barnsley.  The service is delivered either by face to face clinic, groups and online groups.  Telephone support and weight check appointments are also offered.                   

Services Provided:

  • Clinics – telephone, face to face, online including groups and one to one appointments – these are provided by Dietitians and Dietetic Assistants, where appropriate
  • Referral to Tier 4 services where appropriate
  • MDT clinic with support from medical consultant
  • The service provides weight loss intervention to adults, children and those requiring antenatal support.

Accessing the service

Base:  The tier 3 weight management service, 2nd Floor Oaks Building, Kendray Hospital, Doncaster Road,
Barnsley, S70 3RD

Who should be referred

Referral criteria:

Adults:

  • 16yrs
  • BMI >35kg/m2 with 2 or more co-morbidities i.e. Type 2 diabetes, Hypertension etc
  • BMI > 40 kg/m2 without co-morbidities
  • Client meeting the national referral criteria for bariatric surgery and age 18 and above:
  • BMI >30kg/m2 with type 2 diabetes requesting bariatric surgery
  • BMI >40kg/m2 without co-morbidities
  • No specific uncontrolled metabolic or psychological reason for obesity
  • Specialist antenatal weight management (For pregnant women with a BMI over 30kg/m2)

Please note that domiciliary visits can only be done in extenuating circumstances e.g. housebound, as this does not form part of the service specification.

Paediatrics:

  • Between 4 – 15yrs
  • BMI adjusted for height and gender above the 98thcentile
  • BMI adjusted for height and gender above the 91st centile with significant comorbidities and complex needs for example learning disabilities and or other additional support needed for instance safeguarding issued directly related to obesity
  • Does not have a diagnosis of diabetes or an active eating disorder

Exclusion criteria:
Services not specifically stated as part of this specification are excluded. Any services provided outside the terms of the agreement shall have the CCG’s specific consent in advance.

Excluded are:

  • Clients who do not satisfy the referral criteria
  • Clients with unstable or severe mental health problems
  • Physical illness beyond the expertise of primary care
  • Clients with severe active eating disorders

Updated:  April 2025

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