Tier 3 Weight Management Scheme

Barnsley’s tier 3 weight management service helps people to achieve a healthier weight and improve their overall wellbeing. The service utilises diet and lifestyle interventions such as improving the overall quality of a diet, increasing physical activity levels, and implementing behavioural strategies. In addition, the service has support from medical and psychological staff for those wishing to pursue pharmacological treatments, receive psychological input and/or bariatric surgery.

The service is delivered across multiple formats dependent upon which pathway you choose to follow. These formats include either being seen face-to-face within a clinic, receiving telephone consultations, or even accessing our online videos and virtual group sessions.

The service works closely with other supporting services including GP practices and specialist hospital teams.

Why a professional should choose the service

• The tier 3 weight management service provides a client-led, evidence-based service to help people achieve and maintain weight loss long term
• For suitable clients, the service can make onward referrals to the tier 4 service for bariatric surgery assessments
• Staff have received specialist training in nutrition and motivational interviewing to ensure a high-quality service is delivered
• The service has specialist medical support from adult and paediatric consultants based at Barnsley hospital
• The service works closely with the local tier 2 weight management service, GP practices and specialist secondary care teams

Support offered

The service delivers the following:

• Weight loss support for obese adults across the borough. This may include some/all of the following; conservative weight loss measures, the use of pharmacological interventions and assessments/preparation for patients wishing to have bariatric surgery
• Antenatal weight management input for obese ladies
• Children between the age of 4-15 years old with a BMI above the 98^thcentile
• Access to specialist multi-disciplinary team (MDT) clinics for adults and children

Outcomes

• Weight loss and maintenance
• Relapse prevention
• Self-management skills
• Improved physical health including long-term conditions
• Improved functional capacity
• Improved activity levels
• Positive behaviour changes

Accessing the service

• Tel: 01226 644364 option 1

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

Referral guidelines

Referrals also accepted from:

GPs, nursing staff, health visitors, school nurses, midwives, AHPs and consultants. Please note that we do not accept self-referrals from patients.

Referral forms can be sent via:

• SystmOne 
• Email to: tier3.admin@swyt.nhs.uk
• In writing to: 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 98^thcentile
• BMI adjusted for height and gender above the 91^st 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:  February 2025