{"id":4513,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/weightmanagementserviceadult\/"},"modified":"2026-07-06T15:01:41","modified_gmt":"2026-07-06T14:01:41","slug":"weightmanagementserviceadult","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/dietetics\/weightmanagementserviceadult\/","title":{"rendered":"Weight Management Service Adult"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\" style=\"text-decoration:underline\"><strong>Anti-Obesity Medications<\/strong><\/h4>\n\n\n\n<h4 class=\"wp-block-heading has-alert-red-color has-text-color has-link-color wp-elements-64b8ab98b9dc60d2b382778c04e6420f\"><strong>Unfortunately, we cannot accept referrals at this current time for the above medications.&nbsp;Please find the latest update on our website. We will update ref help once referrals are open.&nbsp;&nbsp;<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Information Section<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We provide a specialist service which supports people in Lothian to lead a healthy lifestyle, manage their weight and improve their health. We also offer tailored support for those living with or at risk of Type 2 Diabetes \u2013 see refhelp pages listed below for further information<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Please refer patients to the service via the referral routes below <\/strong>where our team of health care professionals will triage accordingly to what is best suited to the patients\u2019 needs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To find out more about the range of programmes we currently offer and other healthy lifestyle resources, please visit our website <a href=\"https:\/\/services.nhslothian.scot\/awmt2d\/\" target=\"_blank\" rel=\"noreferrer noopener\">Adult Weight Management and Type 2 Diabetes Prevention Service \u2013 NHS Lothian | Our Services<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bariatric Surgery<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There is no direct referral into the bariatric surgical service.&nbsp;All patients who wish to be considered for bariatric surgery are required to successfully complete the Tier 3 weight management programme. Please state their interest in bariatric surgery at the time of referral if this is the case.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The weight management service will then refer patients to the surgical service as appropriate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If a patient has had bariatric surgery privately or abroad, please refer to the following guidance <a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/bariatric\/Pages\/PrivateAndOverseas.aspx\"><\/a><a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/bariatric\/Pages\/PrivateAndOverseas.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Non NHS Patients (scot.nhs.uk)<\/a> or contact the bariatric team on <a href=\"mailto:bariatric.service@nhslothian.scot.nhs.uk\" target=\"_blank\" rel=\"noreferrer noopener\">bariatric.service@nhslothian.scot.nhs.uk<\/a> or 0131 242 1615.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>If you are looking for information regarding our other service pathways, please find links to these RefHelp pages or website information, below: <\/strong><strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Type 2 Diabetes Remission through Counterweight Plus<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/diabetes\/diabetes-remission\/#:~:text=The%20international%20criteria%20for%20remission,%27diabetes%20in%20remission%20%27%20C10p.\" target=\"_blank\" rel=\"noreferrer noopener\">Diabetes Remission \u2013 RefHelp (nhslothian.scot)<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Type 2 Diabetes Prevention (<\/strong><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/prediabetes\/\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/prediabetes\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pre-Diabetes<\/a><strong>) <\/strong><\/li>\n\n\n\n<li><strong>Type 2 Diabetes Newly Diagnosed (<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/desmond\/\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/desmond\/\" target=\"_blank\" rel=\"noreferrer noopener\">DESMOND<\/a>)&nbsp; <\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. R.M &amp; S.W 08-08-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Patients that meet the following criteria:<\/strong><strong><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Over 18 years old<\/li>\n\n\n\n<li>BMI of 25 kg\/m<sup>2&nbsp; <\/sup>or above or<\/li>\n\n\n\n<li>BMI of 23 kg\/m<sup>2 <\/sup>or above (ethnic minorities)<\/li>\n\n\n\n<li>Patients who are motivated and ready to make lifestyle changes<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer :<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients who have a diagnosis of current eating disorder or potential binge eating disorder. Please see the Cullen Centre Refhelp page <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/eating-disorders-adult\/\" target=\"_blank\" rel=\"noreferrer noopener\">Eating Disorders (Adults) and Cullen Centre \u2013 RefHelp (nhslothian.scot)<\/a> for further details.<\/li>\n\n\n\n<li>Patients with uncontrolled hypothyroidism<\/li>\n\n\n\n<li>Patients suffering from psychosis or severe and unstable personality disorder<\/li>\n\n\n\n<li>Patients suffering from alcohol or drug dependency<\/li>\n\n\n\n<li>Patients who are pregnant (If BMI over 40kg\/m2 can be referred by midwives to Metabolic Antenatal Clinic)<\/li>\n\n\n\n<li>Patients with a learning\/intellectual disability who are not able to make independent food choices.<br>Carers supporting these patients can access training at the following links:<br>Carers Training Video: <a href=\"https:\/\/vimeo.com\/showcase\/11788149?share=copy\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/vimeo.com\/showcase\/11788149?share=copy<\/a><br>Carers Training Workbooklet: <a href=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2025\/07\/Supporting-people-with-a-learning-disability-to-make-healthy-lifestyle-changes.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2025\/07\/Supporting-people-with-a-learning-disability-to-make-healthy-lifestyle-changes.pdf<\/a><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>H<\/strong>ow to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Referrals are accepted from all health care professionals via SCI-Gateway or email.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The team also accept self-referrals.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>SCI Gateway referrals<\/strong>:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">AHP \u2013 Dietetics \u2013 Weight Management \u2013 LI Type II Diabetes Remission (Sci-gateway pathway currently being amended but use this drop down at present)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alternatively, health care professionals or patients can self-refer by completing this form <a href=\"https:\/\/services.nhslothian.scot\/awmt2d\/wp-content\/uploads\/sites\/24\/2023\/07\/AdultWeightManagementService-Referral-Form.docx\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/services.nhslothian.scot\/awmt2d\/wp-content\/uploads\/sites\/24\/2023\/07\/AdultWeightManagementService-Referral-Form.docx<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And emailing this back to <a href=\"mailto:loth.weightmanagement@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">loth.weightmanagement@nhs.scot<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Contact details:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For general weight management, medication and Type 2 Diabetes remission enquiries contact <a href=\"mailto:loth.weightmanagement@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">loth.weightmanagement@nhs.scot<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">for Lets Prevent Diabetes (LPD) enquires please contact : <a href=\"mailto:loth.lpd@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">loth.lpd@nhs.scot<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">for DESMOND enquires please contact : <a href=\"mailto:loth.desmond@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">loth.desmond@nhs.scot<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\">Weight Management Service and Type 2 Diabetes Prevention service website:  <a href=\"https:\/\/services.nhslothian.scot\/awmt2d\/\" target=\"_blank\" rel=\"noreferrer noopener\">Adult Weight Management and Type 2 Diabetes Prevention Service \u2013 NHS Lothian | Our Services<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Links to The Association of UK Dietitions patient information leaflets containing information on dietary advice for various medical problems &#8211; <a href=\"https:\/\/www.bda.uk.com\/food-health\/food-facts.html\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.bda.uk.com\/food-health\/food-facts.html<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nhsinform.scot\/healthy-living\/12-week-weight-management-programme\" data-type=\"page\" data-id=\"4513\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Inform 12 week online Weight Management Programme<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NHS Better Health patient information to aid weight loss and encourage healthy eating &#8211; <a href=\"https:\/\/www.nhs.uk\/better-health\/lose-weight\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.nhs.uk\/better-health\/lose-weight<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Anti-Obesity Medications Unfortunately, we cannot accept referrals at this current time for the above medications.&nbsp;Please find the latest update on our website. We will update ref help once referrals are open.&nbsp;&nbsp; Information Section We provide a specialist service which supports people in Lothian to lead a healthy lifestyle, manage their weight and improve their health.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3861,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[686],"class_list":["post-4513","page","type-page","status-publish","hentry","category-weightmanagement-weightmanagement"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/weightmanagement\/weightmanagement-weightmanagement\/\" rel=\"tag\">Weight Management Service (Adult)<\/a>","rttpg_excerpt":"Anti-Obesity Medications Unfortunately, we cannot accept referrals at this current time for the above medications.&nbsp;Please find the latest update on our website. We will update ref help once referrals are open.&nbsp;&nbsp; Information Section We provide a specialist service which supports people in Lothian to lead a healthy lifestyle, manage their weight and improve their health.","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4513","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4513"}],"version-history":[{"count":32,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4513\/revisions"}],"predecessor-version":[{"id":29254,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4513\/revisions\/29254"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3861"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4513"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4513"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}