{"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":"2024-11-15T12:30:42","modified_gmt":"2024-11-15T12:30:42","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><strong>Information Section<\/strong><\/p>\n\n\n\n<p>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><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>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><strong>Bariatric Surgery<\/strong><\/p>\n\n\n\n<p>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>The weight management service will then refer patients to the surgical service as appropriate.<\/p>\n\n\n\n<p>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><strong>Weight management for adults with a learning\/intellectual disability<\/strong><\/p>\n\n\n\n<p>We run a service specifically for patients who meet below referral criteria and also have a diagnosed learning\/intellectual disability. Learning disability being defined in the \u2018Keys to Life\u2019 (Scottish Government, 2013) as; a significant, lifelong condition that started before adulthood, which affected their development and which means they need help to understand information, learn skills and cope independently. In practical terms this means having an IQ assessed as being below 70.<\/p>\n\n\n\n<p><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><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><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><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\"><strong>Who not to refer <\/strong>:<\/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\/eatingdisordersadultscullencentre\/\" 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<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>H<\/strong><strong>ow to refer<\/strong>:<\/h4>\n\n\n\n<p>Referrals are accepted from all health care professionals via SCI-Gateway or email.<\/p>\n\n\n\n<p>The team also accept self-referrals.<\/p>\n\n\n\n<p><strong>SCI Gateway referrals<\/strong>:<\/p>\n\n\n\n<p>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>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>And emailing this back to <a href=\"mailto:weight.management@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">weight.management@nhs.scot<\/a><\/p>\n\n\n\n<p><strong>Contact details:<\/strong><\/p>\n\n\n\n<p>For general weight management, medication and Type 2 Diabetes remission enquiries contact <a href=\"mailto:weight.management@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">weight.management@nhs.scot<\/a><\/p>\n\n\n\n<p>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>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><\/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>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>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><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>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><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/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":{"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":29,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4513\/revisions"}],"predecessor-version":[{"id":21552,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4513\/revisions\/21552"}],"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}]}}