The tier 3 Change4Life weight management service is a specialist weight management service to support obese residence in Barnsley to achieve a healthier weight. Please carefully read the below criteria.
* You must be a Barnsley resident
* You must have a Barnsley Gp
* Please note that we do not accept self-referrals from patients. Referrals accepted from:
GPs, Nursing staff, Health visitors and school nurses, Midwives, AHP’s, consultants. Adult Tier 3 Weight Management for:
Adults >16 –
*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 then national referral criteria for bariatric surgery and age 18 and above:
*BMI> 30kg/m2 – only if the patient has Type 2 diabetes and they are requesting bariatric surgery to manage their weight loss
*BMI >35 with co-morbidities
*BMI >40 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 as this does not form part of the service specification. Paediatric Weight management:
*Between 4 – 15 year old
*BMI adjusted for height and gender above the 98th centile
*BMI adjusted for height and gender above the 91th 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 diagnoses of diabetes or an active eating disorder
Exclusion criteria:
Services not specifically stated as part of this specification are excluded from this schedule. 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 problems, on the learning disability register or physical illness beyond the expertise of Primary Care.
*Clients with severe active eating disorders.
