Tier 3 Weight Management - Information for Patients
Here you will find all the information you will need if you have been referred to our service. It will also help those who would like to know more about how our service works.
You can be referred to our service if:
- You have a BMI of over 50.
- You have a BMI of 35-49, with other health problems.
You can find out your BMI by using the NHS BMI calculator.
You cannot self-refer to our service. You can be referred by:
- Your GP.
- A practice nurse.
- Any consultant doctors you see in the hospital.
- A clinical pharmacist.
To get the most out of our service you must be ready to change and engage with us. There are two different parts to our new service plan.
Our new programme starts with groups and online support
We have joined forces with services that offer support and education so that you can learn the latest weight loss information and guidance.
Anyone opting in will be invited to a 12-week group education and support programme (online or face to face) for the first time or as a refresher to:
- Learn healthy habits
- Get emotional and lifestyle support
- Make changes that improve your health
- Plan your next steps
If you live in Derby City: this will be Livewell Derby.
If you live in Derbyshire: this will be Live Life Better Derbyshire.
If you have diabetes, you will also have the option to complete the NHS Weight Managment Programme.
Clinical reviews for individuals
For those with a high BMI and who require additional support a second stage of input will be available when you have attended and completed the group programme. You may receive up to three appointments with members of our clinical team or our weight management advisers and will also have access to further information and support to match your health needs over 3 months.
For Tier 2 Weight Management Services, please visit:
- Live Life Better Derbyshire (for people in Derbyshire).
- LiveWell (for people in Derby City).
Tier 2 Weight Management Services are for people with a BMI of 25 or above. You can self-refer to Tier 2 Weight Management.
If you have been referred to us:
- We will review the information sent to us & make sure that you have completed the foundation skills via the group education sessions.
- Once eligible we will arrange for you to speak with a weight advisor to get started on some ideas to help you structure your eating and exercise habits.
- You may have additional appointments with a psychologist, dietician or medical doctor if we think that this would be helpful and especially if you are hoping to be considered for bariatric surgery.
- We offer phone, web based (Microsoft Teams) or face to face appointments.
Our main 2 clinics are in Derby and Chesterfield. We do also try to offer clinics in the following locations, but these may not always be available:
| Clinic | Address |
|---|---|
| Alfreton Primary Care Centre | Alfreton Primary Care Centre, Church Street, Alfreton, Derbyshire DE55 7AH |
| Babington Hospital | Babington Hospital, Derby Road, Belper, Derbyshire. DE56 1WH |
| Chapel Clinic | Chapel-en-le-Frith Health Centre, Thornbrook Road, Chapel-en-le-Frith, High Peak, SJ23 0RG |
| Clay Cross Hospital | Clay Cross Hospital, Market Street, Clay Cross, Chesterfield. S45 9NZ |
| Ilkeston Community Hospital | Ilkeston Community Hospital, Heanor Road, Ilkeston, DE7 8LN |
| Long Eaton Health Centre | Long Eaton Health Centre, Midland Street, Long Eaton, NG10 1RY |
| Staveley Clinic | Staveley Clinic, Lime Avenue, Staveley, Chesterfield, Derbyshire, S43 3JJ |
| Swadlincote Health Centre | Swadlincote Health Centre, Civic Way, Swadlincote, DE11 0AE |
| Walton Hospital / Lea Hurst | Walton Hospital, Whitecotes Lane, Chesterfield, S40 3HW |
| Welbeck Road Surgery | Welbeck Road Surgery, 1B Welbeck Rd, Bolsover, Chesterfield S44 6DF |
| Coleman Health Centre | Coleman St, Derby DE24 8NH |
If you are thinking about weight loss surgery in the future, you will need to still complete the 12 weeks education aspect of our programme to prepare you with what dietary changes you will need to ideally maintain pre and post-surgery. You will be assessed by a specialist dietician and a doctor as well as one of the psychologists, to ensure that you are in a good place to consider surgery. Surgery can be a big thing, so we want to make sure you are mentally and physically prepared.
Weight loss surgery is only successful in the long term when you build in good habits in your eating and exercise habits.
Once all members of the team agree, you may then be referred on to a tier 4 surgical service.
For more information on weight loss surgery please follow this link:
You can read some general information about weight loss surgery on the NHS website by following this link - https://www.nhs.uk/conditions/weight-loss-surgery/
Our colleagues at University Hospitals Derby have some excellent information on their website too: Bariatric surgery (weight loss) | University Hospitals of Derby and Burton NHS
You can find get lots of information about losing weight and keeping healthy here: NHS Better Health.
If Tier 3 Weight Management isn’t right for you, you might be interested in the free Tier 2 Weight Management services.
In Derbyshire the Tier 2 Service is called Live Life Better Derbyshire. You can find out more here: Losing weight - Live Life Better Derbyshire.
In Derby City the Tier 2 Service is called Live Well. You can find out more here: Lose Weight | Livewell (livewellderby.co.uk).
If you also have Type 2 Diabetes, you can ask your GP to refer you to our Diabetes Education programmes. You can find out more information about Diabetes Education here.
If you need support with your mental health, you can self-refer to free talking therapy services. In Derbyshire and Derby City these are:
Trent PTS - Telephone: 01332 265 659.
Vita Minds - Telephone: 0333 0153 496.
Insight Healthcare - Telephone: 0300 555 5582.
Talking Mental Health Derbyshire - Telephone: 0300 123 0542.
Other websites that might be helpful to support you:
Derbyshire Mental Health Helpline and Support Services - Mental health helpline and support.
Derbyshire Recovery Partnership - support for people experiencing alcohol or drug related issues.
Cost of Living Support- lots of information and advice, to help make sure that you're getting all the help that you are entitled to.