About the service
The tier 3 Change4Life weight management service is a specialist weight management service to support obese residence in Barnsley to achieve a healthier weight. This includes medical assessment of clients, treatments and lifestyle changes such as improved diet, increased physical activity, behavioural interventions, low and very low-calorie diets, pharmacological treatments, psychological support and the consideration of referral for bariatric surgery if clinically appropriate.
The aim of the service is to reduce health risks, improve co-morbidity and encourage a healthy and active lifestyle with an overall improvement in health and wellbeing.
We provide one-to-one community clinics across the borough and offer an out-of-hours clinic once a week. We provide an information session on bariatric surgery for patients interested in learning more about bariatric surgery as an option to lose weight.
We work alongside other supporting services including primary and secondary healthcare professionals and specialist services i.e. diabetes teams.
Why would someone choose the service?
Result from outpatient and public involvement survey, October 2019, showed the following:
- 100% of patient felt that e dietitian was knowledgeable about weight management and all felt that involved in their treatment plan to lose weight.
- 100% of clients felt the dietitian gave them a clear focus on the changes needed to lose weight.
- 73.9% was extremely likely and 26.09% was likely to recommend the service to family and friends.
- 100% felt their privacy and dignity were maintained at all times.
Staff you may meet
- Administrative staff provide essential support to doctors, nurses and other healthcare professionals. This can be in a variety of different settings, with administrators working as a receptionist in a clinic or a clerk on a ward. They may also be working closely with a consultant as a medical secretary.
- Dietitians use the science of food to help people to make good choices about food and lifestyle. Nutrition is an important part of recovery and wellbeing. All service users admitted to a Trust ward have their nutritional state assessed.
- There are more than 60 different specialities that doctors work within the NHS. Each is unique but there are many characteristics which are common. Roles range from working in a hospital to being based in the community as a GP.
- There are many people who work behind the scenes to keep services running and you may meet them in hospital or community settings. They include porters, cleaners, plumbers, electricians, decorators receptionists and secretaries who all work to make sure healthcare settings are kept clean, tidy and safe.
- Nurses who choose to specialise in the mental health branch of nursing work with GPs, psychiatrists, psychologists, and others, to help care for patients. Increasingly, care is given in the community, with mental health nurses visiting patients and their families at home, in residential centres, in prisons or in specialist clinics or units.
- Nursing or healthcare assistants work in hospital or community settings under the guidance of a qualified healthcare professional. They help doctors, nurses and therapists give people the care and treatment they need.
- The NHS employs a wide range of clinical staff, it wouldn’t be possible to list them all on this website! All our clinical staff are skilled, dedicated professionals who adhere to high standards of training and work-place practice.
- Receptionists are the first link for many patients and visitors. They often work on their own or with one or two other receptionists, greeting patients as they arrive and check them in. They might also collect patient notes and ensure that these vital records go to the right healthcare professional. In a clinic, they may make appointments and arrange patient transport.
- We have a range of specialist advisors working in our Trust – they give advice on a wide range of different things, depending on what service they work in. So it could be, for example, mental health, stopping smoking, healthy eating or diabetes.
- Telephonists (also known as switchboard operators) are employed throughout the health service. They may work on a busy switchboard in a hospital or the Trust headquarters. Like receptionists, they are an important first point of contact for patients and their families and are a vital link between a caller and the person who can help.
Why a professional should choose the service
- The Change4Life service provides a client-led, best practice-based service to help people achieve weight loss and maintain their weight loss long term.
- The service offer support in the bariatric surgery pathway which includes referrals onwards for bariatric surgery at the appropriate time.
- We ensure that staff are appropriately trained to deliver a high-quality service. This includes nutritional training, training in facilitating behaviour skills and motivational interviewing
- Staff are offered support from clinical professionals including specialist adult and paediatric consultants based at Barnsley hospital
- We work alongside other services including the Tier 2 weight management service called Be Well Barnsley, primary and secondary care healthcare professionals and specialist services i.e. diabetes teams
- We can deliver ad-hoc brief intervention training to health care professionals
The service delivers the following:
- Weight loss support for obese adults in the borough. This includes conservative weight loss, the use of pharmacological interventions and assessments and preparation doe patients wishing to have bariatric surgery.
- Ante-natal weight management for obese ladies.
- Children from the age of 4 years old with a BMI above the 98th centile
- Access to specialist MDT clinics for adults and children
- Weight loss
- Maintenance of weight loss
- Relapse prevention
- Self-management skills
- Improved physical health including long-term conditions
- Improved functional capacity
- Improved activity levels
- Positive behaviour changes
Referrals accepted from:
AHPs, Carers/family, CMHTs, Consultants, Drug/alcohol agencies, GP staff, GPs, Health visitors, Hospital staff, Housing associations, Local authority staff, Midwives, Other NHS services, Other Trust services, Patients(self-referral), Schools, Voluntary services, Youth centres
Referrals also accepted from:
GPs, Nursing staff, Health visitors and school nurses, Midwives, AHP’s, consultants. Please note that we do not accept self-referrals from patients. Refer via: SystemOne using the referral forms Email to Tier3.email@example.com In writing to the Tier 3 Change4Life service, 2nd Floor Oaks Building, Kendray, Doncaster Road, Barnsley, S70 3RD
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
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