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Barnsley tier 3 weight management service
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About the service
Barnsley’s tier 3 weight management service helps people to achieve a healthier weight and improve their overall wellbeing. The service utilises diet and lifestyle interventions such as improving the overall quality of a diet, increasing physical activity levels, and implementing behavioural strategies. In addition, the service has support from medical and psychological staff for those wishing to pursue pharmacological treatments, receive psychological input and/or bariatric surgery.
The service is delivered across multiple formats dependent upon which pathway you choose to follow. These formats include either being seen face-to-face within a clinic, receiving telephone consultations, or even accessing our online videos and virtual group sessions.
The service works closely with other supporting services including GP practices and specialist hospital 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.
- Adult psychotherapists work with people to assess and treat a range of emotional, social or mental health issues. They help people tackle problems such as behavioural issues, common challenges such as anxiety and depression or more complex or severe issues, such as psychosis or a personality disorder diagnosis.
- 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.
Useful links
Why a professional should choose the service
- The tier 3 weight management service provides a client-led, evidence-based service to help people achieve and maintain weight loss long term
- For suitable clients, the service can make onward referrals to the tier 4 service for bariatric surgery assessments
- Staff have received specialist training in nutrition and motivational interviewing to ensure a high-quality service is delivered
- The service has specialist medical support from adult and paediatric consultants based at Barnsley hospital
- The service works closely with the local tier 2 weight management service, GP practices and specialist secondary care teams
Support offered
The service delivers the following:
- Weight loss support for obese adults across the borough. This may include some/all of the following; conservative weight loss measures, the use of pharmacological interventions and assessments/preparation for patients wishing to have bariatric surgery
- Antenatal weight management input for obese ladies
- Children between the age of 4-15 years old with a BMI above the 98thcentile
- Access to specialist multi-disciplinary team (MDT) clinics for adults and children
Outcomes
- Weight loss and maintenance
- Relapse prevention
- Self-management skills
- Improved physical health including long-term conditions
- Improved functional capacity
- Improved activity levels
- Positive behaviour changes
Referrals also accepted from:
GPs, nursing staff, health visitors, school nurses, midwives, AHPs and consultants. Please note that we do not accept self-referrals from patients. Referral forms can be sent via: • SystmOne • Email to: tier3.admin@swyt.nhs.uk • In writing to: The Tier 3 Weight Management Service, 2nd Floor, Oaks Building, Kendray, Doncaster Road, Barnsley, S70 3RD
Referral criteria:
Adults:
- ≥16yrs
- 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 the national referral criteria for bariatric surgery and age 18 and above:
- BMI >30kg/m2 with type 2 diabetes requesting bariatric surgery
- BMI >40kg/m2 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 e.g. housebound, as this does not form part of the service specification.
Paediatrics:
- Between 4 – 15yrs
- BMI adjusted for height and gender above the 98thcentile
- BMI adjusted for height and gender above the 91st 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 diagnosis of diabetes or an active eating disorder
Exclusion criteria:
Services not specifically stated as part of this specification are excluded. 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 health problems
- Physical illness beyond the expertise of primary care
- Clients with severe active eating disorders