The Tier 3 Weight Management Service is delivered across Norfolk and Waveney using a blended model which incorporates physical 1:1 appointments as well as the option for telephone and video consultation appointments run by our current partners and lead providers Oviva.

Face-to-Face clinics are provided across the Norfolk and Waveney area, offering a variety of locations where patients can attend for face to face appointments.

The service offers the opportunity for service users who meet the qualifying criteria to access a weight management programme tailored to their needs including reasonable adjustments and additional support where appropriate.

In the last year we have booked over 2700 appointments for our patients on this service.

The Tier 3 service aims to encourage long term behaviour change by offering a programme that promotes physical activity and reduces sedentary behaviour; promotes healthy eating and supports the psychological barriers to unhealthy relationships with food; supports and recognises the relationship between mental health and obesity and offers a system throughout the programme which will support the psychological needs of every patient.

The clinicians include a GP, an advanced nurse practitioner (ANP) and a dietitian. We are also working collaboratively with Broadly Active who run a range of activity-based group classes.

Patients may also need further onward referrals, including for Social Prescribing to tackle issues such as housing, cooking, income and benefits. We work closely with voluntary sector providers for this provision.

At the point of discharge from the service the patient will receive an offer for continued support to enable them to maintain the progress they have made during their engagement with the service. We follow-up once a year post discharge and re-engage with patients around their progress.