
Review service tiers
The NHS offers tiers of weight management.
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Tier 1: For everyone
Designed to promote healthy behaviours and prevention of obesity, delivered by local and regional public health teams.
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Tier 2: Lifestyle multicomponent weight management
These are the first step for people wanting to lose weight. Programmes include health behaviour change strategies, can be run virtually or in-person, and in groups. Commercial providers support delivery of programmes nationally.
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Tier 3: Specialist multi-disciplinary weight management
These include person-led priority setting to address mental and physical health, weight loss using a range of pharmacotherapy, diet and activity approaches, and clinical oversight for medications management.
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Tier 4: Bariatric specialist service
This pathway can lead to surgery for weight loss, specifically to support people with severe obesity and long-term health conditions. Services offer support to people with complex physical and mental health needs.