Specialist Weight Management Service (SWMS)

1) Specialist Weight Management 

 Everybody who is referred to our service will be offered 3-4 hours of weight management input. This will consist of 2 x 2 hour sessions facilitated by our team of Nurses. Dietitians & Psychologists. We will cover elements such as: 

Nutritional mythbusting

Calorie awareness/nutritional density info

Food groups

Emotional eating, regular eating and mood

Transfer addiction

Understanding the function of food

Self-compassion

Dietary planning, preparation and adjustment 

Dietary and lifestyle modifications including exercise and smoking cessation

2) Medical based therapy for weight loss

To patients who meet current NHS prescribing criteria for GLP injectable therapy we may be able to provide Mounjaro for a period of up to 12 months 

These interventions will be delivered alongside specialist wraparound support in accordance with NICE guidance (pharma-therapy, psychological and dietetic support), 

This service is only open to patients registered with a GP in Calderdale or Huddersfield. 

What is Mounjaro?

“Tirzepatide, commonly known as Mounjaro, is a treatment approved by the NHS to help manage obesity and improve related health conditions. It is a weekly injection that mimics hormones in your gut to help you feel full for longer and manage blood sugar levels.

In trial conditions this medication and other similar medications have been shown to help people living with obesity lose on average 20% of their body weight. However, this is not the case for all patients and the medications are not always effective or appropriate for all patients.

 

Who is eligible for Mounjaro? 

The current eligibility criteria is set out below.  

A BMI of 40 or more. If you are from a South Asian, Chinese, Middle Eastern, Black African or African-Caribbean background, the BMI is 37.5 instead of 40.

PLUS

At least 4 of the following health conditions:
 

* Diagnosis of Type 2 Diabetes 

* Obstructive Sleep Apnoea - Established diagnosis of OSA (sleep clinic confirmation via sleep study) and treatment

indicated i.e. meets criteria for continuous positive airway pressure (CPAP) or equivalent

* Hypertension - Established diagnosis of hypertension on antihypertensive nedication

* Abnormal blood fats (high cholesterol levels)

* Cardiovascular Disease - such as ischaemic heart disease, cerebrovascular disease, peripheral vascular disease, heart failure.

 

 

3) Bariatric Surgery

Bariatric Surgey is also known as weight loss surgery and is one of the most effective methods to aid weight loss and maintain the loss. The principle of bariatric surgery is to reduce the size of your stomach and to  restricti the amount you can eat and drink. It can lead to significant weight loss and help improve many obesity-related conditions, such as type 2 diabetes, high blood pressure and high cholersterol.

Surgery should be considered as a last resort when all other available weight loss methods have failed.  It is neither a quick fix nor a certainty that you will lose weight. The success of surgery will depend on you making good dietary choices and increasing your physical activity, supported by the bariatric team.  

The NICE (National Institute for Clinical Excellence) Guidelines state that a person may be offered a referral for a comprehensive assessment by specialist weight management services if they have a BMI of 40 kg/m2 or more, or between 35 kg/m2 and 39.9 kg/m2 with a significant health condition that could be improved if they lost weight (e.g. high blood pressure, diabetes, sleep apnoea) and agree to the necessary long-term follow up after surgery (2023).  

We offer an effective follow up pathway for 2 years with our bariatric dietitians and nurse specialists to support you with your weight loss and maintain the weight loss.

• Phone: 01484 355217
• E mail: cah-tr.chftbariatric@nhs.net