Tier 1 universal support
Brief advice, health promotion campaigns and self-help resources that reach the wider population, with a clear route into more structured support for those who need it.
Weight management people stick with
Weight management across Tiers 1 to 3 for adults, families and children, designed around each person’s life so more people complete programmes and keep the weight off.
Results that come from realistic change
You need programmes people finish, and outcomes you can report with confidence.
We take a weight-inclusive approach with no strict diets or exercise routines. Practical nutrition, physical activity matched to each person’s ability and techniques such as goal setting, self-monitoring and relapse prevention help people make changes that fit their lives. We also look at the psychological side of weight, and at the life circumstances that affect it.
In 2025, 97% of clients who completed five or more sessions lost weight. Across our weight management services, 78% of clients lose weight by 12 weeks, and 65% lose more than 3%.
Outcomes you can report on
97%
Lost weight
Of clients completing five or more sessions in 2025.
78%
Lost weight by 12 weeks
Across our weight management services, with 65% losing more than 3%.
Tiers1to 3
Every level of need
From brief advice and self-help to specialist support and bariatric preparation.
12months
Follow-up
Maintenance support and follow-up at six and 12 months, where commissioned.
Every level of need in one service
Support matched to each person, with clear routes between tiers.
Tier 2 community programmes
Twelve-week programmes in local venues or online, with weekly sessions on nutrition, activity and behaviour change, and one-to-one support where people need it.
Tier 3 specialist support
Dietitians, psychologists and physical activity specialists working as one team, including specialist weight management in Northern Lincolnshire and bariatric information sessions across Greater Manchester.
Children and families
Family programmes that help children and parents make changes together, including children’s weight management in Nottinghamshire.
Programmes people from every community want to join
The residents least likely to use weight management services often stand to gain the most, so we design programmes with them.
Depending on the area, that includes men-only and women-only groups, classes for older adults, and programmes for adults with learning disabilities, ethnic minority communities and pregnant women. Men already using our services helped us redesign the offer to attract more men.
In Oldham, we run Bengali-speaking family groups and Urdu-speaking women’s groups, with interpreters built into the programme.
How residents move through the programme
Step 1
One front door
Referrals from GPs, practice nurses and other services, or self-referral, checked against your local criteria.
Step 2
A My Story conversation
We understand each person’s history, barriers and goals, and agree the right level of support.
Step 3
A structured programme
Usually 12 weeks of weekly group or one-to-one sessions, in person, by phone or online, with a consistent coach.
Step 4
Step up or step down
People move to specialist support, NHS digital programmes or other services as their needs change, without starting again.
Step 5
Moving forward
A maintenance plan links people to local activities, with follow-up at six and 12 months where commissioned.
Joined up with your system, and easy to report on
We work with primary care, specialist obesity services and community partners so referrals flow smoothly and people move between tiers without a new assessment.
Weight, diet, activity, wellbeing and personal goals are recorded at baseline, at exit and at follow-up as part of every session, so reporting against your KPIs is accurate and on time.
Questions commissioners ask
Tiers 1 to 3, from universal brief advice and self-help to community programmes and specialist support, including family and children’s programmes and preparation for bariatric surgery. We shape the model around your specification.
Weight change at 3%, 5% and 10% thresholds, alongside diet, activity, wellbeing and personal goals, at baseline, exit and the follow-up points agreed with you.
Yes. Our multidisciplinary team oversees programmes in line with NICE guidance on overweight and obesity management.
Yes. Groups and one-to-one support run in person, by phone and online, so people can choose what fits.
Each person leaves with a maintenance plan and links to local activities. Where commissioned, we follow up at six and 12 months, and people can come back without repeating their assessment.
Let’s talk about your population
Tell us what your weight management pathway needs and we’ll show you how we’d deliver it.
