GGC - Primary Care
- The service is for patients 18 years and over.
- Patients referred but deemed unsuitable will be referred back to the referrer with an explanation.
- Patients must not have attended GCWMS within the last 3 months.
- Patients with a BMI ≥40 do not need comorbidities to be referred.
- Patients with South Asian/Chinese/Middle Eastern ethnicity have a lower BMI threshold and can be referred with a BMI of ≥27.5 rather than ≥30 or with a BMI of ≥22.5 rather than ≥25 with one or more comorbidities and at high risk of developing type 2 diabetes.
- Referrers have continued responsibility to monitor conditions such as Type 1 / Type 2 Diabetes.
- The service may request the referrer to prescribe if appropriate.
- Patients must not have attended a commercial weight loss organisation in the previous 3 months.
- The service is not suitable for the following patients suffering from the following:
- Uncontrolled hypothyroidism
- Untreated Cushing’s syndrome
- Unstable major psychiatric illness
- Ongoing alcohol or drug abuse
NHS GGC Weight Management Referral Guidance
Warning
| BMI | + one or more of the following co-morbidity |
| ≥25 (22.5)* | Impaired fasting glucose / Impaired glucose tolerance / High risk of Type 2 Diabetes. Type 2 Diabetes (confirmed diagnosis) Previous Gestational Diabetes diagnosis |
| ≥30 (27.5)* |
Type 1 Diabetes (confirmed diagnosis) Existing Cardiovascular Disease (CVD) Mobility issues Weight loss required pre surgery Dyslipidaemia high TG >3.0 mmol/l |
| ≥ 30 (27.5)* | Confirmed diagnosis of: Sleep Apnoea Non- Alcoholic Fatty Liver Disease (NAFLD) Severe Psoraisis Renal Chronic Kidney Disease ( CKD) Stage 4, Stage 5, +/- Dialysis Chronic Obstructive Pulmonary Disease (COPD) Polycystic ovary syndrome (PCOS) |
| ≥ 30 (27.5)* | Attending secondary care clinic for: Hypertension Severe Asthma |
| ≥ 40 | No comorbidity required |
Please note that the above table may need to be scrolled horizontally or vertically in order to view all information, depending on your device.
* Patients with South Asian/Chinese/Middle Eastern ethnicity have a lower BMI threshold
| BMI | + one or more of the following co-morbidity |
| ≥25 (22.5)* | Type 2 Diabetes (confirmed diagnosis) |
| ≥30 (27.5)* | Type 1 Diabetes (confirmed diagnosis) Heart disease Stroke |
Please note that the above table may need to be scrolled horizontally or vertically in order to view all information, depending on your device.
* Patients with South Asian/Chinese/Middle Eastern ethnicity have a lower BMI threshold
| Community Weight Management Service | Specialist Weight Management Service | ||
| BMI | Co-morbidity | BMI | Co-morbidity |
| ≥25 (22.5)* | -Impaired Fasting Glucose -Impaired Glucose Tolerance -High risk of developing Type 2 Diabetes (WHO criteria 42-47mmol/mol) - Previous Gestational Diabetes diagnosis - Type 2 Diabetes (confirmed diagnosis) |
≥30 (≥27.5*) | - Confirmed Diagnosis of: Renal CKD4, CKD 5 + /- Dialysis - NAFLD with fibrosis and / or cirrhosis |
| ≥30 (>27.5*) | - Type 1 Diabetes (confirmed diagnosis) - Existing CVD - NAFLD (no Fibrosis and no Cirrhosis) -Psoriasis -Dyslipidaemia (high TG >3.0mmol/l) - Mobility Issues - Polycystic ovary syndrome (PCOS) or COPD - Weight loss required prior to surgery - Sleep Apnoea - Attending secondary care clinic for Hypertension/ Severe Asthma |
BMI ≥45 | - Type 1 Diabetes (confirmed diagnosis) - Type 2 Diabetes (confirmed diagnosis) - Existing CVD - NAFLD (no Fibrosis and no Cirrhosis) - Psoriasis - Dyslipidaemia (high TG ≥3.0mmol/l) - Mobility Issues - Polycystic ovary syndrome (PCOS) or COPD - Weight loss required prior to surgery - Sleep Apnoea - Attending secondary care clinic for Hypertension/ Severe Asthma |
| ≥40 (up to a maximum weight of 240kg) |
No comorbidity required | BMI ≥35 - ≤60 | Potential bariatric surgery patients - Type 2 diabetes (confirmed diagnosis) AND - age ≥ 18 - < 55 years old AND - diagnosed < 10 years - Sleep Apnoea (confirmed diagnosis) - age ≥ 18 - < 45 years old |
| >240kg or BMI ≥60 |
No comorbidity required | ||
Please note that the above table may need to be scrolled horizontally or vertically in order to view all information, depending on your device.
* Patients with South Asian/Chinese/Middle Eastern required ethnicity have a lower BMI threshold
Patients with a history of bariatric surgery
Individuals meeting the referral criteria and with a history of bariatric surgery will in the first instance be triaged to the Specialist Weight Management Service (SWMS) for an initial assessment prior to triage.
Community Weight Management Service (in partnership with Weight Watchers and Slimming World)
- Patients will be given sixteen weeks free in person or virtual membership to WW (new Weight Watchers) or Slimming World
- Membership to WW or Slimming World provides access to a timetable of in person or virtual workshops delivered online
- A range of support is provided through the WW or Slimming World smartphone app
- Patients will follow a programme combining healthy eating, physical activity and behaviour change techniques
- Patients who successfully engage (attend 10 out of 12 weeks) and lose 5% of their body weight will be considered for a further sixteen week block.
Specialist Weight Management Service
- Following an initial assessment, individuals will participate in a lifestyle intervention programme delivered in a virtual group setting
- The service will help
- change eating behaviours and improve physical activity levels
- set realistic weight loss goals to improve health and give tools needed to maintain weight loss over time
- Medication and surgery will be considered as appropriate
- Additional input from specialist physiotherapy and clinical psychology will be offered where required
Self management resources
Eat well feel great lose weight
- All referrals are received through a NHSGGC Weight Management Referral Management Hub and individuals are triaged to either the Specialist or Community service depending on complexity
- Individuals triaged to Community service will be offered WW or Slimming World and the individual’s destination will be based on clinical guidelines, comorbidities, medical history, demographic information and personal needs
- When referring a patient ensure the patient has the GGC Weight Management Service leaflet so that they understand what the service offers and can make an informed decision about whether they would like to opt in to the service. For translated versions, please see Patient information leaflets below.
- The Weight Management leaflet contains the opt in telephone number: 0141 211 3379 (available Mon-Fri, 8:00am - 4:00pm)
- General enquires about the service should be made to by phone to: 0141 211 3379 or by email to: WeightManagement.HealthRecords@ggc.scot.nhs.uk
- Further information is available from: Weight Management Service web page
Weight Management Service information leaflet
Weight Management Service information leaflet – other language versions
Do you want to lose weight [Arabic]
Do you want to lose weight [Cantonese]
Do you want to lose weight [Farsi]
Do you want to lose weight [Kurdish]
Do you want to lose weight [Mandarin]
Do you want to lose weight [Polish]
Do you want to lose weight [Punjabi]
Do you want to lose weight [Romanian]
Do you want to lose weight [Urdu]
To order leaflets, please contact Public Health Resource Directory