Tier 3:

Services available are:

• A medical programme with nutritional guidance, dietary counselling, and regular specialist support. This programme typically lasts between 12-24 months, depending on BMI, compliance and the clinical commissioning group criteria for the local area.

• When the programme has been successfully completed, the patient will either be referred back to their GP or local healthcare provider for continued support or can be considered for referral to Tier 4 if they wish to pursue assessment for bariatric surgery and meet the commissioning criteria at that time.

Tier 4:

Services available are:

• Bariatric surgery offered if Tier 3 programme is unsuccessful.