Reviewed on : 25 Jun 2020

Reviewed by : Neha Shah

Expires : 25 Jun 2022

Specialist Weight Management Clinic (new patients)

The Consultant overseeing the Weight Management Service at UHCW is Dr Tom Barber Consultant Endocrinologist

Referral criteria Tier 3 (Medical Weight Management)

• BMI >40kg/m²
• BMI 35 kg/m² to 40 kg/m² with related co-morbidities such as Diabetes, Hypertension or Obstructive Sleep Apnoea
• Motivated patient willing to be referred to the Specialist Weight Management Clinic.

Pre-referral requirements

• Height and weight and calculated BMI in kg/m²
• A full list of medications including insulin doses
• HbA1c/fasting Glucose/ U&E’s /Lipid Profile /TFTs/ LFTs within last 2 months

Bariatric Surgery Services

The Consultant Surgeons overseeing the Bariatric Service at UHCW are Mr Vinod Menon and Mr FT Lam

Referral criteria  Tier 4 (Bariatric Surgery)

• Attendance at Tier 3 service for a minimum of one year and will be a set a weight loss target during these pathways. After MDT discussion patients will then enter the surgical pathway
• Attendance at a surgical options information session prior to seeing the surgeon. They will attend various other group sessions and will continue to receive input from the team whilst awaiting bariatric surgery

Please see link for the UHCW leaflet about various bariatric operations.

For contact information please click here or see below

Contact Details

Medical appointments: Jodi Higham (Medical Secretary) Tel: 02476 965970

Dietetic appointments: Dawn Williams (Dietetic administrator) Tel: 02476966155

Bariatric queries: Lisa Attenborrow (Bariatric Co-ordinator) Tel: 02476 966994

Bariatric Service Referral (previous bariatric surgery only)

This new service is a Referral Assessment Service and is called: Bariatric Service – RAS – General Surgery – UHCW – RKB Clinic Type ‘Upper GI inc Dyspepsia’

This service for patients with previous bariatric, weight loss or metabolic surgery is run by Jenny Abraham – Advanced Clinical Practitioner for Bariatric Surgery

Inclusion criteria

Patients who have had previous bariatric surgery (post-procedure) such as gastric band (in-situ or removed), gastric bypass or sleeve gastrectomy.

Commonly these patients may be experiencing, reflux, anaemia, malnutrition, difficulty swallowing, pain, vomiting, weight regain

Patients upon assessment will then put on a pathway that will take them to:

• Nurse led clinic
• Mr Menon Clinic
• Mr Lam Clinic
• ‘Band’ Clinic

Exclusions

Patients awaiting specialist weight management review or  assessment
Patient with no history of previous weight loss / bariatric surgery
Cancer patients awaiting gastrectomy or gastric bypass surgery

Pre-referral Investigations

Bloods: FBC,U&Es,LFT,HbA1c,B12 & Folate