Referral Form - FOI Response Register

1.    Please provide me with a copy of any referral form used to refer patients to weight management programmes. 

Please see attached a copy of the current referral template for healthcare providers as well as a copy of referral criteria for tier 3 weight management referral for dietetics.

The link for self-referral for tier 2 with health improvement can be found here;

Healthy Shetland Self Referral Form (office.com)

If it is not possible to provide the full form, please provide the exact wording of any exclusion criteria i.e. any criteria/questions that would exclude someone from being referred to the programme, such as BMI, age or eating disorders.

It is worth noting that the attached is the previous and current criteria, however both teams are working closely to develop a more person centred approach to support where people can be referred or self refer to weight management services and any BMI outwith the healthy weight parameters. Exclusion criteria ongoing will include;

Pregnancy as weight management intervention is not appropriate during this time. Maternity services can support women with healthy lifestyle including healthy choices and light activity.

Young adults under 18 – support would be tailored appropriately to age groups as part of the child healthy weight support.

Active eating disorders where weight management support may be detrimental to the support required to manage their eating disorder.