Referral to SWMS

The Specialist Weight Management Service (SWMS) will accept referrals from a healthcare professional for patients who meet the following inclusion criteria;

  • BMI 35-40/m2 with obesity related co-morbidities


  • BMI >40kg/m2


  • Aged 16 or over

Due to commissioning arrangements the Specialist Weight Management Service is unable to accept patients who meet any of the following criteria;

  • BMI <35kg/m2
  • BMI<40kg/m2 without obesity related co-morbidities
  • Paediatric patients (under 16yrs)
  • Patients who have received any weight loss surgery within the past two years
  • Patients who have received NHS funded weight loss surgery >two years ago will be offered an annual review appointment and are unable to access the full service
  • Patient who have previously been in service and have either; completed, left the pathway early or have disengaged from the service, who are seeking to re-enter will not be eligible within six months of discharge.


Due to the nature of the service we are also unable to accept patients who are receiving current therapy for, or have any of the following active conditions (within past 6 months);

  • Antisocial Personality Disorder
  • Attempted Suicide
  • Bipolar disorder
  • Borderline personality disorder
  • Bulimia Nervosa
  • Emotionally Unstable Personality Disorder
  • Mania
  • Psychosis
  • Schizophrenia
  • Substance misuse – including alcohol abuse and recreational drug use
  • We are unable to accept any patients with a diagnosis of Psychopathic Personality Disorder

Please note:

Patients seeking bariatric surgery (BMI≥40 or ≥35 with health conditions) must engage with a Tier 3 obesity service such as SWMS before gaining approval for surgery.