Refer to the bariatric surgery service

Find out how to refer patients to our bariatric surgery service.

GP

Please use NHS e-Referrals to refer a patient to our bariatric surgery service.

How to find us on ERS

Speciality GI and Liver (Medicine and Surgery)
Clinic Type Upper GI incl Dyspepsia
Service Endocrinology|Tier3 Weight Management Programme TRIAGE| St Mary’s| Imperial NHS Trust |RYJ

Please note that all NHS patients must be referred by a GP. All new patients referred for obesity management are initially seen at one of our group seminars, which is run weekly.

Conditions Treated 

Obesity, Type 2 diabetes. NHS England requires that all individuals have attended and complied with a local Tier 3 WMP for a minimum of 6 months before referral to Tier 4 services for surgical assessment to ensure:

• All other non-surgical options have been exhausted; 
• the patient has demonstrated a commitment to lifestyle changes required for a successful outcome from surgery;
• patient is fit for surgery.

Any patient identified as clinically inappropriate for Tier 3 WMP i.e. the presence of serious uncontrolled disease, may be considered by the MDT for direct referral to our Tier 4 bariatric services for assessment and advice.

All patients referred for consideration for Tier 3 WMP must meet the NICE guidance for bariatric surgery:

• BMI of >35, in the presence of diabetes and/or other significant co-morbid conditions (high blood pressure, PCOS and infertility, OSA) that could be improved if the patient lost weight
• BMI >40 without the presence of diabetes and/or other significant co-morbid conditions

An expedited assessment for bariatric surgery will be offered to people with a BMI of 35 or over who have recent-onset type 2 diabetes as long as they are also receiving or will receive assessment in our Tier 3 service. 

An expedited assessment for bariatric surgery will be offered to people of Asian family origin with a BMI of 30–34.9 who have recent-onset type 2 diabetes as long as they are also receiving or will receive assessment in our tier 3 service. Patients with a BMI >50 may also be considered for expedited assessment.

Please read exclusion criteria before referring patient to WMP

Does the patient appear to eating difficulties to the degree of an eating disorder? If so, our service is unable to offer specialised treatment for eating disorders in-house. Please consider onwards referral to the patient’s local eating disorder service for assessment and potential treatment, prior to WMP referral.

Does the patient have active risk concerns that require assessment and/or risk stabilisation? If so, such concerns are likely to act as a barrier to your patient’s ability to engage in our weight management program. We are also unable to offer a crisis mental health service. Please consider onwards referral to the patient’s local mental health Single Point of Access (SPA) for assessment and risk stabilisation, prior to WMP referral.

Does the patient have severe and/or enduring mental health difficulties that are not assessed or managed (e.g. active and unmanaged psychosis symptoms)? If so, if so, such concerns are likely to act as a barrier to your patient’s ability to engage in our weight management program. Please consider onwards referral to the patient’s local mental health Single Point of Access (SPA) for assessment and possible treatment, prior to WMP referral.

Patients under the age of 16

GP advice

Phone: 0203 311 5000

For advice regarding non-surgical weight management, please contact Sahra Jama, Tier 3 bariatric co-ordinator on 020 3312 6561 or email IMPERIAL.TIER3.WEIGHT@NHS.NET.

For advice about referrals to our bariatrics service, please contact Debbie O’ Rourke, our Tier 4 bariatric coordinator, on 020 3312 6449 or email IMPERIAL.BARIATRICS@NHS.NET.