Commissioning guide: weight assessment and management clinics (tier 3)

Royal College of Surgeons - RCS
British Obesity and Metabolic Surgery Society;Royal College of Surgeons of England (RCS)
Publication date:
04 April 2017


This document describes the infrastructure needed to set up or commission Weight Assessment and Management Clinics (referred to as Tier 3 Clinics) in the NHS in England. This includes which staff are needed in the clinics – for instance specialist nurses and dietitians – to give the best advice to patients. As the treatment of these patients is often very complex a wide range of professionals, including medical and surgical doctors, nurses, psychologists and anaesthetists can also be involved. The document is sponsored by and represents the views of 22 professional organisations including 9 medical royal colleges that are directly concerned with patient care. It describes in detail which patients might benefit from being referred for assessment for surgery (bariatric surgery) if they want to think about this option. There is also a section on how to set up specialist children’s and adolescent Weight Assessment and Management Clinics.