1-year programme in south east London (tier 3)

Healthy weight programmes

Our south east London weight management programme is an intensive 1-year course.

This is known as a tier 3 weight management programme. It is for people who are living with complex obesity and are registered with a GP in Bexley, Bromley, Lambeth, Lewisham or Southwark.

The programme includes nutrition education and advice about:

  • changing your eating behaviour
  • mindful eating, helping you to be more aware of how you feel when you eat
  • goal setting
  • psychology
  • physical activity

There is a choice of 2 group programmes:

  • balance
  • KickStart (total meal replacement)

The balance programme encourages you to make steady and realistic changes to your diet and lifestyle to support healthy weight loss.

The KickStart programme features a total meal replacement for the first 3 months. You take in 800 calories a day for 3 months. After 3 months food is reintroduced during a 6-week period. For the remainder of the 1-year programme, we encourage you to make steady and realistic changes to your diet and lifestyle, to support healthy weight loss.

How to access the programme

We take referrals from GPs in south east London. Contact your GP to find out if they can refer you.

Your appointments

The group sessions take place:

  • online
  • face-to-face

You can choose which sessions you'd like to attend.

Changing or cancelling your appointment

Phone: 020 7188 2010, option 1

Please call us as soon as possible to change or cancel your appointment.

During your appointment

Group sessions take place every 2 weeks for the first 6 months of the programme. You have a follow-up sessions after 9 and 12 months. You can choose weekday or evening groups.

Both balance and KickStart programmes include:

  • support from our team of nutritionists and dietitians
  • physical activity led by a specialist, adapted for different fitness and mobility levels
  • support from a psychologist
  • use of our app ‘HealthHub’, for online support between group sessions

After your appointment

If you need help or advice, please contact us and leave a message for the team.

Information and support

To help support you with your weight management journey, we have created a list of tried and tested resources that you can access now. These resources include information on physical activity, healthy eating and the psychology of eating behaviour. These are topics that we'll explore in more detail with you during the healthy weight group programme.

Healthy eating means balancing a variety of nutritious foods and drinks in an amount that is right for you. Dieting often means restricting food and 'quick fixes' that are not sustainable. Healthy eating encourages us to consider what our body needs throughout our lives, so that we can thrive and feel our best.

The following healthy eating resources provide a good starting point. We'll build on this information throughout our programme.

Weight management is much more than 'move more, eat less'. Our mood can have a big impact on our behaviours, or what we do. This can include what or how much we eat, or how motivated we feel to do certain activities. We might change what or how much food we eat during times of stress or low mood, or avoid the gym if we are feeling low in mood or confidence.

Our behaviours can also impact how we feel. We might feel guilty or frustrated if we have eaten more than we planned, or feel low in mood and less like ourselves if we have started to withdraw from activities we used to enjoy.

To make any long-term change to weight, it's important to become more aware of the relationship between food and mood. 

The British Dietetic Association (BDA) has useful information about mindful eating

If you think you might have difficulties with binge eating or other disordered eating behaviours, you can find information and support on the Beat website

It can help to talk to your GP or the healthcare professional who referred you. They might feel that you would be better supported by a specialist eating disorder service.

Your GP can also help if you are experiencing difficulties with mood. They will be able to signpost you to local talking therapy services or discuss options for medicines management.

You can also make a self-referral to your local Improving Access to Psychological Therapies Service, known as IAPT. IAPT services can offer talking therapies such as cognitive behavioural therapies, counselling and guided self-help.

Find an NHS psychological therapies service in your local area.

Physical activity is important for weight loss and weight management but it has many more benefits to our physical and mental health. It's important to think about your current physical activity levels and ask yourself if there's more you could do.

If you feel you could do more, look at ways you can increase what you are already doing. This could be walking 5 minutes longer each day, increasing your steps by 10% or doing an extra workout a week. 

Physical activity and exercise can be daunting, especially if you haven't been active for a long time. You might find it difficult because of your health condition, or because it's hard to find the time. You might not feel motivated. Being active is about finding what works for you and doing something you enjoy. There are some great tips for increasing your physical activity on the We Are Undefeatable website including:

  • building activity into your everyday life
  • finding an activity that works for you
  • digital tools to help you move

Their YouTube channel, Make Your Move, has introductory physical activity sessions for all abilities.

The NHS Fitness Studio also has a range of exercise videos to suit all capabilities and interests.

Once you start our programme, you'll have a dedicated physiotherapy team. We'll talk about physical activity and together with members of your group, We will look at strategies to increase your activity levels. You will also have the opportunity to participate in live physical activity classes. You can try out different types of activity, all within your abilities and going at a pace that works for you.

Last updated: October 2023

Contact us

Phone: 020 7188 2010

Email: [email protected]

Address: nutrition and dietetics, 3rd floor, Block B, South Wing, St Thomas' Hospital, Westminster Bridge Road, London SE1 7EH

Do you have any comments or concerns about your care?

Contact our Patient Advice and Liaison Service (PALS)

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