Centre for obesity
Referrals
Making a referral
GP referrals
All NHS GP referrals must be submitted using the NHS e-Referral Service (e-RS). Referrals sent by email or post from NHS GPs will not be processed.
Centre for obesity (tier 4)
The centre for obesity (tier 4) is a specialist weight management service. It is for people with complex and severe obesity who need expert care. We provide a personalised approach to weight management combining:
- nutritional support
- psychological care
- medical treatments
- surgical options
Each plan is designed around your patient’s individual needs.
Inclusion criteria
To access the service, patients must meet the following:
- registered with a GP in Lambeth, Southwark, Lewisham, Bromley, Bexley or Greenwich
or
- have no other specialist weight management services nearby
or
- have complex clinical needs and be under the care of a Guy's and St Thomas' team
and have:
- a BMI ≥ 35 kg/m²
- at least 1 of the criteria detailed in the referral criteria document on eRS
We are only able to prescribe NICE approved weight management medications for those who meet the South East London guidance criteria, and live in 1 of our local boroughs.
The first step on our obesity pathway is an online weight-loss surgery education group session. Your patient may not be suitable for this if they:
- need an interpreter
- have a significant learning difficulty
- have already had bariatric surgery
If the patient is not suitable for this education session please note this in your referral.
South east London healthy weight programme
Our south east London healthy weight programme referrals page has information about referring to the healthy weight programme.
Contact us
Phone: 020 7188 1916
Last updated: October 2025