All referral types must meet the following 3 standard criteria:

• 18 years or older.
• Resident or registered with a GP practise in England.
• BMI ≥ 30kg/m² (adjusted to 27.5kg/m² in people of black African, African Caribbean and Asian origin).

Additionally, the following criteria must be met for each pathway:

ID starting with GP:

• GP referral.
• Must have a current diagnosis of either Diabetes +/- Hypertension.

ID starting with SR:

• Self referral.
• Must be an NHS employee.

ID starting with EC:

• Elective Care referral.
• Must be waiting for one of the following surgies:
  • Knee and Hip replacement.
  • Laparoscopic Cholecystectomy.
  • Hysterectomy.
  • Hernia Repair.

ID starting with GR:

• General referral.
• Must meet standard 3 criteria.

ID starting with MSK

• Musculoskeletal referral.
• Must have a diagnosis of Osteoarthritis of the knee or hip.

Exclusion criteria

Pregnancy- Individuals who are pregnant at the time of their IC cannot start the programme. If a member confirms that they are pregnant during the IC, please advise them that they are not able to start the programme whilst pregnant and can seek a new referral in the future. Select, “Completed” as the call outcome and then select “no” when asked if you wish to onboard the member.

If a member becomes pregnant during the programme, they can continue but should be advised that they should check whether this is OK with their Midwife/GP. The member will still need to have a weight goal activated and should input regular weights, but they should not focus on weight loss as a goal.

Individuals with an active eating disorder are NOT eligible to join and should be referred back to the GP.