The NHS Rotherham Obesity Strategy for the management of healthy weight
in adults and children involves 4 tiers of intervention.
The initial level of intervention primary activity most often done in the
primary care setting, which involves identifying those patients that have weight problems, and are motivated to
change, especially those with medical conditions, such as diabetes, that are likely to worsen with increased
weight. It is important to clarify that this primary activity, and any associated health promotion advice, can
be delivered by any healthcare professional from primary or secondary care, or in the pharmacy, council, leisure
services, or private sector.
The 2nd tier of intervention is a community based, time limited, weight
management programme of diet, nutrition, lifestyle and exercise advice delivered by trained staff. For adults
this is the Reshape Rotherham programme delivered by the Rotherham Dietetics Department, and for children
this is the Carnegie Clubs programme delivered by DC Leisure. Patients can self-refer to these
services, or be referred by an appropriate healthcare professional after an assessment of motivation.
Those patients, who do not meet their healthy weight targets in this level of
intervention, or for those, who are considered to be more at risk of the cardiometabolic consequences associated
with obesity (such as diabetes and cardiovascular disease) and require more specialist intervention, are
referred into the tier 3 intervention, which is
a specialist centre for weight management. This
service is delivered by the Rotherham Institute for Obesity (RIO).