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Healthy Weight Referral Programmes 

Here you will find all of our referral programmes available across Cornwall. Please click on the life stage of your client below to find the relevant programmes and referral forms.

If you require any more information, please call us on: 01209 313419 or email us on: healthy.weight@nhs.net 

Lifestyle, Eating, Activity for Families (LEAF) for 0 - 6 years

Referral Criteria:

  • Child under the age of two with significant weight concerns. 
  • Children over two years old, should be >3.33sd for BMI. (If you would like to discuss a child below this e.g. if they have a co-morbidity or underlying cause then please contact the LEAF team to discuss)
  • They ask that most children will have worked with their health visitor or school nurse for at least six months prior to being accepted into the clinic.
  • It is essential that at least one parent/guardian attend the clinic appointments with the referred child. Other adults that are involved with the child’s care e.g. grandparents, are also invited to attend.

Content

This is run in partnership with Royal Cornwall Hospital Trust and forms a Multi Disciplinary Team Obesity Clinic that brings together the expertise of dieticians, physical activity specialists and paediatricians. The programme runs over four months. The content of this programme includes:

  • Individualised assessment with the Community Paediatrician, Children’s Dietician & Physical Activity Advisor
  • Group sessions, exploring topics to help manage children’s weight including: balanced nutrition, healthy foods, food labelling, internal and external triggers, behaviour change, routine and activity
  • Individualised follow-up assessment with the same team
  • Longer-term follow up is carried out by their primary health care worker e.g. health visitors or school nurses and signposted to other programmes for ongoing support

Referrals:

To download the referral form, please click here

For more information or to send a referral, please contact LEAF by email:
LEAF.programme@nhs.net 

Healthy Weight 7 - 13 years

Referral Criteria:

The referred child MUST be: 

  • Between the ages of 7-13 years old
  • Have a BMI above 91st centile
  • Parental/guardian consent is required for referral to Cornwall Healthy Weight
  • Parental/guardian involvement is essential throughout the duration of the programme
  • Family must commit to a 12-week programme and be ready to make healthier lifestyle choices
  • Family must commit to follow-up appointments over a 12 month period
Please note: Children at or above the 98th centile for BMI should first be assessed by their GP, in line with NICE and OSCA guidance for overweight children to identify any comorbidities or underlying clinical causes.
 

Content:

This is a 12-week educational lifestyle programme that focuses on the whole family making changes through positive behaviour change. Families are required to attend once a week, for two hours (out of school hours). The content of the programme includes:  

  • Learning as a family about nutrition, food groups, eating a balanced and healthy diet and portion sizes
  • How to read and interpret food labels, importance of making healthier food choices and healthy shopping on a budget, as part of a supermarket tour
  • Fun games and activities to encourage children to become more active
  • Cooking sessions to increase cooking skills and cooking for families on a budget
  • Fun and interactive sessions to help increase confidence and self esteem

Considerations – Mental health and wellbeing:

If concerns about a child’s mental health and wellbeing are identified refer the child to their GP for assessment and treatment and, if appropriate, for onward referral to child and adolescent mental health services (CAMHS).

Considerations – Children with a learning disability:

Individuals with a learning Disability need to have the mental capacity to consent to attendance at the group. Consideration should be given to how the person will respond to being in a group and whether they will be able to understand and retain information given. Most people will benefit from someone being with them. Care agencies are asked to assign an appropriate and consistent support worker to accompany the individual. 

Referrals:

  • Referrals accepted from primary care, all health and social care professionals and those working directly with families
  • Self referrals accepted from eligible families across Cornwall
Use the online referral form or download a referral form here
 

Healthy Weight 13 - 17 years 

Referral Criteria:

The referred young person MUST be:

  • Between the ages of 13-17 years old
  • Have a BMI above 91st centile
  • Parental/guardian consent is required for referral to Cornwall Healthy Weight
  • Parental/guardian involvement is essential throughout the duration of the programme
  • Can commit to a 12-weeks of support and is ready to make healthier lifestyle choices
  • Must commit to follow-up appointments over a 12 month period
Please note: Young people at or above the 98th centile for BMI should first be assessed by their GP, in line with the NICE and OSCA guidance for overweight children to identify any comorbidities or underlying clinical causes.
 

Content:

This is a 12 week educational lifestyle programme that encourages positive behaviour change, the content of this programme includes:

  • Learning about nutrition, food groups, and eating a balanced and healthy diet
  • How to read and interpret food labels and importance of making healthier food choices
  • Information on body types and how energy intake and expenditure affects the body
  • Individuals learn about the benefits of being more active
  • Focus on overcoming barriers, looking at internal and external triggers
  • Fun and interactive sessions to help increase confidence and self esteem

Considerations: Mental health and wellbeing:

If concerns about a young person’s mental health and wellbeing are identified refer the young person to their GP for assessment and treatment and, if appropriate, for onward referral to child and adolescent mental health services (CAMHS). We are unable to except anyone with an existing eating disorder such as bulimia, anorexia nervosa or binge eating disorder (BED).

Considerations: Young people with a learning disability:

Individuals with a learning Disability need to have the mental capacity to consent to attendance at the group. Consideration should be given to how the person will respond to being in a group and whether they will be able to understand and retain information given. Most people will benefit from someone being with them. Care agencies are asked to assign an appropriate and consistent support worker to accompany the individual. 

Referrals:

  • Referrals accepted from primary care, all health and social care professionals and those working directly with individuals
  • Self referrals accepted from eligible individuals across Cornwall

Use the online referral form or download a referral form here

Healthy Weight Adults

Referral Criteria:

The referred adult MUST be:

  • 18 years or above
  • Have a BMI between 26-39.9
  • Give their consent for referral to Cornwall Healthy Weight
  • Motivated and ready to change
  • Can commit to a 12-week programme and is ready to make healthier lifestyle choices

Please note: We are unable to accept referrals for an adult who has a BMI >40 OR >35 with comorbidities OR any health conditions as stated in the exclusions list. Adults with a BMI >40 OR >35 with comorbidities should be referred to their GP for onward referral for specialist weight management support at Royal Cornwall Hospital. 

Content:

This is a 12-week educational lifestyle programme that encourages positive behaviour change, individuals are required to attend once a week, for up to two hours. The content of these sessions include:

  • Learning about nutrition, food groups, and eating a balanced and healthy diet
  • How to read and interpret food labels and importance of making healthier food choices
  • Information on body types and how energy intake and expenditure affects the body
  • Low intensity exercises, adapted to suit the individual to become more active
  • Cooking sessions to increase cooking skills and cooking on a budget
  • Fun and interactive sessions to help increase confidence and self esteem

Exclusion Criteria for Exercise: 

Please note that the Healthy Weight Adults programme includes a physical activity component. Unfortunately we are unable to accept referrals for adults who have any of the exclusions listed below:

  • Adults with a BMI >40 OR >35 with comorbidities
  • Unstable angina
  • Resting BP - Systolic BP >180 mmHg and/or Diastolic BP >110 mmHg
  • Resting tachycardia >100bpm
  • Uncontrolled atrial or ventricular arrhythmias
  • Recent complicated Myocardial Infarction and/or awaiting further investigation
  • Unstable or acute heart failure
  • Uncontrolled diabetes
  • Acute systemic disease such as cancers
  • Neuromuscular, musculoskeletal or rheumatoid disorders that are exacerbated by exercise
  • Unmanaged pain
  • Clients with an unstable psychiatric disorder

Referrals:

  • Referrals accepted from primary care and all healthcare professionals. 
  • Self referrals accepted from eligible individuals across Cornwall

Use the online referral form or download a referral form here.

 

Healthy Weight in Pregnancy

Referral Criteria:

The referred adult MUST:

  • Have a BMI of ≥30.
  • Give their consent for referral to Cornwall Healthy Weight
  • Be motivated and ready to change
  • Be committed and ready to make healthier lifestyle choices

Content:

This programme aims to reduce potential health risks to mother and baby through education and support around healthy eating, physical activity and weight management. The programme, which works closely with local midwives, is underpinned by both the National Institute for Health and Care Excellence (NICE) and the Royal College of Obstetricians & Gynaecologists (RCOG). The content of these sessions include:

  • The importance of healthy eating in pregnancy: a balanced, nutritious and safe diet
  • Eating well on a budget and healthy eating tips for all the family
  • The importance of being active during pregnancy
  • Weight management during pregnancy
  • Promotion of Healthy Start Scheme and breastfeeding
  • Discussion of local support, community groups and classes
  • Provision of useful resources, tools and action-plans
  • Individualised support and guidance throughout pregnancy
  • Sign-posting to other relevant health promotion support if desired (e.g. smoking cessation)

Whilst focusing on women during their pregnancy, the service also commits to supporting the whole family to make positive health behaviour changes. Furthermore, guidance and advice continues to be available after birth with the aim of supporting new parents (eg weight management options for new mums, nutrition whilst breastfeeding, weaning).

Support and guidance is for all women and their families. Information provided on the Cornwall Healthy Weight website and educational resources are not exclusive to pregnant women, but also women planning to conceive and new parents. 

Referrals:

  • Pregnant women who have a BMI of ≥30 must be referred by their midwife. This referral can be made at any stage during the pregnancy but ideally following their first booking appointment
  • General support and education is open to all women regardless of their BMI
 

Physical Activity

Referral Criteria: 

Referred adults for all Physical Activity sessions MUST be:

  • 18 years or above
  • Give their consent for referral to Cornwall Healthy Weight
  • Be motivated and ready for change

Exclusion Criteria:

Unfortunately we are unable to accept referrals for adults who have any of the exclusions listed below: 

  • Adults with a BMI >40 OR >35 with comorbidities
  • Unstable angina
  • Resting BP - Systolic BP >180 mmHg and/or Diastolic BP >110 mmHg
  • Resting tachycardia >100bpm
  • Uncontrolled atrial or ventricular arrhythmias
  • Recent complicated Myocardial Infarction and/or awaiting further investigation
  • Unstable or acute heart failure
  • Uncontrolled diabetes
  • Acute systemic disease such as cancers
  • Neuromuscular, musculoskeletal or rheumatoid disorders that are exacerbated by exercise
  • Unmanaged pain
  • Clients with an unstable psychiatric disorder

Physical activity reviews

Use the online referral form

These one to one sessions aim to increase an individual’s physical activity level in their local community, adapting exercise based on exercise referral guidelines. The Physical Activity Reviews are also a core role within the RCHT bariatric / weight management service.

All sessions are arranged at times to suit both the referred individual and the professional supporting them.

Content:

  • Review of the individual’s medical history following exercise referral guidelines
  • The importance of being active and benefits to health
  • Understand factors that affect an individual’s participation in activity
  • Individuals encouraged to increase their level of physical activity
  • Discussion of local support, community groups and classes
  • Provision of useful resources, tools and action plans
  • Individualised support and guidance to benefit their health
  • Empower and encourage positive behaviour change

Referrals:

  • Referrals accepted from primary care and all healthcare professionals

Swimming for health 

Use the online referral form

These sessions support individuals, including non-swimmers, who may not have the confidence to attend public pool swimming sessions and would benefit from increasing their activity.

Twelve sessions are offered to an individual over a 16 week period. Sessions are closed to the public and are offered in various locations throughout Cornwall.

Content:

  • Support individual to increase confidence in the water
  • Learn rehabilitation exercises or improve swimming technique
  • Provision of pool hoist and additional swimming aids
  • Individualised support and guidance to benefit their health
  • Empower and encourage positive behaviour change

Referrals:

  • Referrals accepted from primary care and all healthcare professionals
  • Self referrals accepted from eligible individuals across Cornwall

Walking for health

Use the online referral form

This is a national support programme run by the Ramblers and Macmillan Cancer Support. By sharing their walking and health expertise it enables Cornwall Healthy Weight to support volunteer led health walks across Cornwall to help more people, including those living with medical conditions, discover the joys and health benefits of walking locally.

Content:

  • Start walking in a safe and friendly environment
  • Get to know the local area and meet new people
  • Increase energy levels and generally improve health
  • Health walks are led by trained volunteer walk leaders

Referrals:

  • Referrals accepted from primary care and all health and social care professionals
  • Self referrals accepted from eligible individuals across Cornwall