Who it's for
Adults 18+, assessed as ready and motivated to change (≥7/10 for motivation) and committed to the 12-month programme, AND one of:
• BMI ≥40; or
• BMI ≥35 with a weight-related comorbidity — diabetes, hypertension, CKD, hypercholesterolaemia, ischaemic heart disease, peripheral vascular disease, history of MI/CVA/TIA, liver disease (incl. cirrhosis, NAFLD, gallstones, biliary colic), osteoarthritis or rheumatoid arthritis, back pain, obstructive sleep apnoea, hypothyroidism, Cushing's disease, PCOS, hyperuricaemia or gout, lipoedema, cancer, or asthma; or
• Awaiting bariatric surgery and not already accessed a Tier 3 programme.

Exclusions
Under 18; pregnant or breastfeeding; uncontrolled hypertension, heart condition or any condition preventing increased activity; suicide attempt in the last year; self-harm in the last 3 months; suicide plans in the last 3 months.

Refer only once stable: alcohol or drug misuse, hypothyroidism, Cushing's syndrome.

Post-bariatric-surgery exclusions: less than 2 years post-surgery; unable to tolerate healthy balanced eating / still on a texture-modified (liquid or soft) diet; under T4/bariatric surgery care; current GI pain, vomiting, nausea, recurrent loose stools, dumping syndrome or poor wound healing; symptoms of gut leaking or blockage; not accessing GP support for vitamin/mineral supplementation and monitoring.

How to access / refer
Check eligibility and download the ICB-specific referral form by selecting your ICB at oviva.com/uk/en/refer/#refer. Return the completed form to ovivauk.t3wm@nhs.net, or use the Ardens form on SystmOne/EMIS, or refer via e-RS (Secondary Care → search 'Tier 3 Weight Management Service (medical) Oviva'; Speciality: Endocrinology & Metabolic Medicine; Clinic type: Not otherwise specified; Organisation: Oviva).

Clinical measurements must be in date. Bloods within the last 12 months: LFT, HbA1c, U&E, non-fasting lipids and TSH, plus a BP reading within the last 12 months. Referrals can take up to 15 weeks to process — practice tip: if bloods are more than 8 months old, invite the patient for repeat bloods at referral so results are still valid once it is processed.

Notes
Eligibility can vary by ICB — the referral form and criteria are ICB-specific. Local criteria may add requirements (e.g. a 2-year BMI history, or evidence of previous weight-loss attempts such as Weight Watchers or Slimming World), so check the local form.

Who it's for
All of: adults 18+; BMI ≥30 (≥27.5 for people from Black, Asian and minority ethnic backgrounds); and a diagnosis of diabetes (Type 1 or Type 2), hypertension, or both. Patient needs a smartphone and an email address.

Exclusions
Any one of: moderate or severe frailty; pregnant; active eating disorder; bariatric surgery in the last 2 years; or where a weight-management programme is judged to pose greater risk of harm than benefit. For patients over 80, refer only where the programme is likely to do more good than harm.

How to access / refer
In general practice, refer via the National e-RS system using NHS England's national referral templates (do not amend them). NHS Midlands & Lancashire CSU e-referral templates can be uploaded into EMIS, SystmOne or Vision — download from the NHS England website; your local data-quality team can help with the upload.

What happens next: the patient receives a text within 2 working days with a link to the Referral Hub, verifies date of birth and ethnicity for triage, then chooses a provider within 6 weeks (or the referral closes). The provider makes contact within 5 working days, and the patient must start within 6 weeks. HCP queries: england.wmp-prevention@nhs.net.

Who it's for
Any adult wanting help to eat more healthily, be more active and lose weight. No referral required.

How to access / refer
Self-access online or via the free NHS Weight Loss Plan app.

Who it's for
Shropshire, Telford & Wrekin adults. BMI ≥40, or ≥35 with a comorbidity (2.5 points lower for people of Black African, African-Caribbean or Asian origin). BMI ≥30 if newly diagnosed with Type 2 diabetes.

How to access / refer
GP referral only.

Who it's for
18+, not pregnant at referral, with non-diabetic hyperglycaemia (HbA1c 42–47 mmol/mol or FPG 5.5–6.9 mmol/l within the last 12 months), or a history of gestational diabetes.

How to access / refer
GP or self-referral. NDH self-referral (needs HbA1c/FPG result, test date, NHS number): lwtcsupport.co.uk/self-register. GDM: lwtcsupport.co.uk/gdm-form.

Who it's for
18–65, Type 2 diabetes diagnosed within the last 6 years, BMI ≥27 (≥25 for Black, Asian and other ethnic groups), HbA1c in range, meets criteria with no exclusions, living in Shropshire.

How to access / refer
Speak to the GP practice to check eligibility; the practice refers to Counterweight.

Who it's for
18+, living with Type 2 diabetes (or caring for someone who is).

How to access / refer
GP referral or self-register at healthyliving.nhs.uk.

Who it's for
Type 2: 19+ with a Type 2 diagnosis (not pre-diabetes). Type 1: DAFNE, via GP referral only.

How to access / refer
Type 2 — referral by a range of health professionals. Type 1 (DAFNE) — GP referral only.

How to access / refer
Call the freephone line any time, or call NHS 111 and select the mental health option (option 2). You can also text STW to 85258, or email access.shropshire@mpft.nhs.uk. In an emergency, or if someone's immediate safety is at risk, call 999 or go to A&E.

Who it's for
Tobacco smokers aged 12+ living or working in the Shropshire Council area, or registered with a Shropshire GP.

How to access / refer
Book a first appointment via the online booking form (choose a venue and time). Patients registered at Clayton, Ellesmere, Bishops Castle, Cleobury Mortimer, Highley or Severn Fields can also book directly through their practice's in-house stop-smoking clinic. Booking help: 0345 678 9028 (Mon–Fri, 9am–3pm) or stopsmoking@shropshire.gov.uk (also for interpreter requests, before booking).

Notes
Prescription-only medicines (varenicline, bupropion/Zyban, cytisine) are outside the service. Specific support is available for pregnant smokers — see the Council's stopping-smoking page. Telford & Wrekin residents should use the T&W Healthy Lifestyles Service instead.

Who it's for
Children and young people aged 0–25. Planning for any move to adult services begins around age 16, with support able to continue to 25 and quick routes back in for six months after discharge.

How to access / refer
One 'front door' for all children and young people's mental health referrals — via GP, school, or the single point of access, where a triage team directs to the right support. If a child is already receiving support, their care continues under CAMHS STW with no need to re-refer. Referral details, plus a family one-pager, FAQs and the 'What is Changing' pack, are on the MPFT CAMHS STW page. Queries and involvement: hearmyvoice@mpft.nhs.uk.

Notes
Urgent help: if someone is in immediate danger, call 999; for urgent advice, call NHS 111 or the 24/7 urgent NHS mental health helpline (0808 196 4501). New service from 1 April 2026, with a three-year improvement programme (2026–29).

Who it's for
Children and young people aged 0–18.

How to access / refer
Speak to your GP or school, or go through the CAMHS STW single front door. Urgent help: if someone is in immediate danger, call 999; for urgent advice, call NHS 111.

Who it's for
Children and young people aged 5–16/18 in schools that have a Mental Health Support Team.

How to access / refer
Accessed through the child's school.

How to access / refer
Check eligibility and book via the phone line.

How to access / refer
Contact by phone or via the website; patients, families and professionals can all get in touch.

How to access / refer
Contact by email: ellesmereshed@gmail.com.

How to access / refer
A useful line: “I'd like support with managing my weight. Can we talk about a referral to a Tier 3 service like Oviva, and check whether I'm eligible?”