I am writing to make a request under the Freedom of Information Act. My request seeks information on the availability of ‘Tier 3’ services for the management of severe and complex obesity. In summary, the national clinical commissioning policy on severe and complex obesity states that any patient referred for bariatric surgery must have undergone a local specialist obesity service weight loss programme, known as ‘Tier 3’.
I am trying to establish the availability of these Tier 3 services in your area of responsibility.
My aim is to provide you with as much information to make my request as clear as possible. If you have any questions at all, please contact me as soon as possible to ensure a full response within the 20 working days.
I ask the following:
How many Tier 3 centres do you have?
1. Where are they? (A list of specific locations (cities/ towns/ villages)
2. How many are:
a) In primary care
b) In secondary care (hospital setting)
c) Primary/ secondary
4. Please give examples of “other” settings.
5. If in a hospital setting, are they:
a) Attached to a bariatric surgical unit?
b) Adjacent to a bariatric surgical unit?
c) Within a bariatric surgical unit?
There are currently no Tier 3 weight management service in Calderdale.