Further considerations You will meet all members of the Ongoing or past psychological team during this course. You will conditions that have needed the be encouraged to keep a food input of community mental health diary and to lose 5% of your excess or psychology teams will be weight whilst on the course. During reviewed and further information the course you will be given further requested. written information about the types of weight loss surgery. If you meet the criteria above, you will be referred to the surgical You will also have time to ask the team for assessment. Please note team and other patients who have this is not a guarantee you will had weight loss surgery questions receive surgery. about what to expect.

After receiving the referral, the Further weight loss support Weight Management Service weight loss surgery service If you are looking for more (NHS Lothian Bariatric Surgical information and support on losing Helping individuals achieve significant Service) will invite you to a Patient weight, the following may be Information Seminar. This group of help: and sustainable weight loss. session offers information about www.takelifeon.co.uk different types of surgery for www.bdaweightwise.com weight loss and the changes you need to make to both your diet Please note this information and lifestyle for surgery to is correct as of 16 October be successful. 2012 but is under review and may change. Following the seminar, if you choose to go ahead with the assessment, you will be asked to attend six further group sessions (Intensive Pre-operative Information Course). The weight loss surgery team will talk you through the pathway to surgery and what you should expect after, should it go ahead. Our aim is to support individuals achieve Certain people may be at After nine months in the weight significant and sustainable weight loss. increased health risk with a lower management programme, surgery body mass index. Please discuss to help you lose weight may this with your GP. become an option. A member of Who are we? South : the team will discuss this with you. We are a team of Community Wester Hailes Health Centre, It is important to discuss with The criteria for referral to the Dietitians across NHS Lothian, Tollcross Medical Centre, your GP if referral to the service surgical team are explained below. based in your local area. Gracemount Health Centre is appropriate. North Edinburgh: Weight loss surgery criteria What do we offer? Leith Community Treatment What happens after the three- We offer a one-to-one 45-minute • You should be able to Centre and Pilton Community month lifestyle programme? assessment appointment with a demonstrate engagement and Health Project dietitian and then a group-based 1) Ongoing weight commitment to follow up, lifestyle programme. The group management support assessed by your attendance How can I get this support? at the weight management format is: A further nine months of weight You will need to be referred by your programme. management support will be • Seven fortnightly group GP. You can be referred if you: • You should be able to show available, with group sessions sessions lasting three months evidence of ability to make • Are 18 years of age or above held every month at the venues • The group sessions last 1 hour sustainable lifestyle changes, • And have a body mass index of listed above. At this stage of 15 minutes. which is measured by your 40kg/m2 or above the programme your group will ability to lose weight during join other groups who have The group programme includes or the weight management been attending the weight information and support to enable programme. • Have a body mass index of management programme. you to identify and make the lifestyle 35kg/m2 or above and need to • Your weight must be changes required for significant lose weight for an operation, or or/and below 200kg. and sustainable weight loss. you have any of the following: 2) Specialist Weight • Your BMI must be below diabetes, high blood pressure, Management Service 60 kgs/m2. Where are the groups held? asthma, high cholesterol, (Please note these venues heart disease, sleep apnoea, Those people who require At the end of the weight may change) osteoarthritis, gastro more intensive support will management programme your have the option of an individual : oesophageal reflux disease, body mass index should be appointment(s) with a member Strathbrock Partnership Centre, non-alcoholic fatty liver disease. greater than 35 kg/m² with a of the weight management team. Broxburn medical condition, such as Body mass index or BMI is a diabetes, high blood pressure, : guide to healthy weight. If you What about surgery to asthma, high cholesterol, heart Herdmanflat Hospital, Haddington want to calculate your BMI, you lose weight? disease, sleep apnoea, arthritis, : can use the healthy weight The criteria for weight loss gastro-oesophageal reflux and Bonnyrigg Health Centre calculator at www.takelifeon.co.uk surgery will be discussed at your fatty liver disease, or greater initial assessment appointment. than 40 kg/m².