FOI Ref: 0131FOI1920 

5^th November 2019 

Freedom of Information Act 2000 - Request for Information 

We are pleased to respond to your request for information and our response is set out below: 

Request/ Response 

I am contacting you to request the following information to understand the provision of weight management services in your local area. Please could you answer the following questions:

1a) Who is the provider in your CCG for Tier 3 Weight Management services (if this is not commissioned in your area please state) 

Sheffield City Council commission Tier 3 weight management services (Live Lighter) from Zest. 

 1b) Please provide a contact email for this Tier 3 Weight Management service 
Please contact Sheffield City Council for this information - foi@sheffield.gov.uk

2. In 2017/18 and in 2018/19 in your CCG area, how many patients have: 

a) Received an assessment in your Tier 3 Weight Management service? 

The CCG does not hold this information, you may wish to contact Sheffield City Council for this information - foi@sheffield.gov.uk 

b) Received treatment in your Tier 3 Weight Management service? 

Please see response to 2a.

c) Completed the Tier 3 weight management programme 

Please see response to 2a. 

d) Referred for Tier 4 assessment from the Tier 3 service (and average waiting time for Tier 4 assessment) 

Please see response to 2a. 

e) Received an assessment in the Tier 4 weight management service 

Please see response to 2a. 

f) Received bariatric surgery? 

307 in 17/18 

270 in 18/19

3. In 2017/18 and in 2018/19 in your CCG area, how many patients with T2DM (with BMI 35kg/m2 and greater) have: 

a) Received an expedited referral (ie direct to Tier 4 assessment without the need to complete a Tier 3 weight management programme) for consideration of metabolic surgery 

The CCG does not hold this information, you may wish to contact Sheffield City Council for this information - foi@sheffield.gov.uk 

b) Received an assessment in your Tier 3 Weight Management service? 

Please see response to 3a. 

c) Received treatment in your Tier 3 Weight Management service? 

Please see response to 3a. 

d) Completed the Tier 3 weight management programme 

Please see response to 3a. 

e) Referred for Tier 4 assessment from the Tier 3 service (and average waiting time for tier 4 assessment) 

Please see response to 3a. 

f) Received an assessment in the Tier 4 weight management service  

Please see response to 3a. 

g) Received bariatric surgery? 

Please see response to 3a.

4. What are you inclusion and exclusion criteria (including BMI thresholds and co-morbidities) for your Tier 3 and Tier 4 Weight Management services? 

For Tier 3The CCG does not hold this information, you may wish to contact Sheffield City Council for this information - foi@sheffield.gov.uk 

For Tier 4 the following link provides information for adults: https://www.sheffieldccgportal.co.uk/referral-forms/live-lighter-weight-management-service.

The enclosed GP Bulletin - Changes to Adult Priority Weight Management Programme, was presented to GP practices in November 2018, and includes criteria information. 

5. During 2017/2018 and 2018/2019, did you have an upper limit on the number of patients for whom you commissioned:

a) tier 3 weight management services, and; 

The CCG does not hold this information, you may wish to contact Sheffield City Council for this information - foi@sheffield.gov.uk 

b) tier 4 weight management services 

No

5. What outcome measures or key performance indicators do you use for Tier 3 and Tier 4 and what results (numbers and percentages) for these have you seen in 2017/18 and 2018/19? 

For Tier 3 please contact Sheffield City Council for this information - foi@sheffield.gov.uk

For Tier 4, there are no specific KPIs for bariatric surgery within our contract with Sheffield Teaching Hospitals NHS Foundation Trust, so the NHS Standard Contract Operational Standards apply. 

6. Please can you provide a copy of your policy on the commissioning of Tier 3 weight management and Tier 4 Bariatric Surgery 

Please see response to Q4.  

In addition to the above responses please note: for children’s Tier 4 services, you will need to contact NHS England for this information: england.contactus@nhs.net (Please write “Freedom of information” in the subject line).