City and Hackney Specialist Adult Weight Management service

Each client referred is invited to an individual assessment session where we explore previous attempts to lose weight and what got in the way, discuss preferences and needs and begin setting some specific goals.

Following the initial session, clients are allocated to an intervention group according to suitability. Our face to face groups run for 12 months in total. We recognise that this is a big commitment, but we know that intensive and long-term support is beneficial to help our clients achieve permanent change in food related behaviour and patterns of activity.

Initially, for the first 3 months, clients are asked to attend weekly, with the frequency reducing for the latter part of the course. Some clients may transition to the Homerton Bariatric Service after initially attending our intervention. Client suitability and personal preference for this will be discussed at the initial assessment. We know that clients benefit from peer support and generally, group-based interventions show better results for weight loss compared to one-to-one sessions. For clients that are not able to attend groups for reasons of access or suitability, we can offer one to one appointments.  

'We also provide guided mindfulness sessions, which involves helping you to notice what is happening in the present moment, without judgement, which can help support your weight management goals. You might take notice and be aware of your mind, body or surroundings.  Here is a helpful link to more mindfulness resources, recommended by Mind and here is a link to information provided by the NHS. For more information, please see our  Mindfulness Frequently Asked Questions .pdf 

Please see The City & Hackney Specialist Adult Weight Management Service  Poster.pdf

Currently our service is available to clients who meet all of the eligibility criteria set out below:

• registered with and referred by a GP in the London Borough of City and Hackney
• over 18 years of age
• insufficient change from weight management intervention in the last 2 years (achieving/maintaining weight loss)
• assessed by C&H SAWMS as committed to attend the program

Additionally to the above, clients also need to meet one of the below criteria:

• Body Mass Index (BMI) over 40kgs/m2
• BMI over 35kgs/m2 and comorbidities (hypertension, diabetes, polycystic ovarian syndrome, insulin resistance, dyslipidaemia, obstructive sleep apnoea, osteoarthritis, prescribed ani-psychotics causing weight gain)
• BMI over 30kgs/m2 and Type 2 Diabetes

Check your BMI 

We are not currently able to accept clients who:

• are under 18years of age
• are pregnant
• have had bariatric surgery within the last 24months
• have uncontrolled cardiac condition
• are housebound
• have severe learning disability
• have problematic alcohol or substance misuse
• present with severe and unstable mental illness including untreated binge eating disorder
• are not registered with a City and Hackney GP surgery

Furthermore, the service is not currently commissioned to be able to offer pharmacotherapeutic treatment with GLP1 agonists (Weygovy, Saxenda, Tirzepatide). 

Once referred by the GP, clients will be contacted by our triage clinician to arrange an initial assessment session. Clients can choose between face to face and virtual appointments to suit their needs.

 

 

Lower Clapton Group Practice
The Portico, 34 Linscott Road, Lower Clapton, E5 0RD
By public transport – bus stops for 425, 242, 488, 38, 55, 106, 253 and 254 are 1-2 min walk from the centre and Homerton Station is around 15min walk away.

Lower Clapton Health Centre
36 Lower Clapton Road, London, E5 0PQ
By public transport – bus stops for 425, 242, 488, 38, 55, 106, 253 and 254 are 1-2 min walk from the centre and Homerton Station is around 15min walk away.

John Scott Health Centre
Green Lanes, London, N4 2NU
By public transport – the bus stops for numbers 141, 341, 29, 253, 254, 259 and Manor House underground station are within 4min walk away 

Our intervention group locations include: 
St Barnabas Church
20 Shacklewell Row, London, E8 2EA
By public transport – the bus stops for numbers 488, 67, 76, 149, 243 are all within a 3min walk away

Morningside Community Centre
Cresset Road, London, E9 6SJ
By public transport – the bus stop for numbers 425, 26 and 30 are all within a 3minute walk away

St Leonards Hospital
Nutall Street, London, N1 5LZ
By public transport – the bus stop for numbers 149, 242, 243, 394 are all within a 2 minute walk away and Hoxton Overground station is 4min away

Jack Dunnings Community Hall
Jack Dunnings Community Hall, Homerton Row, London, E9 6E
By public transport – buses 26. 30, 308, W15, 488, 425, 276, 236, 394, 242 stop nearby. Homerton Station on the Mildmay line is 15min walk 

Dorottya Norton
Clinical and Service Lead

Agnieszka Kubiak
Physiotherapy Technical Instructor

Jodie Ferris,
Assistant Psychologist

Phil Robinson
Specialist Weight Management Dietitian

Corinne Pepper
Specialist Physiotherapist Weight Management

Adewunmi Adeyiga
Lived Experience Peer Support Worker

Please let us know things you are happy about, things the C&H SAWMS could improve on and any problems/concerns you may have.
If you have attended your assessment or treatment programme, please click on the link or scan the URL code below to give us feedback.

Completed assessment feedback form

As hard as we try, we don’t always get things right for all of our clients, and sometimes circumstances outside of us and outside of our clients can get in the way of treatment. If you have decided to discontinue your treatment with us, we are really keen to learn from your experience so we can continue to offer services that deliver the care our community needs. Please use the URL/ link below to identify the reasons that contributed to your decision to stop attending: 

Completed treatment feedback form

Alternatively, if you would rather speak to a member of staff or the service lead, than please contact us on:

• Telephone: 07342 068 741
• Email: huh-tr.info-chsawms@nhs.net

Patient Advice and Liaison Service (PALS)

At times, it can feel difficult to talk about the things that didn’t work for you directly with the clinicians that you have met. If this is the case for you, then you may wish to contact PALS. PALS offers confidential advice and support on health-related matters for our NHS trust. They are your first point of contact to help improve the care you are provided through listening to your concerns and suggestions.

This service can take forward any compliments you may wish to make, furthermore, they can provide advice on the NHS complaints procedure and how to get independent help if you wish to make a complaint via the use of an advocate.

This service is operating Monday – Friday (9am – 5pm, not including bank holidays)

You will be able to contact them either by phone or email and these details are:

• Telephone: 020 8510 7315
• Email: huh-tr.pals.service@nhs.net
• Link to Easy Read PALs leaflet

Our clinicians will aim to get back to any specific queries you may have about your treatment with us as soon as possible. There may be a time delay in doing so, as they are all working in clinic/group sessions for the majority of their working time. If during your time of treatment with us you experience any acute deterioration in your physical health, then please do not hesitate to contact your GP or the emergency services on 111 or 999 depending on the severity of your symptoms.

Should you experience a deterioration in your mental health, The City & Hackney Mental Health Crisis Line is available 24 hours a day, every day of the year and is free to call. If you are experiencing thoughts you cannot control, are in danger of harming yourself or someone else, are seeing or hearing things that are not there, or in any other urgent mental health crisis, please call the number below:

Telephone: 0800 073 0006

In a crisis, please do not use the service digital patient platform as the monitoring of this platform by qualified professionals is limited.

 

We feel that it is essential that we work together with other organisations in the borough to bring about an environment and an abundance of services that can support our clients to achieve long term, sustainable and holistic change in their quality of life through better health, connection and prosperity. Please use the links below to explore what is available in your local area and to find services which may help you move towards achieving your goals.

City & Hackney CCG

See this website for additional weight management and healthy eating services commissioned by the care commissioning group for other age groups.
https://gps.cityandhackneyccg.nhs.uk/service/hackney-healthy-eating-and-obesity-service

City & Hackney Neighbourhoods

Neighbourhoods brings residents, voluntary sector, health, education and care services together in City & Hackney’s eight Neighbourhoods, to work together on what matters to local people and address health inequalities Provides a comprehensive map of services by area.
www.cityandhackneyneighbourhoods.org.uk)

Made in Hackney

Our mission is to tackle health inequalities, food access, the climate crisis and bring communities together using the power of plants. Provides cooking classes and delicious, free meals, six days per week.
https://madeinhackney.org/

Shoreditch Trust

Shoreditch Trust is working to create a future free from inequality. Our people-focused and peer-support approach enables us to model our services around the needs of those we support, facilitating individual and community leadership and development and encouraging people to achieve their goals
https://www.shoreditchtrust.org.uk/

Health eating information and initiatives

https://hackney.gov.uk/healthy-eating

Morningside Community Centre

Youth club, community lunches, fitness and activity sessions, community days and much more.
https://hopeatmorningside.org/community-centre

Walking groups

Walking together is our programme of weekly and monthly walks around Hackney.
https://hackney.gov.uk/walking

Sharp End

A place to connect, be active, learn and share your time, with like minded peers. We now offer hybrid classes to support people aged over 50 to be healthy and independent, in a nutshell, The SHARP End “keeps you stronger for longer”.
http://www.thesharpend.org.uk/

New Aged Games- over 50s

New Age Games is a sport and physical activity programme for Hackney residents aged 50 and over.
https://hackney.gov.uk/new-age-games

Healthier Together Hackney

The Healthier Together Hackney programme offers both Weight Management and Physical Activity on Referral programmes to support you to achieve your personal goals whether that be losing weight or becoming more active.
https://www.better.org.uk/leisure-centre/london/hackney/britannia-leisure-centre/healthwise

HENRY

The Best Start with HENRY service in City & Hackney is supporting hundreds of local families with children, from shortly after birth, right through to starting school – to provide a healthy, happy start in life for their children and the whole family.
https://www.henry.org.uk/hackney

Smoking cessation

Smokefree City & Hackney is the local stop smoking service for adults (18 years plus) who live, work or study in Hackney or in the City of London (or who have a City or Hackney GP.
https://smokefreecityandhackney.org/

Tikva

Tikva offers a wide range of extra-curricular activities for adults with moderate to severe learning disabilities tailored to the needs of the Orthodox Jewish community.
https://www.hackneylocaloffer.co.uk/kb5/hackney/localoffer/service.page?id=I1nSCIY2rcU

C & H Wellbeing Network

The City and Hackney Wellbeing Network, offers high-quality free support to help people prevent the onset of mental health problems and alleviate issues such as stress, anxiety and low mood. We also offer support to adults with severe and enduring mental health conditions
https://chwellbeingnetwork.london/

Alcohol- turning point

The City & Hackney Recovery Service is a service for residents struggling with alcohol and substance misuse issues.
https://www.turning-point.co.uk/services/city-hackney