4 healthy weight Kent & Swale

4 healthy weight is the specialist Tier 3 weight management service that commenced in April 2013.

The service is located in GP surgeries and community locations across Kent.

Referral Criteria

Adults over 18 years of age who have a BMI ≥ 35 with related co-morbidities such as diabetes and/or cardiovascular disease
Individuals who have experienced a weight problem for at least five years
Individuals who have complied with Tier 1 and 2 services for at least 6 months and have failed to achieve or maintain adequate weight-loss goals
Individuals who have undergone bariatric surgery and require specific post-operative support
Individuals who may be referred to Tier 4 obesity services (bariatric surgery) and therefore require assessment and preparation.

Patients entering treatment are offered the following:

Motivational Interview
Multi-disciplinary Assessment
Intensive Treatment Phase either group, one to one or e-Learning
Maintenance treatment that lasts for up to 9 months
Discharge Plan
Tier 4 Assessment and Referral

Exercise and Activity

You will be provided with information on community based exercise.


The Dietetic team are trained in Cognitive Behavioural Therapy (CBT) and deliver behaviour change as part of the dietary programme. The Dietetic team provide psychological support to enhance the work of the psychological therapy team, when helping patients with food choices and eating behaviour. Patient’s weight will be monitored during these contacts.

Group Programme

Research suggests that weight management delivered in a group programme is more effective to achieve long-term weight maintenance and anecdotal evidence from past service users validates this. The group programme will consist of:

Consecutive sessions
12-15 participants in each group
Facilitated by two clinicians
There is an emphasis on behaviour change
Groups are available face-to-face or via online video conference (ZoomTM)