4 healthy weight Greenwich

4 healthy weight is the specialist Tier 3 weight management service commissioned by Greenwich Clinical Commissioning Group.
The service is located in GP surgeries and community locations across The Borough of Greenwich.

Referral Criteria

BMI ≥ 30 with recent onset Type 2 diabetes.
BMI ≥ 35 with 2 recognised co-morbidities.
BMI ≥ 40 with no related co-morbidities.
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 after 2 years.
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

Patients are assessed on a one to one basis. The exercise specialist discusses various exercise and physical activity options with the patient, in order to tailor a prescription to their personal goals and level of ability. Patients are encouraged to make gradual daily activity changes, such as walking further and taking stairs instead of lifts, to gain an increased level of physical activity and an increased level of energy expenditure. Following an initial assessment they are invited to participate in a specialist circuit programme of home 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)

Download a referral form