Once you click ‘submit’, your completed form and all the information it contains are encrypted and transferred securely to a secure nhs.net email account.
Please note that we aim to contact all clients within two working days of us receiving their referral.
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Important information for referrers for alcohol & weight related issuesPlease be aware that the Healthy Lifestyles Service is a behaviour change service (tier 1 & 2), and supports people that wish to make lifestyle changes, but do not require specialised support to do so. If referring individuals with more complex issues, these should be referred to tier 3 & 4 services.
Referring for weight management related issuesThe Healthy Lifestyles Service is able to support people who would like to address a weight related issue. However, those individuals with a BMI > 50 or BMI > 40 with any significant condition (for example, type 2 diabetes or high blood pressure) that could be improved with weight loss, should be referred to relevant tier 3 & 4 services. The link for referral form to Specialist Weight Management Services (tier 3) can be found at,
Please note that the current Weight management referral pathway will remain the same until 31st March 2017 (referral into Slimming World). We will notify any subsequent changes well ahead of them coming into effect.
Referring for alcohol related issuesFor alcohol related referrals, the Healthy Lifestyles Service is able to support people who are drinking outside the Government guidelines and want to cut down, but do not require specialised support to do so. Individuals who are dependent on alcohol should be considered for more specialised services (tier 3).
CGL are the specialist service (tier 3) that provide support to those that are dependent on alcohol, and offer treatment/recovery support. They can be contacted on 01452 223014 or email email@example.com or you can find their referral form at the following link