№ lp_2_3_47768
Administrative healthcare referral form issued by Newcastle City Council and The Newcastle Upon Tyne Hospitals NHS Foundation Trust for the Newcastle Why Weight Integrated Weight Management Service, recording patient details, clinical indicators, consent and authorisation for adult weight management assessment.
Service name: Newcastle Why Weight Integrated Weight Management Service
Programme: Newcastle EXTRA TIME Service
Region / City: Newcastle upon Tyne
Country: United Kingdom
Organisations: Newcastle City Council; The Newcastle Upon Tyne Hospitals NHS Foundation Trust
Type of document: Service referral form
Subject: Adult weight management and clinical assessment
Target group: Adults over 16 years meeting specified BMI criteria
BMI criteria: White European BMI ≥ 30 or ≥ 28 with co-morbidities; South East Asian BMI ≥ 27.5
Required information: Personal details, NHS number, medical history, medication, measurements, clinical indicators
Health indicators included: Type 1 and Type 2 Diabetes, cardiovascular disease, hypertension, dyslipidaemia, NASH, NAFLD, sleep apnoea, COPD, asthma, epilepsy, hypothyroid, musculoskeletal conditions, psychological difficulties
Assessment areas: Dietetic and clinical psychology assessment
Legal reference: Data Protection Act 1998
Authorisation: Referrer signature and patient consent required
Contact address: Why Weight, Sport, Health and Fitness Team, Newcastle City Council, Allendale Road, Room GF8, Newcastle upon Tyne, NE6 2SZ
Contact telephone: 01912788558
Contact fax: 01912788559
Contact email: [email protected]
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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