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<p>The National Health Service and local government provide a range of free tier two
weight management services (WMS), to help eligible people living with obesity to lose
weight. These are multi-component programmes, including dietary approaches and physical
activity, with behaviour change support. The length of support can vary, but guidance
from the National Institute of Health and Care Excellence suggests these should last
at least three months.</p><p> </p><p>The NHS offers the NHS Digital Weight Management
Programme, which is a tier two service aimed at adults living with obesity, who also
have type 2 diabetes or hypertension, or both, as well as NHS staff living with obesity.
The 12-week programme is directly commissioned and managed by NHS England nationally,
and is available via direct referral from any general practice or Community Pharmacy</p><p>
</p><p>Local authorities are able to spend funding from the Public Health Grant on
weight management services in line with local population need. They may be delivered
as a standalone service or as part of an integrated service, for example with smoking
cessation support. Where local authorities commission these services, they are responsible
for determining the required resourcing and interaction with other services, along
with weight management service providers</p><p> </p><p>Local authorities are part
of integrated care systems (ICSs), which are partnerships of organisations that come
together to plan and deliver joined up health and care services, and to improve the
lives of people who live and work in their area. ICS membership also includes the
NHS, social care providers, charities, and other organisations. Being a member of
the ICS will help local authorities to work more closely with partner organisations
and offer integrated support for people living with obesity.</p>
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