Be Well Tameside Professional Referral Form

Before referring, please check that the client meets our referral criteria

For healthy lifestyle or weight management support

Inclusion criteria	Exclusion criteria
Residents may be referred if they: Wish to improve their diet, physical activity or weight-related behaviours Are willing and able to engage in behaviour change support (Behaviour change support helps people make healthy changes in their everyday life) Have a BMI below 40kg/m2 Live, work or have a GP in Tameside Are aged 16 or above	The service will not accept referrals where the resident's primary need is specialist assessment, treatment, or clinical management. For example: BMI of 40 kg/m² or above. Clients currently receiving support from a Tier 3 Weight Management Service. Disordered eating behaviours Severe mental health difficulties that would prevent engagement with behaviour change support. Unstable medical conditions requiring specialist clinical management. Circumstances where dietary or physical activity advice requires specialist medical oversight.

Inclusion criteria

Exclusion criteria

Residents may be referred if they:

Wish to improve their diet, physical activity or weight-related behaviours
Are willing and able to engage in behaviour change support (Behaviour change support helps people make healthy changes in their everyday life)
Have a BMI below 40kg/m2
Live, work or have a GP in Tameside
Are aged 16 or above

The service will not accept referrals where the resident's primary need is specialist assessment, treatment, or clinical management. For example:

BMI of 40 kg/m² or above.
Clients currently receiving support from a Tier 3 Weight Management Service.
Disordered eating behaviours
Severe mental health difficulties that would prevent engagement with behaviour change support.
Unstable medical conditions requiring specialist clinical management.
Circumstances where dietary or physical activity advice requires specialist medical oversight.

For stop smoking support - inclusion criteria

Does the client want help to stop smoking or using other tobacco products (incl. vape and tobacco chewing)?
Does the client live, work or have a GP in Tameside?
Is the client an inpatient at Tameside Hospital?

Note, there is no age limit for stop smoking support

If the client meets the inclusion criteria, press continue to proceed to the referral form.