Referrals

Referral Form

• Download the referral form

Referral Process

This specialist clinic is for children and young people aged 2 to 16 years with significant health problems related to obesity living within Surrey Heartlands.

The CEW service in Surrey in a pilot service, with limited capacity, referrals will be assessed on strict referral criteria; we are not able to guarantee patients will be accepted into the service even if criteria is met due to limitations within the team.

It is essential that family wants help to change and referrals will not be accepted if this is not demonstrated.

Referrals will only be accepted from secondary care and children must remain under Local Paediatrician to assist with coordination of care. Any investigations or tertiary referrals for specialist input will need to be undertaken by the local team following local pathways.

Surrey CEW does not have direct access to the additional tertiary services that might be needed (sleep, liver, renal etc.). We do not currently accept referrals directly from primary care providers.

Key Referral Criteria

Where there is capacity, patients will be considered if one or more of the following criteria are met:

• > 100% Excess Weight
• BMI greater than 40 kg/m2 or;
• BMI greater than or equal to 5 SD above 99.6th centile
• BMI greater than 99.6th centile 3.33SD and serious comorbidity or complex needs (including child safeguarding concerns with obesity as a primary concern).

Co-morbidities include:

• Hypertension
• Metabolic dysfunction-associated steatotic liver disease (MASLD)
• Surgical complications including gallstones, pancreatitis, SUFE
• Idiopathic intracranial hypertension
• Obstructive sleep apnoea
• Concerns regarding polycystic ovarian disease
• Pre-diabetes (HbA1c≥39mmol/mol
• Severe depression/anxiety related to weight
• Recognised medical cause of obesity (e.g long term corticosteroid use)
• Confirmed genetic cause of obesity (e.g. Bardet-Biedl syndrome, MC4R unless alternative provision is deemed more appropriate

Be Your Best

Be Your Best Healthy Lifestyle Programme for Surrey families with children aged 5-17 years

Be Your Best is a Tier 2 healthy weight programme designed to help children maintain a healthy weight and to support the whole family to make sustained lifestyle and dietary changes.

Referral criteria

• Child / children aged 5-17 years who live, go to a school or be registered with a GP in Surrey
• Child has a BMI greater than or equal to 91st Centile but without complex needs or an underlying medical cause for obesity who would benefit from more intensive clinical management.

To make a referral

Please complete our short referral form or send an email to This email address is being protected from spambots. You need JavaScript enabled to view it. including the child’s name and date of birth, height and weight and contact details for family. Please make it clear when making a referral if you have also referred the family into CEW clinic.

For more information about the programme, please visit the Be Your Best website for more information.