Date lodged: 12 April 2019
To ask the Scottish Government which NHS boards commission a multidisciplinary tier (a) 3 and (b) 4 weight management service.
Answered by: Joe FitzPatrick 14 May 2019
The Scottish Government does not hold information about which NHS Boards commission tier 3 and 4 weight management services. It is for NHS Boards to determine what services are required to meet local needs and whether these should be commissioned or delivered directly.
NHS Boards report annually on child and adult weight management services, including tier 3 but there is no requirement to state whether services are commissioned or delivered directly. In terms of tier 4, ISD collects data on the number of bariatric surgeries undertaken annually by NHS Board.
In order to improve quality and equity of access across Scotland, NHS Health Scotland will soon publish minimum standards for child and adult weight management services. Best practice guidance for Tier 4 bariatric provision is already in place.