Weight loss medication
and specialist support
for your patients

Refer eligible patients directly via e-RS to a consultant-led MDT of dietitians, psychologists, and doctors. We provide a supportive, evidence-based service that handles the care delivery and keeps you fully updated at every stage.

Find out how to refer

NHS provider and partner for 9 years
NICE HTE14 recommended
CQC registered
20+ peer-reviewed publications
300,000+ Patients supported

NHS provider and partner for 9 years
NICE HTE14 recommended
CQC registered
Recommended by GPs
300,000+ Patients supported
Clinically-proven treatment

NHS provider and partner for 9 years
NICE HTE14 recommended
CQC registered
20+ peer-reviewed publications
300,000+ Patients supported
Clinically-proven treatment

NHS-commissioned medicated and non-medicated support for people living with obesity

A specialist service built around your patient's needs

Two pathways, both consultant-led.

We assess each patient and personalise their care.

Medication pathway

Consultant-led MDT. GLP-1 prescribing (Wegovy) where clinically appropriate. Dietetic, psychological, and behavioural support for up to 24 months.

Behavioural pathway

Consultant-led MDT. Dietetics, psychology, exercise support. Structured lifestyle programme for 12 months.

Our specialist team includes consultant physicians, specialist dietitians, health psychologists, pharmacists, nurses and exercise specialists.

Proven outcomes, backed by
published evidence

We have supported over 300,000 patients across the NHS.
Here is what the evidence shows.

0kg

Weight loss sustained at 12 months on Wegovy

(Richards et al., JMIR Formative 2025)

Reduction in psychological distress (CORE-OM)

(Spaltro et al., JMIR Formative 2025)

Service retention at 6-months

(X)

Meet our multi-disciplinary team

Every patient is supported by a named specialist. Our consultant-led MDT brings together the expertise your patients need in one coordinated service.

Rosie Carr, RD

Lead Dietitian & Exercise Specialist

Dr Piya Sen Gupta

Consultant in Diabetes and Endocrinology

Dr Rachel Hall

Clinical Lead

Dr Becky Richards

Lead Psychologist

Dr Becky Richards

Lead Psychologist

Grace Wallace, RD

Safeguarding Lead

Grace Wallace, RD

Safeguarding Lead

Ready to refer?

Referrals are made via NHS e-RS. Our step-by-step guide covers everything you need, including eligibility criteria for your ICB area and e-RS search terms.

Find out how to refer

We handle everything.
Here's what to expect.

We take care of onboarding

Once you refer, we manage everything from first contact to clinical assessment and triage. We'll be in touch with your patient and keep you updated throughout.

We take care of onboarding

Once you refer, we manage everything from first contact to clinical assessment and triage. We'll be in touch with your patient and keep you updated throughout.

In-house prescribing and medication management

Our specialist prescribing team handles all GLP-1 medication, including dose adjustments and side effect monitoring. No GP prescribing or medication management required.

We'll keep you informed on their progress

We send updates at key clinical milestones, including assessment, any medication changes, and discharge.

In-house prescribing and medication management

Our specialist prescribing team handles GLP-1 medication, including dose adjustments and side effect monitoring.

We'll keep you informed on their progress

We send updates at key clinical milestones, including assessment, any medication changes, and discharge.

What patients say

Harriet M.
It has been an incredibly supportive intervention, I have learnt so much from Joel and am so grateful. I have started to use the tools in my day to day life and they have made such a positive difference to how I manage my emotional eating, leading to a far more sustainable approach to weight management. I am so happy and far more relaxed and confident.
Maya S.
The first 12 weeks have been excellent. So very informative and insightful. Eimear has been fantastic, so supportive and knowledgeable. Explains everything so well and checks for understanding. I’ve had so many positive changes, energy levels better, bending and moving much better and very successful in weight loss too. There hasn’t really been any challenges that I’ve come across that I wasn’t able to resolve from the learnings of the course.
Eleanor R.
I'm learning to cope with my feelings better so as not to turn to food and I can now see how weight loss is so much more than food.
Clare B.
I've really enjoyed it, I think the DBT element is so important and wish everyone who was receiving medication could also get this support to address the psychological reasons behind their weight.
Nadia K.
I feel like I have more freedom. I am more confident. I have learned new skills that I can use to support my weight loss. The course is very non judgemental which I find really encouraging. I have tried many different diets over the years and this time I feel very different. I know I'm going to succeed. It's not a quick fix solution but it is a lifelong toolbox that I can dip in and out of whenever I need it. Not a diet at all. It's a change of mental attitude from a position of strength not weakness.

Harriet M.
It has been an incredibly supportive intervention, I have learnt so much from Joel and am so grateful. I have started to use the tools in my day to day life and they have made such a positive difference to how I manage my emotional eating, leading to a far more sustainable approach to weight management. I am so happy and far more relaxed and confident.
Maya S.
The first 12 weeks have been excellent. So very informative and insightful. Eimear has been fantastic, so supportive and knowledgeable. Explains everything so well and checks for understanding. I’ve had so many positive changes, energy levels better, bending and moving much better and very successful in weight loss too. There hasn’t really been any challenges that I’ve come across that I wasn’t able to resolve from the learnings of the course.
Eleanor R.
I'm learning to cope with my feelings better so as not to turn to food and I can now see how weight loss is so much more than food.
Clare B.
I've really enjoyed it, I think the DBT element is so important and wish everyone who was receiving medication could also get this support to address the psychological reasons behind their weight.
Nadia K.
I feel like I have more freedom. I am more confident. I have learned new skills that I can use to support my weight loss. The course is very non judgemental which I find really encouraging. I have tried many different diets over the years and this time I feel very different. I know I'm going to succeed. It's not a quick fix solution but it is a lifelong toolbox that I can dip in and out of whenever I need it. Not a diet at all. It's a change of mental attitude from a position of strength not weakness.

Harriet M.
It has been an incredibly supportive intervention, I have learnt so much from Joel and am so grateful. I have started to use the tools in my day to day life and they have made such a positive difference to how I manage my emotional eating, leading to a far more sustainable approach to weight management. I am so happy and far more relaxed and confident.
Maya S.
The first 12 weeks have been excellent. So very informative and insightful. Eimear has been fantastic, so supportive and knowledgeable. Explains everything so well and checks for understanding. I’ve had so many positive changes, energy levels better, bending and moving much better and very successful in weight loss too. There hasn’t really been any challenges that I’ve come across that I wasn’t able to resolve from the learnings of the course.
Eleanor R.
I'm learning to cope with my feelings better so as not to turn to food and I can now see how weight loss is so much more than food.
Clare B.
I've really enjoyed it, I think the DBT element is so important and wish everyone who was receiving medication could also get this support to address the psychological reasons behind their weight.
Nadia K.
I feel like I have more freedom. I am more confident. I have learned new skills that I can use to support my weight loss. The course is very non judgemental which I find really encouraging. I have tried many different diets over the years and this time I feel very different. I know I'm going to succeed. It's not a quick fix solution but it is a lifelong toolbox that I can dip in and out of whenever I need it. Not a diet at all. It's a change of mental attitude from a position of strength not weakness.

Names have been changed to protect patient confidentiality

Nine years delivering specialist weight management on the NHS

We've supported over 300,000 patients, hold outcomes data for every ICB in England, and are backed by over twenty peer-reviewed publications. We don't just claim to deliver results. We can showcase years of exceptional outcomes for patients in your area.

Week 2

Building healthy habits

Week 2

Building healthy habits

Nine years delivering specialist weight management on the NHS

Week 2

Building healthy habits

Frequently asked questions

Who is eligible for this service?

What does the service include?

What medications are available?

What do we (the GP) need to do?

How long is the waiting list for the Second Nature Specialist Weight Management Service

Why has my patient's referral been rejected?

What are the clinical outcomes like?

What happens at the end of the programme?

Second Nature®

Scale Space, 58 Wood Lane, London, W12 7RZ

hello@secondnature.io

Scale Space, 58 Wood Lane, London, W12 7RZ

hello@secondnature.io

Second Nature®

Weight loss medication and specialist support for your patients