Strength with a starting point
Adapted resistance and everyday movement practice can be planned around joint pain, current fitness and any surgical precautions.
Metabolic health
Your health is about more than a number on a scale. This pathway focuses on strength, comfortable movement, nutrition and daily confidence, with respectful support that takes your medical treatment and lived experience seriously.

The starting point
Adults living with overweight or obesity who want practical support with function and wellbeing. This may include people receiving weight-management medicines or recovering from bariatric surgery, when their treating team considers participation appropriate.
Make it personal.
02 / Your planKeep it connected.
03 / Your next stepReview it together.
Your programme is shaped around your health, preferences and clinical needs.
Adapted resistance and everyday movement practice can be planned around joint pain, current fitness and any surgical precautions.
A suitable nutrition plan considers food preferences, medical needs and adequate intake, including the guidance of your surgical or prescribing team.
Explore activity, sleep, confidence and barriers to participation. Psychological concerns or eating difficulties need the right professional support.
Your journey
Discuss your priorities, previous experiences, medicines, nutrition and movement limitations privately and respectfully.
Choose meaningful goals and an appropriate level of activity with your clinical team.
Build achievable movement and eating routines, adapting to discomfort, energy and treatment changes.
Look at capability and wellbeing as well as weight, and adjust support accordingly.
The right measures help the team understand whether the plan is useful and what should happen next.
How measurement worksMeasures are chosen by the clinician. These are examples, not a standard test package.
A team that fits your needs
The centre confirms the professionals involved and their availability.
Working with your hospital
If you are preparing for bariatric or another operation, your surgical team sets the preparation and activity limits. Following discharge, any programme must follow the recovery and nutrition instructions you receive. Support can then focus on rebuilding daily capacity at a suitable pace.
Our referral approachNo. Strength, walking, comfort, daily participation and your own priorities matter too. Weight measurements should have a clear purpose and be discussed with you respectfully.
Possibly, after a suitability review. Your prescriber remains responsible for treatment, while nutrition, activity, symptoms and changes in strength can inform the supporting plan.
A physiotherapy assessment can help identify appropriate adaptations. You should not be expected to push through worsening pain to complete a fixed exercise routine.
Weight change and functional progress vary. Medicines and surgery remain clinician-led decisions. Programmes and professional input depend on suitability and availability, with specialist care for eating disorders where needed.
Start a conversation
Find your local centre and discuss what support may be right for you.