At Specialist Weight Management Service (SWMS) we understand that losing weight is not just about diet and exercise. To lose weight, and sustain weight loss successfully, we have to change our behaviour and mindset.
Not all patients are required to be seen by the Weight Management Psychologists on a one to one basis. However, all patients can access our Psychology Educational Talks (offering self help advice,) on a series of weight related topics.
Psychological Approaches to Weight Management
SWMS uses Cognitive Behavioural principles. Adding a behavioural approach to dietary interventions leads to more weight loss than dieting alone.
Behavioural or Psychological approaches may include; understanding and coping with feelings, changing unhelpful thinking patterns, as well as addressing habits and behaviour cycles that can contribute to lapses in our efforts to lose weight. Some psychological approaches to weight management involve:
Self-monitoring
This involves keeping a record of information such as; your food intake and activity levels, but also; your emotions, thoughts and how these relate to situations in your daily life.
Understanding Triggers
It is often useful to understand and overcome the triggers to unhelpful behaviours and habits such as over eating.
Thinking Patterns
Our thoughts often affect our behaviour and how we feel which can influence our weight and lifestyle habits.
Goal Setting
Goal setting is a powerful tool for motivating yourself to turn your vision of an ideal future into reality. This is helped by setting short, medium and long-term goals.
Problem Solving
Is the act of defining a problem: understanding the cause of the problem: Identifying, prioritising, and selecting alternatives for a solution, and then implementing a solution.
Learning To Be Assertive
Being assertive means being able to stand up for your own or other people’s rights, in a calm and positive way, without being either aggressive or passive.
Relapse Prevention
Relapse prevention skills help us to anticipate triggers for lapses. Lapses are a normal part of a weight management journey. Preventing lapses where possible, and responding to them in a healthy way, helps us get back on track.
Are You Ready To Change
Most people who want to lose weight are motivated for many different reasons. However, there will be costs as well as benefits to making changes.
Successful change requires long-term commitment to lifestyle changes and ‘motivation’ has to hold up over time. If you have already tried to lose weight you will know how difficult changing your lifestyle can be.
Stage of Change
SWMS Psychologists use the ‘Stages of Change’ model to help with the process of behaviour change.
Take some time to carefully consider the costs and benefits of weight change now. It is better to begin the program when you ready to commit to the changes that are needed to make this a success.
Remembering your own personal reasons for weight loss will help to increase motivation and keep it strong over time.
What is Disordered Eating?
Disordered eating can prevent successful weight loss and can be a combination of the following factors including:
eating large amounts of food
fast paced eating
eating when you are not feeling hungry
eating until uncomfortably full
eating late at night
eating unusual food e.g. raw or frozen food
secret eating
hiding or hoarding food
This can also be associated with feeling out of control, feelings of guilt, shame and self disgust.
Types of Disordered Eating
There are many different types of disordered eating patterns:
Binge Eating
Eating a large amount of food Eating quickly Do not feel in control Feeling upset or guilty afterwards
Emotional Eating
Using food to help us cope with emotions Can trigger binge eating
Grazing
Eating throughout the day
Compulsive Eating
Eating when not hungry Eating all of the time
Impulsive Eating
Eating without thinking about it
The SWMS psychologists provide additional support for patients who meet disordered eating criteria for our service.
Those who feel they have disordered eating patterns should visit the MIND and BEAT websites for further information.
Psychological Educational Talks
Patients who have psychological issues related to their eating and weight such as; anxiety, depression, disordered eating, body image issues or low self-esteem, may be offered a Psychology Assessment. After a Psychology Assessment we may recommend:
attending the Psychology Educational Talks
self-help material
1:1 therapy within SWMS
attendance at a Disordered Eating Group (DEG)
support from another service
or no support may be required and patients can access the standard programme
Psychology Education Talks – “Healthy Mind Health Weight”
The “Healthy Mind Healthy Weight” talks help you learn skills that can help you to cope with common psychological problems that can affect your weight.
For clients attending the SWMS lifestyle programme, we offer Healthy Mind Healthy Weight “Virtual Talks” covering 4 topics, over 7 sessions.
During the talk, you will not be asked to speak. Where talks have two parts, attendance at both parts is highly recommended.
You do not need to attend all topics, only the sessions you feel are relevant.
Psychology Education YouTube Videos:
The Psychology Education “Healthy Mind Healthy Weight YouTube Video Links” have been created as an alternative to our “Virtual Talks” for those who are unable to attend, or wish a refresher on certain topics.
You can download copies of the slides and relevant handouts. Or, you can request printed paper copies from your group clinician.
Psychological Education You Tube Video topic links:
Disordered Eating, Self Esteem and Body Image Resources
BEAT
The BEAT website offers advice on overcoming Eating Disorders as well as offering a helpline to those wishing support and advice about their eating disorder: Tel: 0808 801 0677
Centre for Clinical Interventions Self Help Resources
The Wellbeing website, an NHSGGC service, has a information and support, including a virtual course, available to those registered to a GP based in south Glasgow.
National Mental Health Resources
Breathing Space
Breathing Space offers a confidential service to patients in Scotland on Tel: 0800 838 587 (calls from landlines are free of charge; charges may apply to mobile users). If you are depressed or experiencing low mood, you can speak to a Breathing Space advisor weekdays: Monday – Thursday, 6pm-2am, and weekends: Friday 6pm to Monday 6am.
Breathing Space – Living Life
Breathing Space – Living Life offers a confidential telephone service for people with low mood or anxiety, using cognitive behavioural interventions. Tel: 0800328 9655.
Samaritans
Samaritans is a crisis line for patients who feel in despair and in need of emotional support. The telephone lines are open 24 hours per day on Tel: 116 123. Calls are free anytime from any phone.
Clear Your Head advice and resources from the Scottish Government for coping emotionally during the COVID-19 pandemic.
SAMH (Scottish Association for Mental Health)
Scottish Association for Mental Health work with adults and young people providing mental health social care support, services in primary care, schools and further education, among others.
Give Us A Shout
Shout 85258 is the UK’s first free, confidential 24/7 text support service. It is a place to go if you’re struggling to cope and need mental health support.
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Glasgow Based Resources
Sandyford
Sandyford provide sexual, reproductive and emotional wellbeing services for people living in the Greater Glasgow and Clyde catchment area. Tel: 0141 211 8130.
Wellbeing Glasgow
Wellbeing Glasgow provides freely available downloadable leaflets, they have more services for people living in the South side of Glasgow catchment area.
EDAMH (East Dunbartonshire Association for Mental Health)
GAMH offers Glasgow based support for people experiencing mental health difficulties.
RAMH (Recovery Across Mental Health)
RAHM provides personal care and services to those living in Renfrewshire affected by mental ill health – depression, self-harm, bipolar disorder, anxiety and other conditions.
Crossreach
Crossreach offers confidential counselling in the Glasgow city centre. Tel: 0141 221 1535.
MWRC (Muslim Women’s Resource Centre)
Muslim Women’s Resource Centre (MWRC) offers a responsive approach to addressing key issues and needs for Muslim women. Helpline Tel: 0808 801 0301.
Lifelink
Lifelink offers support to people who are struggling to cope with everyday stress or who are feeling anxious or depressed. Issues such as debt, bereavement, addiction, self-harm/suicide and problems with relationships or family can all interfere with a persons quality and experience of life.
Heads Up (NHSGGC Mental Health)
NHSGGC’s mental health pages provide advice and information on mental health conditions, about how you can support yourself or the people you care for, the service available for you and the range of interventions you may participate in.
Support for Carers – Your Support Your Way Glasgow
Your Support Your Way Glasgow – Call or email the Carers Information Line for information and advice about support for unpaid carers and to make a referral for support (carers can self-refer or someone else can refer on their behalf). The Carers Information Line is available Monday to Friday from 9.00am to 5.00pm.
Carers Information Line (CIL) – Phone 0141 353 6504 or email: info@glasgowcarersinformation.org.uk
Geneen Roth (2004). Breaking Free From Emotional Eating.
Jan Chozen Bays (2017). Mindful Eating.
Lynne Henderson (2010). The Compassionate-Mind Guide to Building Social Confidence.
Dennis Tirch (2012). The Compassionate-Mind Guide to Overcoming Anxiety.
Paul Gilbert (2009). Overcoming Depression.
Deborah Lee (2012). The Compassionate-Mind Approach to Recovering from Trauma; Using Compassion Focussed Therapy.
Thomas Cash (2008). The Body Image Workbook: An Eight-Step Program for Learning to Like Your Looks.
Denise Ratcliffe (2024). Understanding and Managing Emotional Eating: A Psychological Skills Workbook.
Psychological and Wellbeing Apps
Psychology and Wellbeing apps can be downloaded onto your smart phone. Some apps are free and very easy to use. Some examples are listed below:
Mindshift
Is a free self-help anxiety relief app that helps you reduce worry, stress, and panic followed by evidence-based strategies.
SAM Self-help Anxiety Management
Is a friendly app that offers a range of self-help methods for people who are serious about learning to manage their anxiety.
Happify
Happify’s science based activities and games can help you overcome negative thoughts, stress, and life’s challenges. Developed by leading scientists and experts, who’ve been studying evidence-based interventions in the fields of positive psychology, mindfulness, and cognitive behavioural therapy for decades.
Headspace
Is a guide to mindfulness for your everyday life. Learn meditation and mindfulness skills from world class experts. From managing stress and anxiety, to sleep, focus, and mind-body health.
Calm
Calm is the perfect mindfulness app for beginners, but also includes hundreds of programs for intermediate and advanced users. Including guided meditation sessions and sleep stories.
Smiling Mind
Is a free mindfulness meditation app to assist people in dealing with the pressure, stress, and challenges of daily life.
Buddhify
Buddhify is here to help you bring more calm, clarity and kindness to all parts of your life. Whether you are looking to reduce stress and anxiety or get a better night’s sleep, Buddhifyhas easy to follow guided meditations to help you live happier and healthier.
Stop Breath Think
Relax, sleep better, get happier and be healthier with guided meditations, soothing music, nature sounds, master classes and much more.
Sleepio
The sleep improvement app. Includes; a sleep improvement program, your own personal sleep expert, personalized help, day and night, incorporating a healthkit and device integration.
Worry Time
To help manage the symptoms of anxiety, worry and rumination. Worry Time interrupts repetitive thinking by setting aside worries until later, so you don’t get caught up in them and can get on with your day. This means you can deal with worries once a day, rather than carrying them around with you 24/7.
Insight Timer
Guided meditations and talks led by the world’s top meditation and mindfulness experts, neuroscientists, psychologists, and teachers from Stanford, Harvard, the University of Oxford and more. To help calm the mind, reduce anxiety, manage stress, sleep deeply and improve happiness.
NHS Mindfulness App
Mindfulness Based Approaches within NHSGGC, legally known as Greater Glasgow Health Board. This App includes access to national guidelines.
paindata – a local pain management resource containing a host of patient information and resources, made by clinicians working in the NHSGGC Pain Service. Resources include information about medication and non-English translations of some of our resources.
Persistent (or chronic) pain is very different from ‘normal’ (or acute) pain, and strategies that work well for managing acute pain are often unhelpful – or worse – when it comes to persistent pain. Here is a good overview of how persistent pain differs from normal pain, from the neurosymptoms.org website.
Why doesn’t my medication work anymore? Painkillers don’t usually help very much for chronic pain conditions. See this NHS-approved resource, ‘Painkillers Don’t Exist’ for more information.
Focus on Opioids (Morphine and related drugs)
Opioids are painkillers in the Morphine family of drugs. There are many different types, ranging from weak opioids like Codeine, to strong ones like Oxycodone (or Morphine itself), but they all work roughly the same way in the body. Opioids have been in the news recently as we learn more about how unsuitable they are for long-term use. Although they work very well for a few weeks (making them great for pain after surgery or an acute injury), after this time the body gets used to them and they become less effective (tolerance). They also start to cause more and more side effects, as well as problems like physical and psychological dependence.
This short piece of writing is by a patient who attended the pain clinic. He wanted to share his experience of becoming dependent on opioids, and how he eventually overcame this.
NHS Greater Glasgow & Clyde have produced a series of leaflets explaining how to use the common Morphine drugs safely, including how to reduce and stop them if they no longer work:
The problem with strong Morphine drugs(opioids) – a collection of resources for patients, carers and professionals at the Opioids Aware website
Pain Service Information
We have produced a range of booklets locally, introducing some of the concepts and treatment strategies that we use in the pain service. These will open as pdf files in a separate window, unless otherwise indicated (see here for non-English translations of our introductory guide to self-management).
Flippin’ Pain – an online resource co-created by people with persistent pain, healthcare professionals, pain scientists and communications experts. It aims to help you make sense of the science behind your pain, and put this knowledge into action.
Live Well With Pain – a collection of helpful videos and other resources designed to help you learn the skills you need to become an effective self-manager of your pain.
Pain Concern is a Scottish charity providing advice and support to people with chronic pain.
Pain Toolkit – a great self-management resource, developed by someone who has lived with chronic pain.
Welcome to the website for the NHS Greater Glasgow and Clyde Pain Service. These pages contain information about the Pain Service, as well as online resources to support people living with chronic pain.
We run outpatient services from Victoria, Stobhill and Inverclyde hospitals. Our Pain Management Programme is currently based at Lightburn Hospital, but will be moving to the Parkhead Hub early 2025.
Chronic pain is different from ‘normal’, or ‘acute’ pain! Strategies that work well for acute pain are often less successful – or can even make things worse – in chronic pain conditions.
Please use the link below to find out more about chronic pain, and how the Pain Service can help you.
Your GP or secondary care specialist can refer you to the NHS Greater Glasgow & Clyde Pain Service. Most new referrals are offered an introductory information session and brief telephone chat before the first clinic appointment. This is to give you a chance to see what we do in the pain clinic, and let us know how you hope we can help you.
About the team
We are a multidisciplinary team of Doctors, Nurses, Occupational Therapists, Pharmacists, Physiotherapists and Psychologists. You may see one or more of us at different stages of your journey through the pain service.
Here you will find everything you need to signpost and refer your patients to our physical activity programmes. If after browsing you still have questions then please call 0141 232 1860 and select the Health Professional option and someone will be able to help you. Please also call this number if you would like to receive a health professional pack with all the information and forms you need to refer your patients. All resources are also available below to download and print off for you to use.
NHS Greater Glasgow and Clyde have made it easy to assist patients in your area to become more active, through the introduction of three bespoke physical activity programmes; Live Active, Vitality and Health Walks. These programmes, designed by health care and fitness specialists, are quality assured and tailored to the needs of patients with various abilities and health conditions.
In addition our six Local Authority partners have a range of general physical activity opportunities available such as gym facilities, swimming and a range of exercise classes. There’s something everyone can take part in regardless of their current activity level, age or medical condition.
Choosing the right programme for your patient
We have provided you with summary details on each programme and created a simple flowchart and referral guidance which you can use as a quick guide to help you make your selection.
Take a look at the flow chart (pdf) to find out which programme is right for your patient.
Live Active – for people who need some support to become active
Vitality – exercise classes for people with medical conditions
Health Walks – guided group local walks suitable for everyone
General Physical Activity Opportunities – a range of local physical activity opportunities put on by the local authority
Live Active – for people who need support to become active
If your patient isn’t sure where to start and wants or needs some support to become more active then Live Active is the right choice.
View Live Active videos below:
Through the help and support of our specialist Live Active Advisors, patients will receive bespoke advice and encouragement to set physical activity goals.
Over the course of a 12 month period and through the support of our one to-one consultations, either in person or on the telephone, our Live Active Advisors will provide patients with the knowledge, tools and confidence they need to meet their goals.
A physical activity plan is tailored for each individual and Live Active Advisors help patients choose from a range of activities available to them in their local area such as Vitality classes, supervised gym sessions, swimming, health walks to name but a few. Rest assured that the Advisors have a wealth of knowledge of all the opportunities available to patients locally to become more active.
Live Active Advisors are also on hand every step of the way offering techniques to cope with setbacks if they arise and advice on how to gain the right social support to keep them on track. The Advisor will agree a personalised support plan for the patient in terms of what support they need and how often e.g. telephone calls, catch ups etc. This unique service is ideal for patients who are keen to make better lifestyle choices but need help to do so.
Patients will also be offered access to wider NHS Greater Glasgow and Clyde support services including Quit Your Way.
Where
Live Active operates across NHS Greater Glasgow and Clyde within various Leisure Centres and Community Centres. When making a referral for your patient (see below on how to make a referral) you will be asked to select the site/venue they want to attend.
What next?
If your patient is eligible (please see referral guidance) and would benefit from attending Live Active, please complete the appropriate referral form.
Referrals can be made via SCI Gateway (please complete all appropriate fields and ensure you specify which site/venue your patient would like to attend) or by completing one of the following referral forms:
Please complete the appropriate Live Active Referral Form, ensuring you provide all of your contact details as well as those of the patient
The Live Active Advisor will contact the patient upon receipt of the referral form. If the patient has not heard anything within 2 weeks then please give your patient the Live Active telephone number – 0141 232 1860 and select the Live Active option.
Cost
The Live Active one-to-one behavioural support between the Advisor and Patient is completely free. Patients will only pay for the additional activities they wish to take part in.
If you are still unsure if Live Active is the most suitable programme for your patient, please check our flowchart and referral guidance or give us a call on 0141 232 1860 and select Health Professional option or email LiveActive@ggc.scot.nhs.uk for more information.
Live Active operates across NHS Greater Glasgow and Clyde within various Leisure Centres and Community Centres across our six Local Authority Partners:
Vitality – exercise classes for people with medical conditions
Vitality exercise classes have been specifically designed for people living with medical conditions such as; Parkinson’s disease, MS, Stroke, Cardiac Conditions, Osteoporosis, Cognitive impairments and COPD. It is also ideal for those who have a fear of falling or find their strength and balance is starting to impact on their daily lives.
Vitality is delivered by highly trained staff meeting the required national fitness qualifications as well as having undertaken bespoke NHS GG&C Vitality training, delivered by a range of condition specific physiotherapists. There are various classes available within the Vitality programme each designed to build and maintain strength, improve co-ordination and flexibility meaning that your patients can participate in a safe, comfortable, and above all else fun environment. Classes last for approximately 60 minutes in total with a warm up, main section and cool down/stretch included.
Where
Vitality classes operate across Greater Glasgow and Clyde in a range of community centres and leisure centres. If you would like to find out specific class details please call 0141 232 1860 and select Vitality option, or see link below to current timetable:
If any of the questions below are answered YES for your patient, they are NOT suitable for community based exercise at this time.
Do you lose your balance because of dizziness or do your frequently lose consciousness?
Do you feel pain in your chest at rest or when you do physical activity?
Do you get short of breath at rest or doing light activity?
Has your doctor advised you not to participate in exercise?
If your patient has had a stroke within the last 6 months or has a heart condition they should be referred to the Live Active Exercise Referral Scheme to gain access to Vitality Classes – this requires a referral. Referrals can be made via SCI Gateway or by completing the following referral form (please note that Referral Form B is for patients with a heart condition).
If your patient would find it difficult to be active independently, and would require behaviour change support to become more physically active, they should be referred to the Live Active Exercise Referral Scheme – once referred they may be signposted to Vitality classes.
For all other patients ie those who do not require behavioural change support, those who do not have a history of heart disease and those who haven’t had a stroke within the last 6 months:
Complete the following Electronic Vitality Contact Sheet and click submit. Or simply ask your patient to call 0141 232 1860 and select Vitality option.
All new participants to the class will be required to complete a Vitality Suitability Questionnaire (like a PARQ) on their first visit. Ideally if you can support them to complete this (link below on how to get some of these delivered to you) and give it to them so they can pass to the instructor on their first visit, this will save time on their first visit. But don’t worry if you can’t – this will be completed at their first visit at the class with the Instructor.
Resource Details – direct link to ordering copies of the Vitality SQ
Any questions please contact liveactive@ggc.scot.nhs.uk or call 0141 232 1860 and select Health Professional option and someone can chat through the process with you.
Health Walks – guided group local walks suitable for everyone
Walking has been described as “near perfect exercise”. Almost all patients can take part in Health Walks, so there’s no referral form needed. Walks are easy, sociable and good fun, with a volunteer walk leader on hand to encourage participants to go at a pace they are comfortable with.
It’s a great way for people to get out and about, enjoy the sights of their local parks and gardens and meet new people. No specialist equipment is required however, participants are asked to dress for the weather and wear appropriate and comfortable footwear.
Health walks are free, last for up to one hour and take place regularly at various locations across Greater Glasgow and Clyde.
Where
There are over 75 Health Walks every week across the Greater Glasgow and Clyde area.
If Live Active, Vitality or the Group Health Walks are not what your patient is after, our 6 partner Leisure Trusts have a wide range of other physical options available. All you need to do is inform your patient to call 0141 232 1860 and select General Physical Activity Opportunities and they will be directed to their local Leisure Trust
More information on local physical activity opportunities:
We have created a general contact form if your patient isn’t sure what to do or what physical activity programme would suit them best. Please complete the form if your client/patient would like a local Physical Activity Advisor to contact them to discuss how best to become more active
Please note – if you have access to your patients full medical notes and want to refer directly to Live Active, please complete a Live Acitve referral form instead (see Live Active section above for referral forms and guidance).
For patients WITHOUT established heart disease.
To be completed by referring health professional. Please refer to the referral guidance document for further information on appropriate referrals and processes. If patient has established heart disease, please use Referral Form B.
*These forms will only work when using a modern browser (e.g. Google Chrome, Microsoft Edge or Mozilla Firefox) and will NOT work when using Internet Explorer*
The Live Active Online Referral Form B is intended for patients WITH established heart disease.
The referring health professional should complete this form. Please ensure the patient meets the referral criteria and the form is fully complete, otherwise they will not be accepted into the service. If patient does not have established heart disease, please use Referral Form A.
This form allows access to medical screening to determine the safety of exercise prescription for the patient.
*These forms will only work when using the latest web browsers, such as Google Chrome, Microsoft Edge or Mozilla Firefox. They will not work when using Internet Explorer.*
Please complete this form if your client/patient would like a Physical Activity Advisor to contact them to discuss becoming more active.
If a patients full medical notes are accessible, a Live Active Referral may be more appropriate. Please use referral form B for patients with established Heart Disease (this should be completed by a patient’s GP or PN).
*These forms will only work when using a modern browser (e.g. Google Chrome, Microsoft Edge or Mozilla Firefox) and will NOT work when using Internet Explorer*
Welcome to the NHS Greater Glasgow and Clyde Physical Activity webpage. Here you will find everything you need to know around the topic of Physical Activity – why it’s important to be physically active, how to be more active and what programmes and opportunities are out there to help you move more in your local area.
To find out more click on the “Get Active” button below OR if you are a Health Professional looking for guidance for your patients please click on “Guidance for professionals” button.
If you’re a health professional, you can refer your patients to Glasgow and Clyde Weight Management Services via SCI Gateway here. Please select send to ‘GGC Weight Management Service.’
Alternatively, acute referrals can be made via TrakCare. Instructions for making a referral in Trak can be found here.
Our full referral criteria and guidance can be found here.
To Self Refer:
Self referral is available if you have a confirmed diagnosis of:
Orlistat (Xenical®) is a licensed medication for weight management in NHS Greater Glasgow & Clyde (NHSGGC). This may be offered to some service users following the completion of the 12 week Lifestyle phase of our programme.
Orlistat reduces the production of the enzymes used to break down dietary fat. It works locally in the stomach and intestine to prevent absorption of approximately 30% of the fat from the food we eat.
Orlistat must be combined with a low fat Structured Meal Plan (SMP). Patients are advised to follow a diet containing 40-50 grams of fat distributed evenly over the day.
GP’s are responsible for prescribing the medication. In NHSGGC, our local formulary advises that GP’s should prescribe Orlistat on the advice of SWMS. This ensures regular monitoring within the prescribing guidelines and appropriate dietary support is provided.
SEMAGLUTIDE (Wegovy®) and TIRZEPATIDE (Mounjaro®)
Semaglutide (Wegovy®) and Tirzepatide (Mounjaro®) have been approved for use in NHS Scotland to assist diet and exercise weight loss methods.
Wegovy and Mounjaro are not being prescribed in NHSGGC as these medications are not yet on the NHS GGC formulary as there are no established patient pathways.
The weight management prescribing of GLP1s blog is now live on the GGC medicines website
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