What is Tier 3 Weight Management?

Understanding the Importance of Tier 3 Weight Management

We know Tier 3 Weight Management programmes can have a real impact on weight loss and quality of life for someone living with obesity. Not only does it make a difference to how people feel day-to-day, but they have more motivation to continue to live a healthier lifestyle.

Navigating GLP-1s: A Medical Weight Loss Option

Tier 3 Weight Management services often offer a range of options to help people achieve their health goals, including personalised dietary and psychological support, meal replacements like soups and shakes, and GLP-1 weight loss medications. There is no one-size fits all, and personalised care from specialist dietitians means people can adopt the right approach for them.

Bev used a TDR approach on her weight loss journey.

What is Tier 3 Weight Management?

Tier 3 Weight Management is a 12-month programme that is all about empowering people to take control of their health. Delivery of the service is centred on a multidisciplinary approach to treating obesity, meaning a number of specialists support participants throughout their journey.

Treatment is focused on diet, physical activity and psychological well being, and where eligible, may involve prescription of a weight loss medication or Total Diet Replacement (TDR).

Who Can Join?

Criteria to join a Tier 3 Weight Management programme can depend on the area, but for Oviva’s programme, the following people can be referred by their GP:

  • People aged 18 or over
  • People who are not pregnant or breastfeeding
  • People with BMI of 40 or over without any other health conditions
  • OR a BMI (Body Mass Index) of 35 or over and living with a long term health condition such as diabetes
  • OR a BMI of 33 or over if they are of South Asian descent such as Bangladeshi, Indian or Pakistani and you have a long term health condition such as diabetes
  • People who do not have an active eating disorder
  • Those who are motivated to change their lifestyle and can commit to the programme
  • Registered in an area where Oviva is available

Why Tier 3 Weight Management is a Game-Changer

Tier 3 Weight Management services have so much to offer, including treatments like Total Diet Replacement and GLP-1s, which can yield outstanding results and potentially reduce the need for surgery in the future.

What happens on a Tier 3 weight management service?

A Tier 3 Weight Management service is traditionally an intensive 12-month weight management plan for people living with obesity, with a variety of interventions including diet, weight loss medication or Total Diet Replacement. Often the service will be delivered through face-to-face appointments, which can be a barrier for some people who don’t have time or flexibility to attend.

The GLP-1 Solution

An Overview

GLP-1 medications are a class of medications used to treat type 2 diabetes and obesity. They help change processes in the body so you lose meaningful amounts of weight. Excitingly, novel therapeutics like GLP-1s can support some people to achieve remarkable weight loss of 15-25%.

How GLP-1s Aid Weight Loss

When we eat food, our gut releases a hormone that helps the body regulate hunger and blood sugar levels. This hormone is called GLP-1 (glucagon-like peptide-1). GLP-1 medications mimic the actions of the hormone GLP-1 and help your pancreas release more insulin to lower blood sugar levels, delay emptying food from the stomach, and reduce appetite via a mechanism in the brain.

Who can take GLP-1s?

Within Oviva’s Tier 3 Weight Management programme, patients eligible to take GLP-1s as part of their treatment would be identified and consulted with by a prescribing GP or nurse and dietitian at the start of the programme.

Meet Ashlee, a dedicated Biomedical Scientist and loving mum to her two children. Ashlee joined Oviva’s Tier 3 Way to Wellness programme, determined to make positive changes to her overall health and well-being.

Read Ashlee’s story

How to join a Tier 3 service?

People seeking support with weight management should speak to their GP who will refer them to the most appropriate specialist programme for them.


How to succeed on a Tier 3 service?

Setting Realistic Goals: Your Roadmap to Success

When it comes to succeeding on a Tier 3 service, setting realistic goals is essential. Tier 3 services are often designed to provide support for patients with complex and chronic conditions, requiring a comprehensive and long-term approach. By setting realistic goals, you can create a roadmap to success that will help you navigate through the challenges and achieve positive outcomes.

Read more about overcoming weight loss stall here.

Tracking Progress: The Importance of Keeping Records

Keeping records is crucial for patients who are on a Tier 3 service as it helps track progress and ensures success in their treatment journey. It can help to show progress over time and the effectiveness of the treatment plan, as well as provide a valuable communication tool between patients and healthcare providers.

Read more about the science of self-tracking for weight loss here.


In conclusion, Oviva’s Tier 3 weight management programmes in the UK offer a comprehensive and personalised approach to helping people achieve a healthier weight and lifestyle. By combining GLP-1s or Total Diet Replacement with lifestyle changes, patients can maximise their weight loss potential. However, it is important to recognise that long-term success relies on ongoing commitment to healthy habits and a supportive environment. With the right guidance and support, people can embark on a transformative journey towards a healthier and happier self.

Taking the First Step: Contacting a Healthcare Professional

If you want to speak to someone about weight management, visit your GP who will be able to provide advice and guidance on what to do next.

Oviva is available in several regions across the UK, find out more below.

Discover Oviva Tier 3 Weight Management