Diabetes, Vascular and Endocrine Health Centre at the RD&E NHS FT

Exeter Medical Obesity Service

The Exeter Medical Obesity Service has been commissioned by Devon PCT to optimise the care of obese patients who meet the referral criteria. Our multidisciplinary team aims to:

Support patients to achieve 5-10% weight loss through sustainable lifestyle changes using a range of non-surgical options.
Provide education, guidance and specialist follow-up for patients who do require bariatric surgery.
Support primary care and the surgical centre(s) in the long term follow-up of post-operative patients.

Referral criteria

We can only see patients who meet the following criteria:

Age over 18 years.
Referred in writing by their GP.
One of the following body mass index (BMI) criteria:
- BMI 45 or over
- BMI 35 or over with at least one comorbidity as defined by NICE: (uncontrolled hypertension, type 2 diabetes, sleep apnoea, cardiovascular disease, osteoarthritis, uncontrolled dyslipidaemia)

Patients must have demonstrated commitment to losing weight through participation in primary care/community weight management services, for a minimum of six months (if available). Patients must also have had a trial of oral weight loss agents, i.e. Orlistat, prior to referral. An exception is made for patients with a BMI over 50, who need not have tried Orlistat prior to referral.

Where the clinician feels that exceptional clinical need can be demonstrated for patients who do not fulfil the above criteria, the referral route is via the Individual Patient Funding Panel.

Referring to EMOS

Send written GP referrals only to:

EMOS
Macleod Diabetes & Endocrine Centre
Royal Devon & Exeter Hospital
Barrack Road
Exeter EX2 5DW
Tel: 01392 403038
Fax: 01392 402270

The EMOS team

Please see our staff pages for more information.

Tracey Coombs	- secretary
Vicky Creese	- specialist dietitian
Kelly-Anne Haynes	- secretary
Dr Emma Kewin	- psychologist
Dr Mark Daly	- consultant physician
Dr Katarina Kos	- consultant physician, clinical lead
Tracey Gale	- specialists dietitian
Dr Lisa McClelland	- consultant liaison psychiatrist
Fiona Thompson	- specialist dietitian
Dr Roderick Warren	- consultant physician