Dear NHS Wirral Clinical Commissioning Group,

I would be grateful if you could please answer the following questions with regards to Tier 3 Weight Management Services:

1. How many FTE members of staff does your tier 3 weight management service employ, what position and by what grade are these

2. How often does this service operate

3. How many patients have been referred from your PCO (CCG or Health Board) to a tier 3 weight management service in the past 12 months

4. If you commission this service, what was the total number that were referred from other PCO's (Other CCG's or Health Boards).

5. If your PCO has a tier 3 weight management service, what type of contract is in place (EG, block contract, blended contract)

6. As per the Endocrinology GIRFT report, what plans does your PCO have to undertake the specific actions outlined in the report? What timelines have been applied?

7. Have you adopted the local enhanced service for referrals to weight management

For the purpose of service improvement, please be aware that this information will be shared with NHS England.

Thank you for your time in answering these questions and I look forward to your response.

Yours faithfully,

Oliver Caswell