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Deliver the Quality and Outcomes Framework with confidence
Xyla supports practices through clinically aligned, referral-based services mapped to key Quality and Outcomes Framework (QOF) indicators. By simplifying referral pathways and ensuring patients are directed to the right programmes first time, we help improve outcomes, maximise QOF performance, and reduce the operational burden on practice teams.
Supporting Primary Care with weight management & diabetes services
Use our interactive flowchart to help you quickly identify the most appropriate weight management programme for your patient (18+), while highlighting the QOF indicators linked to each pathway, supporting confident, consistent referral decisions. Alternatively download the PDF here:
Maximise your QOF performance
New referral to weight management programme indicator for adults living with obesity supporting programmes:
NHS Diabetes Prevention Programme (NDPP)
NHS Digital Weight Management Programme (DAWM)
NHS Type 2 Diabetes Path to Remission Programme (T2DR)
New shared decision making and pharmacotherapy indicator for obesity supporting programmes:
NHS Behavioural Support for Obesity Prescribing programme (BSOP)
While these programmes are not intended as direct treatments for hypertension, they may support improved blood pressure control through lifestyle interventions such as weight loss, increased physical activity, and dietary changes:
NHS Digital Weight Management Programme (DAWM)
NHS Type 2 Diabetes Path to Remission Programme (T2DR)
NHS Behavioural Support for Obesity Prescribing programme (BSOP)
Now includes Gestational Diabetes Mellitus patient cohort.
NHS Diabetes Prevention Programme (NDPP)
About Xyla’s programmes
NHS Diabetes Prevention Programme
Your local diabetes prevention programme can significantly reduce your patient’s risk of developing Type 2 diabetes through positive changes to their diet, weight and the amount of physical activity they do.
Over 380,000
people supported to reduce their risk of Type 2 diabetes
37% reduced risk
of developing Type 2 diabetes by completing the programme
79% of patients
who began overweight, lost weight over the course of the programme
96% of patients
feel motivated to continue with the lifestyle changes
“The sessions themselves were incredibly informative, and our instructor was absolutely fantastic” Katy
“The benefits are life changing. Being part of a like-minded group was really encouraging” Dianne
“I lost 17lbs and haven’t put on any weight since” David
“I got a huge amount out of it, it changed my life” Adrian
Who can refer?
Referral into the NHS Diabetes Prevention Programme (NDPP) can be made by a range of healthcare professionals, such as:
- GPs
- Practice Nurses
- Healthcare Assistants (HCAs)
- Pharmacists
- PCN and community-based clinicians
- Other appropriately trained healthcare professionals
Type 2 Diabetes Path to Remission Programme
The NHS Type 2 Path to Remission Programme combines specialised nutrition, psychological support and physical activity to drive rapid weight loss, enable sustainable behaviour change, and support type 2 diabetes remission and reversal.
Over 10,000
people referred into the programme since 2023
1 in 3
patients who complete the programme achieve remission.
A staggering 63,711kg
has been lost by service users on the programme since 2023
11.5kg
average weight loss over the course of the programme
“I have achieved amazing things so far” Ash
“I’ve had a really positive experience with the programme from the start” Karen
“I have reduced my weight 30kg and exceeded my target” Simon
“Seeing the results was the motivation to carry on” Daniel
Who can refer?
Referral into the NHS Type 2 Path to Remission Programme can be made by a range of healthcare professionals, such as:
- GPs
- Practice Nurses
- Diabetes Specialist Nurses
- Other appropriately trained healthcare professionals
NHS Digital Adult Weight Management
The NHS Digital Weight Management Programme supports adults living with obesity who also have diabetes or hypertension. It provides a 12-week digital behavioural and lifestyle programme, accessible via smartphone or computer, helping individuals improve their health through structured support and guidance.
Over 67,000
people referred have joined the programme
90%
of service users completed the full programme
4.3kg
average weight loss of those who completed the programme
91%
of service users rated the programme as excellent
“So detailed and informative, I have learnt so many new things since being on the programme” Sally
“The Xyla Wellbeing app is great, full of resources and information” Tobias
“I feel like someone is looking at me and guiding me to be good!” Ethan C
“A* experience. Thank you.” Finley
Who can refer?
Referral into the NHS Digital Adult Weight Management Programme is open to a range of healthcare professionals working across primary and community care settings, such as:
- GPs
- Practice Nurses
- Healthcare assistants (via clinical pathways)
- Community pharmacists
- Other primary care clinicians
NHS Behavioural Support for Obesity Prescribing (BSOP)
The NHS Behavioural Support for Obesity Prescribing (BSOP) programme is designed to support individuals who have been prescribed tirzepatide, combining medical treatment with tailored behavioural, nutritional, and psychological support.
Supporting safe and effective weight management pathways
The programme provides structured, person-centred support for patients starting weight loss treatment with pharmacological therapies. It ensures patients receive the wraparound care required to achieve sustainable outcomes and meet QOF expectations.
The programme helps patients to:
- Build sustainable habits that support long-term weight management and metabolic health
- Develop balanced dietary behaviours and make informed lifestyle choices around nutrition, physical activity, and self-care
- Understand obesity as a chronic condition, with tailored strategies to support lasting change
- Improve confidence, health literacy, and engagement through consistent, non-clinical support alongside prescribing pathways
- Three flexible ways to take part in the programme: Remote group sessions, In-person sessions, Digital programme
Eligibility Criteria
- Aged over 18
- BMI of at least 40 kg/m2 (reduced to 37.5 kg/m2 for people from South Asian, Chinese, other Asian, Middle Eastern, Black African or African Caribbean ethnic backgrounds)
- 4 or more of the following comorbidities: Dyslipidemia – Hypertension – Cardiovascular disease – Obstructive sleep apnoea – Type 2 Diabetes
Ready to maximise your QOF performance?
Our teams can help you identify eligible patients and streamline referrals into the right programmes first time.
Get in touch today and fill in our short contact form below to discuss how we can support your practice.
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