Resources for referrers to the NHS Type 2 Diabetes Path to Remission Programme

South Yorkshire

Welcome!  This is a long webpage as it includes all the resources that GP practice staff may need to identify and refer eligible patients to the NHS Type 2 Diabetes Path to Remission Programme (T2DR), formerly the NHS Low Calorie Diet Programme.  It is designed for people who have referred previously or attended an education event or come to a weekly drop-in sessions – see below for details. 

This website is for referring health care professionals only – please do NOT forward to patients.  The patient information page is here – or you can print patient leaflets below.

If you have any questions or feedback please get in touch using the Contact information below.

Thank you very much and we look forward to your referrals.

If you are not from South Yorkshire please see the bottom of this page for the correct referrers’ pages.

Table of contents

Service overview

The NHS Low Calorie Diet Programme relaunched in South Yorkshire on June 1st 2023, with three significant changes:

  • New name: NHS Type 2 Diabetes Path to Remission Programme (T2DR) – in response to patient focus groups convened by Diabetes UK
  • New format: Coached support over 12 months delivered one-to-one, either in-person or digitally according to patient choice
  • New provider: Momenta Newcastle (Momenta) have replaced Reed Wellbeing in South Yorkshire following a joint procurement with NHS England. 


The T2DR Programme continues to offer life-changing support for people who are living with Type 2 diabetes and above a healthy weight. The 12 month programme is designed to support people to improve their diabetes control, reduce diabetes-related medication and in some cases, put their Type 2 diabetes into remission.  The three phases remain:

  1. Total Diet Replacement: 12 weeks, with all meals replaced by TDR products
  2. Food re-introduction: 6 weeks, gradual reintroduction of real food
  3. Weight maintenance: To 52 weeks, ongoing support to build and maintain healthy lifestyles.


The whole programme, including coaching and all total diet replacement products, is free for participants. 

On average participants lose 10-15% of their starting weight in the first three months.

Referrer training event slides 28/9/2023

The full set of slides from this training session are available to download here. 

The recording of the session will be available soon. 

Identifying interested patients

GP practices can choose from three approaches to identifying eligible patients prior to a referral appointment.

In all cases, interested and eligible patients should attend a referral appointment to discuss the programme and any adjustments they should make to their medications on the first day of taking TDR products. The GP practice must then send a completed Referral and Medications Adjustment form to Momenta.

As a guide, 15 minutes should suffice for a patient record review, patient discussion and completing and emailing the referral and medications adjustment form. Although the appointment can be with different healthcare professionals the medications adjustments must be signed off by an appropriate prescriber and clinical responsibility for the patient remains with the GP practice.

See below for supporting information and resources.

Momenta host weekly lunchtime ‘drop-in’ sessions which you can join for an overview of the service or to ask any specific questions.

Participant case studies

Some participants have shared their stories – you might find their experiences help you explain the programme to your patients – or they might just make you smile…

Juliet, Birmingham & Solihull

Juliet, Birmingham & Solihull

Juliet took part in our NHS Birmingham Type 2 Diabetes Path to Remission Programme. Juliet started on 120.9kg and finished…
Waqas, Birmingham & Solihull

Waqas, Birmingham & Solihull

Waqas has lost 21% of his starting weight
Faraza, Birmingham & Solihull

Faraza, Birmingham & Solihull

Faraza has lost 19% of her starting weight

Eligibility criteria

Inclusion criteria

  • Aged between 18-65 inclusive 
  • Diagnosed with Type 2 diabetes within last 6 years 
  • BMI of >=27kg/m² (adjusted to >=25kg/m² in people of BAME origin) 
  • Attended monitoring and diabetes review in last 12 months, incl. retinal screening and commit to continue annual reviews, even if achieve remission. (If newly diagnosed no need to wait for retinal screening before making offer of referral). 
  • HbA1c within 12 months, with values as follows:
    1. If on diabetes medication, HbA1c >=43 mmol/mol (6.1%)
    2. If not on diabetes medication, HbA1c >=48 mmol/mol (6.5%)
    3. In all cases, HbA1c must be <=87 mmol/mol (10.1%) 

Exclusion criteria

  • Current insulin user 
  • Currently breastfeeding 
  • Pregnant or planning to become pregnant within the next 6 months 
  • Heart attack or stroke in last 6 months; severe heart failure (New York Heart Association grade 3 or 4); severe renal impairment (most recent eGFR <30mls/min/1.73m2); active liver disease (not including NAFLD); active substance use disorder; active eating disorder (including binge eating); porphyria; or known proliferative retinopathy that has not been treated (not excluding individuals who are newly diagnosed and have not yet had the opportunity for retinal screening).
  • Had bariatric surgery  
  • Health professional assessment that patient is unable to understand or meet the demands and/or monitoring requirements of the NHS Programme; or for whom the programme is not appropriate clinically (consulting with relevant Specialist teams if required); or for whom safe and robust medications adjustment is not practical in a primary care setting.

Patient information

You can send patients to this landing page for more information about the service – this is helpful to do when inviting patients by text (or email).  

Alternatively you can download an A4 PDF Patient Information Leaflet for local printing / attachment.

EMIS searches, Referral and Medications Adjustment Form

Practices will have received an email with full details and The form is available from Ardens for upload.  The key details are replicated below – if you have any clinical systems queries please use the IT Self Service Portal ink here:   



The referral form, invitation letter and flyer have been updated and published centrally and are within the “Sheffield Referrals/Type 2 Diabetes Path to Remission” folder.  The forms have also been added to the Sheffield Referral Forms Dashboard on the ‘Diabetic Medicine’ tab.


The forms are in the attached zip file along with the usual importing instructions.  Please ensure you deactivate and/or archive any previous versions (listed above).



The referral form, invitation letter and flyer have been updated and published centrally and are within the “YHCS/Barnsley” folder.


The forms are in the attached zip file along with the usual importing instructions.  Please ensure you deactivate and/or archive any previous versions (listed above).

InPS Vision

The original forms are attached.

Don’t forget to extract all documents from the Zip folder when you have downloaded it.

Patient invitation templates

As noted above, the most time-efficient way to raise awareness amongst your patient population is to do a search, followed by shortlisting and sending a text or letter with further information and next steps (as many practices do for the NHS Diabetes Prevention Programme, Healthier You) 

Summary steps include:


  • Run Register search (see above) to generate ‘longlist’
  • Conduct manual screen against non-searchable eligibility criteria
  • Send a bulk text message using AccuRx/iPlato/mJog templates
  • This will signpost them to a service landing page where they can find out more about the programme, eligibility criteria and assess their readiness before getting in touch with you to arrange a referral and medications adjustment appointment.

Suggested wording for text invitation – please amend as you like:

A <Practicename> screening has identified that you may be eligible for the NHS Type 2 Diabetes Path to Remission Programme, also known as the NHS ‘soups and shakes diet’.  This one-year programme helps you to lose weight, improve your blood sugar levels and reduce medication.  For details see  The programme and all products are FREE.

When you have read it, if you are interested in taking part please call the practice on <Practicenumber> and ask for an appointment to discuss a referral.

 As there are a limited number of places available across South Yorkshire please get in touch quickly.

Notes to GP practice: 

– Most platforms automatically start the message with “Dear [patient name]”

– We recommend you ‘sign off’ with the name of an individual e.g. well-known doctor or other HCP to the text as this will improve the response rate over a generic practice sign-off

– It is best to either alert reception staff before sending the message or provide a specific response option e.g. email or phone/text number.

– Some practices also attach the patient information leaflet.

Delivery venues: Current and planned


  • Cortonwood Comeback Community Centre S73 0XQ
  • Mapplewell & Staincross Village Hall S75 6AL
  • Barnsley Digital Media Centre S70 2JW
  • Metrodome S71 1AN
  • Your Space Hoyland S74 9EH
  • Kilnhurst Community Resource Centre S64 5SQ
  • Valley Community Centre S70 6PB
  • Darfield Community Centre S73 9AL
  • Wombwell Community Hall S73 ODQ
  • Treeton Village Community Centre S60 5QT
  • Wath Upon Dearne Leisure Centre S63 7HL
  • Barnsley & Rotherham Chamber of Commerce S60 1DX
  • Voluntary Action Rotherham S60 2HX
  • Your Space Dearneside S63 9EN
  • Rotherham Leisure Complex S65 1BL
  • Maltby Leisure Centre S66 8JE
  • Lanes Community Centre S65 3SA
  • Trinity Community Centre S61 2QJ
  • Rainbow Community Centre S63 0JY
  • The Brecks Community Hub S65 3HU



  • Edlington Library DN12 1JD
  • Danum DN1 3BZ
  • The Dome DN4 7PD
  • Scawsby Community Centre DN5 8QQ
  • Armthorpe Community Centre DN3 3AG
  • Redmond Community Centre DN6 8DP
  • Stainforth Community Resource Centre DN7 5NJ



  • Ponds Forge Sports Centre S1 2BP
  • Ranmoor Parish Centre S10 3GX
  • Stocksbridge Community Leisure Centre S36 1EG
  • The Learning Zone S5 8NL
  • Lowedges Community Centre S8 7HL
  • SOAR works S5 9NU
  • Chapeltown Library S35 1AE
  • Stocksbridge Library S36 1DH
  • Graves Leisure Centre S8 8JR
  • Shirecliffe Community Centre S5 8XL
  • Springs Leisure Centre S2 2AL
  • Wisewood Leisure Centre S6 4BS
  • Burton Street Foundation S6 2HH
  • Zest Centre S6 3NA
  • Frenchville Community Centre S12 4XT
  • The Lifestyle Centre S20
  • Walkley Community Centre S6 3TG
  • Westfield Sports Centre S20 1HQ
  • Aston Cum Aughton Leisure Centre S26 4TF
  • St Johns Community Centre S36 6AR
  • Concord Sports Centre S5 6AE
  • Hillsborough Leisure Centre S6 2AN
  • Sheffield Wellness Centre S7 1TB

Medication adjustments guidelines

NHS England’s T2DR expert reference group has developed detailed deprescribing guidance for both medication impacting blood glucose and blood pressure.    

The NHSE document is available here. It is a lengthy document so we recommend using the table of contents to navigate to relevant sections.  We hope to upload a summary flowchart when this has been reviewed locally.

Patient journey

The NHS Type 2 Diabetes Path to Remission Programme is delivered to individuals at community or primary care venues.  Your patients will be offered a choice of in-person or digital pathways, the latter with app access and both supported by trained Coaches.  

It is a complex three-phase behavioural intervention over 12 months:

  • Phase 1 Reboot: Total Diet Replacement (12 weeks)
  • Phase 2 Rebalance: Food Reintroduction (6 weeks)
  • Phase 3 Retune: Weight Maintenance (until 12 months).

The 20-30 minute sessions focus on the topics highlighted in this diagram over the 12 months and include monitoring of weight and blood glucose (and blood pressure for those on blood pressure medications at referral). Participants also receive a range of resources at different points.

T2DR Participant Journey

Patient readiness (self-)assessment

You can use this standalone patient readiness (self-)assessment to either give to your patient to complete on their own or guide them through it. The patient landing page has a copy embedded. Alternatively you can download this document (for printing / emailing) and also view one-page instructions for healthcare professionals. Please note this has been developed by Momenta’s Clinical Director, a health and clinical psychologist, specifically to support decision-making but it is not an externally validated tool.

Key contacts

Referrals & Queries


Weekly Referrer lunchtime drop-in.

Plain text pls: Momenta host regular lunchtime 'drop-in' sessions which you can join for an overview of the service or to ask any specific questions. Follow this link and click the Contract-specific button.

Jon Scott

Momenta Newcastle
Contract Manager for NHS Type 2 Diabetes Path to Remission Programme, (formerly the NHS Low Calorie Diet Programme)

Tel: 0114 350 3646

Note: Please DO NOT send referral or patient identifiable information to this email

South Yorkshire ICB

Details tbc

Note: Please DO NOT send referral or patient identifiable information to this email

Complaints contacts and procedures

Complaints should be addressed to the Provider (Momenta Newcastle) and/or the CCG and/or the Commissioner (NHS England) as appropriate.  

– Momenta Newcastle (Provider): 

– NHS England:  

Referring from a different area?

Momenta also provides the NHS Type 2 Diabetes Path to Remission Programme in other areas, each with their own referral forms, local contacts and minor differences. Please follow the links below for Referrer information from other areas: