Repeating the drill on exception reporting?
This is not an NHS service and you have no contractual obligation to carry out the medical checks.
Unless you are absolutely confident the regime is safe for your patient, it would be unwise to appear to endorse it in any way.
But if your patient is obese then it would undoubtedly be beneficial for her to lose weight. She would probably welcome your advice and support regarding a safe and effective way to lose the excess weight.
A very simple report may be helpful, stating that her pulse and blood pressure are normal and that you know of no medical conditions that would contraindicate weight loss. You may wish to include a specific statement to the effect that your medical report does not constitute a professional endorsement for any particular weight-loss programme.
Dr Christine Dewbury, Wessex LMCs
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