Policy

Psychological Screening Policy

Assessment of psychological suitability and mental health risk for patients seeking medical and pharmacological weight management

For Weight Loss ClinicRef BS-WEI-POL-003See a sample (PDF) →
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  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Psychological screening at initial assessment
  • 6. Ongoing screening and monitoring during treatment
  • 7. Escalation, safeguarding and referral
  • 8. Consent, capacity and communication
  • 9. Roles and responsibilities
  • 10. Training
  • 11. Records, monitoring and audit
  • 12. Related documents
  • 13. Version control and review
  • 14. Appendix A - Psychological screening checklist
  • 15. Appendix B - Red-flag response summary
  • 16. Disclaimer

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 9 (Person-centred care), Regulation 11 (Need for consent), Regulation 12 (Safe care and treatment) and Regulation 17 (Good governance)
  • Care Quality Commission (Registration) Regulations 2009
  • Human Medicines Regulations 2012 (as amended)
  • Mental Capacity Act 2005 and its Code of Practice
  • Equality Act 2010
  • General Medical Council - Good Medical Practice (2024) and associated prescribing guidance
  • National Institute for Health and Care Excellence (NICE) Guideline NG246 - Overweight and obesity management (2025), and Clinical Guideline CG189
  • Data Protection Act 2018 and the UK General Data Protection Regulation (UK GDPR)

Who it applies to

All clinical staff, prescribers, advanced practitioners, healthcare assistants and administrative staff involved in the assessment, treatment and ongoing care of weight management patients at [Organisation Name]

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Accessible Information Standard
A standard requiring health and care services to give people information, and communication support, in a way they can understand.
Anorexia nervosa
An eating disorder in which a person severely limits how much they eat, often through an intense fear of gaining weight.
Best interests
A decision made for someone who cannot decide for themselves, choosing the option that is best for them.
Binge Eating Scale (BES)
A validated questionnaire that measures how severe a person's binge-eating behaviour is.
Binge eating disorder (BED)
An eating disorder in which a person regularly eats large amounts of food while feeling a loss of control.
Body mass index (BMI)
A measure of body weight relative to height, used to estimate whether a person is underweight, a healthy weight or overweight.
Bulimia nervosa
An eating disorder marked by cycles of overeating followed by behaviours such as vomiting or excessive exercise to prevent weight gain.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Compensatory behaviour
Actions taken to undo eating, such as vomiting, laxative use or excessive exercise.
Contraindication
A reason why a particular treatment should not be given because it could be harmful.
Data Protection Act 2018
The UK law that controls how personal information is used, sitting alongside the UK GDPR.
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR)
A widely used international manual that describes and classifies mental health conditions.
Disordered eating
Irregular eating behaviours, such as bingeing, restricting or purging, that may not meet the full criteria for a diagnosed eating disorder.
Duty of candour
The legal duty to be open and honest with a person and their family when something goes wrong with their care.
Eating disorder (ED)
A diagnosable mental health condition involving an unhealthy relationship with food, eating or body weight.
Emergency department
The hospital department that treats serious or life-threatening illness and injury, also known as accident and emergency.
Equality Act 2010
The law protecting people from discrimination based on characteristics such as age, disability, sex or race.
European Medicines Agency (EMA)
The agency that evaluates and supervises medicines across the European Union.
Fundamental standards
The minimum standards of safety and quality below which care must never fall.
General Medical Council (GMC)
The body that registers doctors in the UK and sets the standards they must meet, including Good Medical Practice.
General practitioner (GP)
A family doctor who provides general medical care in the community.
Generalised Anxiety Disorder-7 (GAD-7) scale
A short validated questionnaire used to measure the severity of a person's anxiety symptoms.
GIP/GLP-1 agonist
A medicine that acts on two appetite-regulating hormones (GIP and GLP-1) to reduce appetite and support weight loss.
Glucagon-like peptide-1 (GLP-1) receptor agonist
A type of medicine that mimics a natural gut hormone to reduce appetite and is used to manage weight and diabetes.
Informed consent
Agreement to treatment given freely after the risks, benefits and alternatives have been clearly explained.
International Classification of Diseases, Eleventh Revision (ICD-11)
The World Health Organization's global system for naming and classifying diseases and health conditions.
Mental capacity
Whether a person can understand and make a particular decision for themselves at the time it needs to be made.
Mental Capacity Act 2005
The law that protects and supports people who may be unable to make particular decisions for themselves.
Medicines and Healthcare products Regulatory Agency (MHRA)
The UK body that regulates medicines and medical devices to make sure they are safe and effective.
National Institute for Health and Care Excellence (NICE)
The body that produces evidence-based guidance on treatments and care for use across the UK.
Nominated Individual
The senior person responsible to the regulator for supervising how a service is provided.
Non-medical prescriber
A trained healthcare professional, such as a nurse or pharmacist, who is qualified to prescribe medicines without being a doctor.
Other specified feeding or eating disorders (OSFED)
Eating disorders that cause real distress or harm but do not fully match the criteria for conditions such as anorexia or bulimia.
Patient Health Questionnaire-9 (PHQ-9)
A short validated questionnaire used to measure the severity of a person's depression, including a question about self-harm and suicide.
Pharmacological treatment
Treatment that uses medicines.
Pharmacovigilance
The ongoing monitoring of medicines after they are in use to detect and reduce harmful side effects.
Purging
Trying to get rid of food eaten, for example by vomiting or misusing laxatives.
Red flag
A warning sign that requires immediate action, escalation or referral.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Risk assessment
A structured check identifying what could cause harm and what is being done to prevent it.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
SCOFF questionnaire
A brief five-question screening tool used to identify possible eating disorders.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
Suicidal ideation
Thoughts about ending one's own life, which can range from fleeting to active and detailed.
Talking therapies
Psychological treatments, such as counselling or cognitive behavioural therapy, delivered through conversation with a trained therapist.
Titration
Gradually adjusting the dose of a medicine to find the safest and most effective amount for a person.
Trauma-informed
An approach to care that recognises the effects of past trauma and avoids causing further harm.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.
Validated tool
A questionnaire or scale that has been scientifically tested to reliably measure what it claims to measure.
Vital interests
A legal basis allowing personal information to be shared without consent when it is necessary to protect someone's life.
Weight stigma
Negative attitudes, judgements or unfair treatment directed at people because of their weight.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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