Not really
You sign on with them and agree to attend for 2 years (although some people do drop out but then they have to wait at least 2 years before they will take a new referral). It's the only way to get NHS funded surgery in this area so you have to join the program. You get access to pyschologists, dieticians, physiotherapists and specialist bariatric nurses. They hold weekly sessions for 10 weeks, then twice a month, then monthly and then 3 monthly over the 2 year program and try and get you to eat better and exercise more.
After 10 weeks you can apply for surgery, you attend a presentation about pros and cons of the different types of surgery and what they entail, then you can ask for a one to one referrial to the specialist. Once he sees you and agrees to refer you for surgery, then your funding is guaranteed but you have to have lost 10% of your starting weight at this point or be well on the way to it.
You stay on the program before, during and after the surgery so you can still use all the above specialist staff for support, help and information, hence the 2 year thing. It just basically means that the NHS resources are funded for 2 years and i can access them for all that time.
trouble is they are a bit "new age" in their approach and don't nag you, weigh you (apart from at the start and then occasionally after but not regularly) and praise you for trying even when you are failing miserably, it's all about small changes!! Unfortunately for the first couple of months, i obviously didn't make big enough "small changes" but i have knuckled down now and really making an effort
Have my one to one at the beginning of May so have to get that 10% off