Nhs acceptemce

[brooke_marie]

Dawn, if you mean me (my name is Brooke haha) I'm in Leicestershire

 

[dawn08]

Oops sorry Brooke , that's hopeful news then thank you x

Sent from my iPhone using WLSurgery

 

[Lily123]

I had BMI 50, no additional problems and was accepted on NHS. I am from Hampshire. I had to go through 6 month weight management programme where I lost 1 stone , my GP referred in December, got my pre-op meeting end of Jan and a week later the surgery. It felt much longer but the entire process was 10 months.

 

[dawn08]

Thanks lily that's good to know , could live with 10 months sounds same as here I start my weight management next week x

Sent from my iPhone using WLSurgery

 

[HelenAngelfish]

6th November my GP got the ball rolling, I've been told that my op will be by end of May - on waiting list, signed consent forms, told could be sooner... If it does happen by end of May my whole process under the Imperial Trust (St Mary's Hospital in Paddington) will be 7 months. xx

 

[dawn08]

OMG Helen that's amazing wish I was as quick good luck with that . Unfortunately I have 6 months of 3 tier weight management at least first x

Sent from my iPhone using WLSurgery

 

[HelenAngelfish]

OMG Helen that's amazing wish I was as quick good luck with that . Unfortunately I have 6 months of 3 tier weight management at least first x

Sent from my iPhone using WLSurgery

I know I've been very lucky! I was under Bucks PCT before and refused after 2 years of monitoring as my only other condition was PCOS and other than weight, I was deemed 'healthy'.

The hospital told me they have an 18 week pathway to treatment KPI, so from the first appointment, it should be nolonger than 18 weeks. They said it will or should already be changing to this nationwide

Is that your cat on your profile pic - What a beauty! xx

 

[dawn08]

Well fingers crossed Hun sounds like you've already waited long enough . Yes that's Merlin lol x

Sent from my iPhone using WLSurgery

 

[G'G]

This is the national guidelines so as long as you are over 50 bmi you shouldn't need any additional health problems.

Eligibility for bariatric surgery
*
Surgery will only be considered as a treatment option for people with morbid obesity providing all of the following criteria are fulfilled:
*
 The individual is considered morbidly obese. For the purpose of this policy bariatric surgery will be offered to adults with a BMI of 40kg/m2 or more, or between 35 kg/m2 and 40kg/m2 or greater in the presence of other significant diseases.  There must be formalised MDT led processes for the screening of co-morbidities and the detection of other significant diseases. These should include identification, diagnosis, severity/complexity assessment, risk stratification/scoring and appropriate specialist referral for medical management. Such medical evaluation is mandatory prior to entering a surgical pathway.  Morbid/severe obesity has been present for at least five years.  The individual has recently received and complied with a local specialist obesity service weight loss programme (non surgical Tier 3 / 4), described as follows: This will have been for duration of 12-24 months. For patients with BMI > 50 attending a specialist bariatric service, this period may include the stabilisation and assessment period prior to bariatric surgery. The minimum acceptable period is six months. The specialist obesity weight loss programme and MDT should be decided locally. This will be led by a professional with a specialist interest in obesity and include a physician, specialist dietician, nurse, psychologist and physical exercise therapist, all of whom must also have a specialist interest in obesity. There are different models of local MDT structure. Important features are the multidisciplinary, structured and organised approach, lead professional, assessment of evidence that all suitable non invasive options have been explored and trialled and individualised patient focus and targets. In addition to offering a programme of care the service will select and refer appropriate patients for consideration for bariatric surgery.
*
The non-surgical Tier 3 / 4 service may be community or hospital-based but will have as their role

 

[lynnepoth]

I asked local trust for information which in my case is west Hampshire and it says "offered to those with 40 bmi or more, or between 35 - 40 bmi or greater in the pretence of other significant diseases" and also must go through tier 3 weight management. So on reading this I am not sure if you have to other factors over 40 bmi!?????? How would everyone else read this!??

I am starting weight management programme next week currently bmi. 48 or do I gain 7 lbs to qualify! Been overweight from the age of 5!

 

[princess4d4]

i qualified on just bmi but am now a newly diagnosed diabetic though not sure if my gp passed that on as was recent and i saw surgeon in october

 

[dellam760]

I have just had a briefing at St Thomas in London. BMI over 45 will get you through to the next assessment. You then have to go to Guys for Clinical assessment. They then make a decision based on your health. At this point if you have a BMI over 50 then you would get your op quicker. under 50 you wait longer because the risk is less.

I was also told that if you reduce your weight and you go below 50 bmi, you will NOT be penalised.

Your GP must be able to say that you have tried dieting over the past 12 months or you have records of WW or SW as evidence or they will send you away as you wont get funding.

There are no local funding centres anymore it is one pool of money for the whole country and they are tightening up on it.

Good luck, don't give up. Change your GP if you have to......

 

[valentine]

6th November my GP got the ball rolling, I've been told that my op will be by end of May - on waiting list, signed consent forms, told could be sooner... If it does happen by end of May my whole process under the Imperial Trust (St Mary's Hospital in Paddington) will be 7 months. xx

Hiya I'm with that team waiting for mine.. I'm a revision though so slightly different ... Had my psychology thing on Monday and she is happy to get ball rolling ... I've already signed consent forms etc so hopefully I should hear soon ,,, fan team at st Mary's .. Good luck everyone that's waiting cxx

 

[natclaire33)]

I have my first appointment with next week with bariatric physician about six week after seeing my gp. Am hoping she will give me the go ahead for the next step in the process.

I have bmi of 48.4 with no co morbidities, i have had lots of orthopeadic surgery on my leg ie having it lengthened and straightned ( that op was nearly 20yrs ago) theres nothing else they can do as it sort of go back to the way it was. so i find it dificult to exercise but can do swimming.

I am really hoping i get accepted for surgery as i feel that it is the last avenue for me to go down.

 

[natclaire33)]

thanks for mentioning in your post about sw or ww records i will take my sw book with me I see the bariatric physician next week to show my weight loss or should i say lack of and the yo yo thats happening with my weight

 

[Big Dave D]

I'm also under St. Mary's, Paddington. (Imperial Weight Loss Centre).

They seem to do things a little differently. I don't know of anyone that had to do a long diet of several months beforehand.

I asked my GP for referral in August 2013.

I attended a group session in November 2013.

Consultant appointment was December 20th 2013.

Psychiatrist appointment was March 12th 2014.

Surgery was April 26th 2014.

So my entire process under the hospital was less than 6 months, end to end.

My initial BMI was 43.1 with no co-morbidities. Also, I changed GP and moved from Ealing PCT to Hillingdon PCT during the process. This wasn't an issue at all.

These are the official criteria for NHS North-west London PCT's -

Any patient with a BMI > 35 and at least of one of the following:
o Stage 2 or 3 Diabetes
o Stage 2 or 3 Apnoea / Airway complications
o Stage 2 or 3 Cardiovascular Disease
o Stage 3 Gonadal / Sexual complications

They also say this -

There is a general perception that the main clinical indication for bariatric surgery is BMI. The higher the BMI, the more appropriate it is to refer for surgery. This is not the case. BMIs can be a poor indicator of clinical need or functionality. A person with a BMI of 30 with co-morbidities could benefit more from surgery than a patient with a BMI of 50. Furthermore, operating only on individuals with a very high BMI will result in a disproportionately high post-operative complication rate. We therefore need to focus bariatric surgery on patients who will benefit most and whose health improvement will help reduce future health expenditure.

 

[valentine]

They are a fab team and I feel lucky to have been able to get a referral to them as I live in Essex near Colchester so im not really local lol... did yiu have to go through the funding thing dave??

 

[Big Dave D]

They are a fab team and I feel lucky to have been able to get a referral to them as I live in Essex near Colchester so im not really local lol... did yiu have to go through the funding thing dave??

Hi valentine. I don't really know what you mean by the funding thing?

I just asked for referral from my GP, then I got referred. There was never any other mention of funding, as far as I recall.

Do you know who your surgeon is?

 

[HelenAngelfish]

St Mary's operate 'self funding' - they assess and deem who is suitable based on their experience and the individuals cases.

They don't make anyone have weight management courses, the nurse there said their research has shown it is unlikely to impact post op (and costs them more in the long term than just going straight to operation stage) xx

Sent from my iPhone using WLSurgery

 

[Big Dave D]

St Mary's operate 'self funding' - they assess and deem who is suitable based on their experience and the individuals cases. They don't make anyone have weight management courses, the nurse there said their research has shown it is unlikely to impact post op (and costs them more in the long term than just going straight to operation stage) xx Sent from my iPhone using WLSurgery

Very interesting and good to know. I did wonder why there was no weight management course, especially after watching "Weight loss ward" on TV....! I guess that's why Imperial is a leading research hospital.