pct guidelines for funding the country.

[charlie_pops]

so i was doing abit more reaserch into funding and found this really useful list

BOSPA - The British Obesity Surgery Patient Association

it really is a postcode lottery out there.

 

[djdave]

i think i was just really lucky then

 

[charlie_pops]

newcastle follows the nice guidelines, my bmi is over 40 and ive been on orlistat for 6 months( i didnt realise this was classed as weight management) so im hoping that i can reduce my waitin time

 

[bigun]

it took me ten yrs 3 letters from mp and local health board

 

[charlie_pops]

thats shocking bigun!

ive seen in the papers recently that more and more people are taking it to the human rights court. i think it should be the same everywhere. what makes someone in one part of the country more special than the other part?

 

[Sharonimo]

Wow! Thanks for the info, Charlie Pops.

Feel really lucky that I live in area (Greenwich) which sticks exactly to NICE guidelines.

I think this list could tempt some people to move counties if living in a "difficult" county who impose lots of extra criteria, or set higher limits (BMI above 60 / 65) etc.

The problem with those "BMI above 50 /60 / 65 without co-morbidities" rulings is that by the time your BMI is above 50+++ you are 90% likely to have gained at least one or two co-morbidities on the way !!! Ridiculous !!

 

[bigun]

thats shocking bigun!

ive seen in the papers recently that more and more people are taking it to the human rights court. i think it should be the same everywhere. what makes someone in one part of the country more special than the other part?

it is m8 i live in mid wales when i was ill lqst year i got shipped of to hereford nearest hospital 50 miles away the powys health board and the wnhs said i was not ill enuff i have diabetes bmi of 72 high bp but still did qualify so my last bid for funding after my stay i managed to get a copy of the bill to the welsh nhs full cosy of care was well over 15000 pound so armed with this info i said that my health was on a down ward slope and it cost more in the long run that it would for me having the gastric sleeve

 

[amy_m]

newcastle follows the nice guidelines, my bmi is over 40 and ive been on orlistat for 6 months( i didnt realise this was classed as weight management) so im hoping that i can reduce my waitin time

Hi Charlie_Pops they do consider orlistat as a method however this is not the only method and unfortunately you do have to do them all before they'll consider surgery.Theses are the stepping stones to surgery.

[FONT=Swiss721BT-BoldCondensed+SCCFYK][FONT=Swiss721BT-BoldCondensed+SCCFYK][FONT=Swiss721BT-BoldCondensed+SCCFYK]LEVEL 2
BMI > 28 - 49.9
No co-morbidities
Community
Intervention

LEVEL 3
BMI > 28 - 49.9
+ co-morbidities
Specialist
Community
Intervention

LEVEL 4
BMI > 40 - 49.9
+tried previous documented
attempts at weight loss
but unsuccessful
Specialist
Multidisciplinary
Intervention

LEVEL 5
BMI > 35-49.9
+co-morbidities
or BMI > 40-49.9
+tried previous documented
attempts at weight loss
but unsuccessful
Surgical Intervention

LEVEL 5
BMI > 50
Surgical Intervention

My BMI was over 50 so surgery is considered my only option, however i did have to show what i had done over the years with regards to my weight. My GP is very supportive so i had a lifetime of notes there about what I had done and tried. That really helped me. Good luck with your GP. Please don’t give up if you have to start right from the beginning you will get there
[/FONT][/FONT][/FONT]

 

[amy_m]

Wow! Thanks for the info, Charlie Pops.

Feel really lucky that I live in area (Greenwich) which sticks exactly to NICE guidelines.

I think this list could tempt some people to move counties if living in a "difficult" county who impose lots of extra criteria, or set higher limits (BMI above 60 / 65) etc.

The problem with those "BMI above 50 /60 / 65 without co-morbidities" rulings is that by the time your BMI is above 50+++ you are 90% likely to have gained at least one or two co-morbidities on the way !!! Ridiculous !!

I started with a BMI of over 50 and i don't have any co-morbidities and i consider myself very very lucky.

 

[Sharonimo]

I started with a BMI of over 50 and i don't have any co-morbidities and i consider myself very very lucky.

Ah, but you are 24 I have just seen on your profile. Yes, I guess the co-morbidities (like Type 2 Diabetes and osteo-arthritis) do tend to only develop the *longer* you have been obese.

I have been *overweight* since 9 years old, and obese since at least 20 years old (poss even 18).

I first asked a GP to refer me for surgery in 2003 when I was 35 and had been obese for over 15 years, and had a BMI in the very high 40's (probably at least 47) back then. I had already tried about half a dozen diets by that time.

Sadly for me due to that GP not taking me seriously / listening to me, and several other GPs taking an apathetic / not interested attitude for the following 8 years, it was not until Jan 2011 I finally got referred (now 43 years old and with BMI above 50 and several co-morbidites have now developed).

 

[amy_m]

Ah, but you are 24 I have just seen on your profile. Yes, I guess the co-morbidities (like Type 2 Diabetes and osteo-arthritis) do tend to only develop the *longer* you have been obese.

I have been *overweight* since 9 years old, and obese since at least 20 years old (poss even 18).

I first asked a GP to refer me for surgery in 2003 when I was 35 and had been obese for over 15 years, and had a BMI in the very high 40's (probably at least 47) back then. I had already tried about half a dozen diets by that time.

Sadly for me due to that GP not taking me seriously / listening to me, and several other GPs taking an apathetic / not interested attitude for the following 8 years, it was not until Jan 2011 I finally got referred (now 43 years old and with BMI above 50 and several co-morbidites have now developed).

I have also been obese for a number of years since I was 7, so it's 18 years. God that's a long time I've never looked or even thought about it like that.

I'm surprisingly very fit and healthy for my weight, I have an excellent recovery time for exercise. That's why the op for me is so important to me I want to stop any chance of developing co-morbidities.

When I mentioned my doctor don't get me wrong them never actually did anything for me all I mean is that when I would try and tackle my weight and loss weight I woul always advise my doctor what I was doing and he would record it in my notes that's all. I had to fight my doctor for a referral since I was 18, he didn't think I needed it am very deceiving lol. X

 

[Fuffs]

My stats are those of a slim person on the whole. Even when I had an ultrasound scan the sonographer was surprised my liver was not majorly fatty. She said she expected it to be bright lol

I can out dance all my slim friends and even at 27st could do aerobics without many troubles.

So because of that I sometimes feel bad when wanting my op. But then I didn't want to wait until I had all the troubles in the world before I tried to get help from them.

Luckily my PCT (south Brum) are still following NICE guidelines. Yet Brum East and North increased there's to bmi of over 45 with co morbs and over 50 without.

South Brum were set to increase there's in October and haven't got round to it. Yipee lol

So it literally is a postcode lottery! I really feel for people in tough pct areas x

 

[pandora]

That list is way out of date ...it says 2007-2008 , I had to check cos the criteria it states for my pct is way different . Just saying so any newbe doesn't take it as stated , check your pct criteria xx

 

[Mazza]

My PCT is Coventry, with no co morbidities I had no chance of funding!

It certainly is a postcode lottery.

BMI over 45 with type 2 diabetes or BMI over 50 with comorbidities which are likely to be improved with weight loss or BMI over 65 without comorbidities. Patients must have failed to achieve or maintain weight loss after one years intensive management in a specialist obesity clinic setting.

 

[amy_m]

My stats are those of a slim person on the whole. Even when I had an ultrasound scan the sonographer was surprised my liver was not majorly fatty. She said she expected it to be bright lol

I can out dance all my slim friends and even at 27st could do aerobics without many troubles.

So because of that I sometimes feel bad when wanting my op. But then I didn't want to wait until I had all the troubles in the world before I tried to get help from them.

Luckily my PCT (south Brum) are still following NICE guidelines. Yet Brum East and North increased there's to bmi of over 45 with co morbs and over 50 without.

South Brum were set to increase there's in October and haven't got round to it. Yipee lol

So it literally is a postcode lottery! I really feel for people in tough pct areas x

We are so much alike all the tests are of a normal weight young person, I can do more intense exercise than my friends. I also feel very very guilty about having my op. I just want to stop any illness before they start.

I just hope everyone has the chance of this surgeryx

 

[Fuffs]

My PCT is Coventry, with no co morbidities I had no chance of funding!

It certainly is a postcode lottery.

BMI over 45 with type 2 diabetes or BMI over 50 with comorbidities which are likely to be improved with weight loss or BMI over 65 without comorbidities. Patients must have failed to achieve or maintain weight loss after one years intensive management in a specialist obesity clinic setting.

My mate is from Coventry and found out she had type two diabetes while trying to get everything sorted out. She had to lose weight and maintain the weight loss. She chose Heartlands as her hospital to go to x

 

[Fuffs]

We are so much alike all the tests are of a normal weight young person, I can do more intense exercise than my friends. I also feel very very guilty about having my op. I just want to stop any illness before they start.

I just hope everyone has the chance of this surgeryx

I feel exactly the same as you. I know I was heading towards co morbs. Without this op there is a good chance I will get to co morbs in the future. Really, really don't want that.

I have done my doctors own weight management, taken reductil, taken orlistat, had a NHS health trainer and well documented GP notes of the times I have been a member of slimming world or weight watchers.

I have a things that need sorting and cant be until I am under 17st. The surgeon has used them in my application and said I am a perfect candidate for a bypass. So that made me feel less bad x

 

[amy_m]

I feel exactly the same as you. I know I was heDing towards co morbs. Without this op there is a good chance I will get to co morbs in the future. Really, really don't want that.

I have done my doctors own weight management, taken reductil, taken orlistat, had a NHS health trainer and well documented GP notes of the times I have been a member of slimming world or weight watchers.

I have a things that need sorting and cant be until I am under 17st. The surgeon has used them in my application and said I am a perfect candidate for a bypass. So that made me feel less bad x

I think your living my weight loss surgery journery lol. My GP notes are well document with all the slimming class, exercise classes, gyms, tablets etc. My surgeon was over the moon an also thinks am perfect and will be very successful. He sent a lovely letter to my GP saying how well I had done and that it would be a pleasure to operate. Can't wait for the 9th Dec x

 

[Fuffs]

I think your living my weight loss surgery journery lol. My GP notes are well document with all the slimming class, exercise classes, gyms, tablets etc. My surgeon was over the moon an also thinks am perfect and will be very successful. He sent a lovely letter to my GP saying how well I had done and that it would be a pleasure to operate. Can't wait for the 9th Dec x

Same as mine! Letter made me sooo happy!

It nice to know there is someone a lot like me

I am only young for 8 more days though! Lol...then I will be in the mature side of young category! Lol

 

[amy_m]

I'll soon be 25 can't believe it I don't mind getting older but the years are flying. I've made a promise to myself I will be 154lbs by next birthday so Xmas day next year and I'll wear my first dress lol x