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Tier 3?

Discussion in 'General Surgical Weight Loss Discussion' started by Stokes2020, Aug 23, 2018.

  1. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    So my surgeon is said to be introducing me to Tier 3 before I go on his official list.
    Thing is when do I start? Is there a waiting list to start Tier 3? It’s been a month and I’ve heard nothing. Unsure if I need to call someone, wait or what........
    I know I’m impatient but this silence of not quite knowing what’s gonna happen and when is driving me instane. I wanna get the ball rolling already
     
  2. Emma1504

    Emma1504 Well-Known Member

    Posts:
    1,093
    Likes Received:
    1,562
    Start Weight:
    24st8lb
    Current Weight:
    22st7.5lb
    Lost(%):
    2st0.5lb(8.28%)
    Welcome
    My area doesn’t seem to have the tier 3 pathway. So I can’t help you. I am sure someone will be able to help.
    Good luck with journey x
     
  3. Sarnie

    Sarnie Well-Known Member

    Posts:
    2,218
    Likes Received:
    4,097
    Start Weight:
    31st0lb
    Current Weight:
    23st13lb
    Goal Weight:
    12st0lb
    Lost(%):
    7st1lb(22.81%)
    Funding Type:
    NHS
    Hi and welcome,
    Which hospital or area are you? Every area has its own way of doing things, it's not uncommon to wait a good few weeks before you get a letter come through, but if you're worried ask your doctor to chase them up x
     
    Emma1504 likes this.
  4. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    I’m at the PRU in Kent, I’m just so down at the mo I just wanna get the ball rolling.
    Maybe i’ll Give me doctor a call and see if anything is in place yet x
     
    Emma1504 and Sarnie like this.
  5. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    Do you not? I have to complete tier 3 before I can go on the list. I could be on tier 3 for a year before I get on the official list which is why I’m so keen to start x
     
    Emma1504 and Sarnie like this.
  6. Emma1504

    Emma1504 Well-Known Member

    Posts:
    1,093
    Likes Received:
    1,562
    Start Weight:
    24st8lb
    Current Weight:
    22st7.5lb
    Lost(%):
    2st0.5lb(8.28%)
    Try not to get disheartened. You have started this journey now.
    I was the same as you this time last year but it will be here before you know. I think my area has something similar to T3 but doesn’t call it that.
    I had my first MDT in March 2018 that was when they took my start weight. I have had to have bloods, sleep apnea test & attend a 12 week pre op program. I am in the middle of the pre op program. When I have finished I then wait for another MDT to see if surgery is agreed by all departments. Then if I get the go ahead they try & get you into surgery within 18 weeks. So by my calculations that should be March April time 2019. Which would be a year since my first MDT.
    Waiting is so hard but with the support from this forum I have made it this far. Everyone is so supportive I couldn’t have done it without it.
    I would call them just to get an update of their procedure. X
     
    Parsnip, Irene44, Stokes2020 and 2 others like this.
  7. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    Well I have a appointment with a dietitian coming up for the end of Oct and I have these questions I have to fill out and I’ve noticed at the end of the the form where they fill their bit it in it mentions tier 3 with a tick box for referral. So does that mean tier 3 is down to the dietitian or is it mandatory and it’s just a matter of she has to tick the box?
    I’m so excited and so nervous about this appointment I just want it here already so I know what’s going on. I’m still none the wiser as to what is happening ‍♀️
     
    Emma1504 likes this.
  8. Bling Babe

    Bling Babe Well-Known Member

    Posts:
    2,959
    Likes Received:
    5,037
    Start Weight:
    16st7.0lb
    Current Weight:
    9st3lb
    Goal Weight:
    8st4lb
    Lost(%):
    7st4lb(44.16%)
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    MrJain
    Surgery Date::
    5th April 2018
    Not long now Stokes, I’m afraid teir 3 is mandatory, they have to follow NICE guidelines but time will fly. Let us know how you get on xx
     
    Parsnip and Emma1504 like this.
  9. MrsEvans2015

    MrsEvans2015 New Member

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    7
    Likes Received:
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    I have my appointment on the 5 November-
    Good luck & Please let me know what to expect x
     
    Emma1504 likes this.
  10. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    Exactly a week behind me lol, i’ll Let you know. I’m excited to get the ball rolling but nervous at the same time
     
    Emma1504 likes this.
  11. MrsEvans2015

    MrsEvans2015 New Member

    Posts:
    7
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    I feel exactly the same... I try not to think about it, as It just seems so far off and I keep thinking they’ll be set backs, but it’s all I can think of ! I thought tier 3 was a 6 month thing, but reading a lot of posts saying it ended up being a 12month thing, before going on waiting list x
     
    Emma1504 likes this.
  12. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    I keep hearing 12 months too, which seems so long?! When I’ve researched it says 6-12 months so maybe it goes by the individual? All I know is that you’re expected to lose 5%. I’m
    Interested to know what happens if you reach your 5% sooner?! Does that mean you’ve finished? I have a lot of questions to ask, no doubt you have all the same questions lol. I’ll definitely keep you updated. It’s nice to know that we’re on the same path at the same time x
     
    Emma1504 likes this.
  13. Parsnip

    Parsnip Well-Known Member

    Posts:
    1,005
    Likes Received:
    1,445
    Start Weight:
    23st3lb
    Current Weight:
    21st6lb
    Lost(%):
    1st11lb(7.69%)
    Funding Type:
    NHS
    I believe the length of time on tier 3 varies from trust to trust and individual to individual but as a general rule I believe it's at least 6 months if you have a BMI over 50 and at least 12 months for those under 50. My case is going to the MDT on Nov 8th to decide if I'm progressing to tier 4 which is around 7 months of tier 3 (my journey hasn't been straightforward lol).
     
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  14. Ian2Big

    Ian2Big Well-Known Member

    Posts:
    185
    Likes Received:
    289
    Start Weight:
    176kg
    Current Weight:
    116.1kg
    Goal Weight:
    100kg
    Lost(%):
    59.9kg(34.02%)
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    Mr Rashid
    Surgery Date::
    23 Jan 2018
    If you lose the 5% quicker it does not shorten the time. Also, you will need to keep it off and be expected to maintain a weight loss. You have to show the commitment, hence a minimum of 6 months.
     
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  15. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    Oh right, well I didn’t know that, my BMI is 42 so I guess tier 3 is gonna be a 12 month journey for me. Do you complete a whole year or is it just a matter of losing 5% to complete.
    Fingers crossed you’ve done enough to reach tier 4 x
     
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  16. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    Ok great, thanks for that info. I’ve been struggling to find any time scale and info on tier 3 x
     
    Emma1504 likes this.
  17. Parsnip

    Parsnip Well-Known Member

    Posts:
    1,005
    Likes Received:
    1,445
    Start Weight:
    23st3lb
    Current Weight:
    21st6lb
    Lost(%):
    1st11lb(7.69%)
    Funding Type:
    NHS
    I can't speak for all the trust's but imagine it would still be the whole year. Best just to ask at your appointments for the general time frame of how they do things at your hospital.
    I should be ok. Got a few final tests in the next couple of weeks but optimistic although even once I get put through, it will still be a few months before my operation but considering I've been on the journey since Nov 2016 (when I got referred by by gp), I can almost see the losers bench lol
     
    Emma1504 likes this.
  18. MrsEvans2015

    MrsEvans2015 New Member

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    9
    It really is nice to have someone on same journey and under same hospital, especially as your a week in front, I get the low down on what to expect the following week - ha ha x
     
    Emma1504 likes this.
  19. Stokes2020

    Stokes2020 Member

    Posts:
    30
    Likes Received:
    41
    Start Weight:
    1st4.3lb
    Goal Weight:
    0st10.7lb
    Surgery Type:
    Gastric Bypass
    Funding Type:
    NHS
    Consultant:
    EL HASANI
    Surgery Date::
    ???
    I got referred in June so I’m keen to start and then get myself of the official list. How much did you lose doing tier 3?
    You sound like the heading to the finish line, How exciting x
     
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  20. Parsnip

    Parsnip Well-Known Member

    Posts:
    1,005
    Likes Received:
    1,445
    Start Weight:
    23st3lb
    Current Weight:
    21st6lb
    Lost(%):
    1st11lb(7.69%)
    Funding Type:
    NHS
    I've lost over my 5% and haven't been super strict so it's all good.
     
    Emma1504 likes this.
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