The maximum waiting time for non-urgent, consultant-led treatments is 18 weeks from the day your appointment is booked through the NHS e-Referral Service, or when the hospital or service receives your referral letter. Gastric band weight loss surgery is available on the NHS for people who meet a certain criteria, including having a BMI of 40 or more, or having a BMI between 35 to 40 with health conditions such as high blood pressure or Type 2 Diabetes. As we later discovered , as we hadn't told the NHS before treatment, we could not claim the costs back. You may be given an injection on the morning of admission to reduce the risk of developing life-threatening clots in your veins or your lungs (thromboembolism and PE) though your surgeon may choose to give it only after the operation. Also the more weight you lose before the surgery the better, as it helps to reduce the risk related to surgery. Alternatively, you may be provided with a system that will allow you to self-administer effective painkillers safely (Patient Controlled Analgesia) – this involves setting up a pump to administer small amounts of morphine in to your vein when you press a button in your hand. 5 months ago. If you continue to eat this way after the surgery you will manage to successfully reach your weight loss targets. Many people needing obesity surgery have a large fatty liver, which can make the operation technically difficult. As a rule, the cost of weight loss surgery abroad is lower than in the UK. AMA (126 Posts) ... You are then put on the waiting list for surgery. I had weight loss surgery on the NHS. Hospitals managed to treat 88.1% of people on the referral to treatment (RTT) waiting list within 18 weeks, well below the 92% who are meant to have surgery within that time. You'll have treatment to reduce your risk of blood clots after surgery, such as special leg stockings or blood-thinning medicine, but you can sometimes still get them. The second time my husband needed treatment, armed with the knowledge given from the Latvian clinic about MedRefund, we were this time refunded these costs. Since having her gastric band removed three years ago, Sam has regained all the weight she lost. They … Don’t wait in a queue – go abroad! She has joined the NHS waiting list for surgery. You will be allocated a local Cambridge diet counsellor who will see you on a weekly basis. It is essential to follow this diet; otherwise the liver could bleed heavily during surgery or there could be injury to organs. There are a range of weight loss treatments available which have been designed to help you lose weight, reduce your portion sizes and lead a healthier lifestyle. This diet will encourage the body to use up glycogen stores (carbohydrate that is stored in the liver), thus helping to shrink the size of the liver. Also the more weight you lose before the surgery the better, as it helps to reduce the risk related to surgery. Before having surgery, speak to your surgeon about the possible benefits and risks of the procedure. You can save money and time by opting for bariatric as costs abroad for bariatric are lower than in UK private clinics, and there are no waiting lists. What is PALS (Patient Advice and Liaison Service)? In some parts of the country smokers are also ineligible for NHS treatment. Menu They will also confirm that an appropriate facility (High Dependency Unit or specialist ward) is available for you to recover after surgery. The maximum waiting time for non-urgent, consultant-led treatments is 18 weeks from the day your appointment is booked through the NHS e-Referral Service, or when the hospital or service receives your referral letter. It should help you decide whether you want to proceed with surgery, which option is best for you and your lifestyle goals. After a thorough assessment, he will make recommendations for a particular Cambridge diet plan. She will also arrange a date for your pre-operative assessment. However, your right to start consultant-led treatment within a maximum waiting time still stands. If you use a machine at home then you must bring it in with you. Check with a GP if you think surgery could be an option for you. NHS patients have to be referred through a weight management clinic, known as ‘Tier Three services’, and waiting lists can stretch to a year or more. For more information, see our guidance on NHS hospital services and accessing mental health service. Should NHS pay for weight loss surgery? Our weight loss surgery teams are headed up by consultant bariatric surgeons, all registered with the General Medical Council, and include specialist weight loss surgery nurses, physicians and dieticians. A nurse will look after them on a 1:1 basis, with other duty doctors available on the unit. In order to access an NHS weight loss surgery procedure you first need to attend a long term weight loss programme. NHS weight loss operations in the North East take place at double the rate of anywhere else in England, figures reveal. The surgical team and the anaesthetists will see you prior to surgery. If you're not offered an appointment within 28 days, you should complain to your local CCG using the NHS complaints procedure. Your waiting time starts from when the hospital or service receives your referral letter, or when you book your first appointment through the NHS e-Referral Service. It is expensive, and there is a long waiting list in the UK, even though NHS guidance recommends it be considered. The hospital or clinical commissioning group (CCG) will have to investigate and offer you a range of suitable alternative hospitals or clinics that would be able to see you sooner. You will be given a supply of your medications to go home with. Close menu. They will confirm that you are willing to undergo surgery, all preparations are complete and it is safe to proceed with your operation. Note: Waiting times shown are for the specialty or service that the procedure sits under as a whole. You may be prescribed oral painkillers with injections for back up. You will first need to speak to your GP if you think weight loss surgery could be right for you. Nurses on the general ward will look after all other patients. Next review due: 2 December 2022, access and waiting times for mental health services, Book an appointment using the NHS e-Referral Service. Weight loss surgery is a treatment which minimises the amount of food you can eat by reducing the size of your stomach. This right only applies to services commissioned by the NHS in England and does not include public health services commissioned by local authorities, maternity services, or non-consultant-led mental health services. We hope that after you have read the booklet and talked with our team, you will have a better understanding of what is involved with weight loss surgery, including the benefits and risks. NHS Waiting List Estimation Tool. The NHS … The criteria for weight loss surgery on the NHS can vary across England. The NHS will ban patients from surgery indefinitely unless they lose weight or quit smoking, under controversial plans drawn up in Hertfordshire. The result is that a very small number of procedures, just a few thousand per year, take place in the NHS. You have the legal right to ask to be seen or treated by a different provider if you're likely to wait longer than the maximum waiting time specified for your treatment. Calculate the waiting list in your hospital based on NHS data . Then in to hospital at 7 am . Instead of jumping to it as a solution, more should be done with young people to educate them about healthy eating. Tip: Did you know that in most cases you have the legal right to choose the hospital or service you'd like to go to, as well as the clinical team led by a consultant or named healthcare professional? NHS Weight Loss Surgery. Initially, it will be necessary to take liquids for 2 weeks, soft moist food for 2 weeks and then gradually progress towards normal food. For example, if you search for hip replacement, you will find the waiting time for Trauma and Orthopaedic patients at that hospital. You will be seen by the Bariatric Nurse specialist, who will give you a contact number if there are any problems or if you need any advice. There should not be a gap between you following this diet and your surgery, which prevents any weight regain which may happen otherwise. You will normally be allowed to drink any fluids from the day after surgery – you should avoid sugary and fizzy drinks. When you're referred for your first outpatient appointment, the NHS e-Referral Service lets you book the appointment at a hospital or clinic of your choice, on a date and at a time that suits you. You have had some information about weight loss surgery and feel you would like to pursue this for yourself but are unsure where to The length of time you wait will depend on your specific treatment and clinical needs, and you could be seen quicker or wait longer than the waiting time shown. Once you have been added to the waiting list, you may be waiting up to 18 weeks for your surgery, although this can be shorter. The surgical team will visit you once a day and in case of difficulties, as and when required. Human Resources for the University of Oklahoma. Specialist bariatric equipment such as beds and chairs etc. Read more. Recover for 2 days then discharge. Rarely, due to unexpected emergency admissions, the requested beds are not available – your operation will then be rescheduled for another date. You will be taken into the theatre and general anaesthesia will be administered on the operating table. In order to plan for the upcoming months, we have built a tool based on NHS data to estimate how surgery waiting lists might develop in different scenarios. Below is a guide, however please note that this can vary if there are any post-operative complications: What happens when I am placed on the waiting list? Each weight loss surgery has their own advantages and disadvantages, with some being less invasive than others. You will get put on the waiting list once: Higher risk patients will need to stay overnight in the High Dependency Unit. NHS operation waiting lists reach 10-year high at 4.3m patients . Typical patients who see our nutrition physician are those with a BMI above 55 kg m2 or those who carry most of their weight around their abdomen. You will be expected to sit up within an hour and begin mobilising soon after your operation on the day of the surgery. NHS criteria for weight loss surgery. Surgery takes about an hour and a half. If you fail to attend then you will be taken ‘off the list’. Otherwise you will go straight to the ward – we try to keep most of our patients on Mercers Ward. You may be given tablets on the evening before surgery and on the morning of admission to reduce the likelihood of aspirating stomach acid. If you are on a waiting list waiting for an operation or any other service that is available under the NHS you can exercise your right to have your treatment done in private clinic abroad. After surgery all medications should be taken in soluble or liquid form for the 1st few months after a sleeve or bypass or lifelong after gastric banding – if these forms are not available then consult your pharmacist or GP to check if your medicine can be crushed. Carrying out weight-loss surgery on the NHS is eating up millions of pounds each year, it is claimed. It was a stressful time and the fact we could hand over this side of things, to a third party was a great relief . This can be very difficult to adhere to. Yuk ! Blood clots . You should use this period of time as a great opportunity to kick-start your weight loss and also to help get into the habit of eating a healthy diet. Find out more about access and waiting times for mental health services. When you are at the top of the list, our coordinator will contact you to arrange a convenient date for your surgery. To compare waiting times for hospitals, use the Find hospitals page. Therefore it is necessary to follow a strict diet that is low in dietary carbohydrate and fat. Phoenix Health, a leading UK & Irish weight loss surgery discuss how long you will need to wait before you can have weight loss surgery. Voices I've been waiting so long for an operation on the NHS that I could lose the use of my hand forever. are available to facilitate early mobilisation, which is crucial. However, your right to an 18-week waiting time does not apply if: you choose to wait longer Jump to media player Graham Satchell reports on the debate about who should pay for weight loss operations as part of plans to tackle type 2 diabetes. You will receive a letter inviting you to a second Group Education. If the hospital or service cancels your operation at the last minute (on or after the day of admission) and for non-clinical reasons, they should offer another binding date within 28 days or fund your treatment at a date and hospital of your choice. Your length of hospital stay will most likely be 1-3 days, depending on your surgeons’ preference and also your physical status; in general if you are a higher risk patient then you may stay in a bit longer. The NHS will confirm reimbursement via email and once confirmed, the NHS will send you a cheque within thirty days. If your operation is cancelled before the day of admission, the hospital or service is not obliged to provide an alternative option within 28 days. Page last reviewed: 2 December 2019 What did it involve? If you are waiting on the NHS waiting list for bariatric surgery, know you have a right to chose when you will have it. You will be required to attend weight loss clinics for 6-12 months. This diet should be strictly followed for at least 3-4 weeks prior to surgery. Waiting times may vary between hospitals, and you should consider this when choosing a hospital. This is because the NHS will try and help you manage your weight without surgery. The Bariatric Dietitian will see you before you leave hospital, and provide you with dietary advice following surgery. If cancelling your appointment results in you having to wait longer, you have the right to ask the hospital or CCG to move you to a different provider. Note: Referrals for investigations of breast symptoms, where cancer is not initially suspected, are not urgent referrals for suspected cancer and therefore fall outside the scope of this right. That is up from the 29% of CCGs – which hold the NHS budget in local … of the different surgical weight loss options available in NHS Ayrshire & Arran. Before your operation, it is important to follow a special pre-op diet to help prepare your body for the surgery. Patients with sleep apnoea will be supported with CPAP (Continuous Positive Airway Pressure). It took Molly a year to lose four stone but her weight loss has reduced the pain in her knee and she no longer needs the second operation, saving the NHS … have tests, scans or other procedures to help ensure that your treatment is appropriate for your condition, have medicine or therapy to manage your symptoms until you start treatment, be referred to another consultant or department, being admitted to hospital for an operation or treatment, starting treatment that does not require you to stay in hospital, such as taking medicine, beginning fitting for a medical device, such as leg braces, agreeing to have your condition monitored for a time to see whether you need further treatment, receiving advice from hospital staff about how to manage your condition, delaying the start of your treatment is in your best clinical interests, for example, when stopping smoking or losing weight first is likely to improve the outcome of your treatment, it is clinically appropriate for your condition to be actively monitored in secondary care without clinical intervention or diagnostic procedures at that stage, you fail to attend appointments that you had chosen from a set of reasonable options. You should use this period of time as a great opportunity to kick-start your weight loss and also to help get into the habit of eating a healthy diet. If you're not happy with the organisation's response, you can complain by following the NHS complaints procedure. There is also a requirement to follow an NHS weight loss programme (called Tier 3) for a minimum of 6 months. Sleeve or Bypass (Roux-en-Y or Single Anastomosis) – 1-3 nights stay; may include first night in a High Dependency Unit. Between 2007 and 2014, 1453 people's experience of weight loss surgery was studied at The Alfred. You may also be asked to avoid taking some of your medicines by the pre-assessment nurses. If this happens, the surgeon may have to do open surgery, instead of a laparoscopic procedure. However, your right to an 18-week waiting time does not apply if: The maximum waiting time for suspected cancer is 2 weeks from the day your appointment is booked through the NHS e-Referral Service, or when the hospital or service receives your referral letter. Weight-loss surgery is not for everyone and is by no means an easy fix. Ten days pre op on 4 pints of milk a day and nothing else but a salted drink like bovril. Weight-loss surgery at no cost to patient 24 August 2016 obesity; patients; The Alfred is one of few public hospitals in Australia to offer weight loss surgery at no cost to the patient. There’s no waiting time for treatment and we offer payment options that help put weight loss procedures within your reach. In some cases, people are able to avoid a two-stage operation or improve their operative risks by being referred to the Nutrition Physician. 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