1. What criteria, if any, has been stipulated by your CCG in relation to the provision of bariatric surgery? (e.g surgery restricted to BMI over 45 and/or other co-morbidities, surgery only for those with BMI over 50)
The Tier 4 eligibility criterion in the NHS Calderdale CCG area is as follows:
- BMI ≥40 and other co-morbidities e.g type 2 diabetes or high blood pressure
- The person has been receiving intensive management in a Tier 3 service but has not achieved or maintained adequate, clinically beneficial weight loss.
- The person is generally fit for anaesthesia and surgery.
- The person commits to the need for long-term follow-up.
- In addition to the criteria listed above, bariatric surgery is the option of choice (instead of life style interventions or drug treatment) for adults with a BMI of ≥50 kg when other interventions have not been effective.
2. When was the criteria introduced?
The responsibility for the commissioning of Tier 4 Services only transferred to the CCG in April 2017.
3. How many patients have been refused bariatric surgery since the criteria was introduced?
NHS Calderdale CCG does not hold this information. In this instance we suggest you may wish to direct your question to the providers, Calderdale and Huddersfield NHS Foundation Trust at email@example.com.
4. How many patients have received bariatric surgery since the criteria was introduced and how much has this cost the CCG?
In Quarter 1 of 2017-18, 16 patients have received surgery under the bariatric specialty at a cost of £49,283.