1. Have referral policies changed for elective procedures for patients who are obese (with a BMI of 30 or above)?
NHS Calderdale CCG has not changed referral policies for patients with a BMI of 30 or above.
2. Have referral policies changed for elective procedures for patients who smoke?
NHS Calderdale CCG has not changed referral policies for patients with who smoke.
3. Are you considering changing referral policies for elective procedures for patients who are obese?
4. Are you considering changing referral policies for elective procedures for patients who smoke?
5. If yes to any of the above what has the change been or what change are you considering?
Having undertaken a public interest test we have decided to issue a refusal notice under Section 22 of the Freedom of Information Act 2000 (information that is intended for future publication).
The CCG’s ongoing system recovery plan includes plans to maximise current opportunities to support healthier choices in Calderdale. We can confirm that NHS Calderdale CCG holds an internal draft discussion paper concerning referral policies for all elective procedures.
In accordance with the terms of the Section 22 exemption, we have considered whether it would be in the public interest for us to provide you with the information ahead of publication, despite the exemption being applicable. In this case, we have concluded that the public interest favours withholding the information until publication.
When assessing whether or not it was in the public interest to disclose the information to you at this time, we took into account the following factors.
In favour of disclosure:
The CCG is committed to openness and transparency and meeting the spirit of the Freedom of Information Act.
The CCG believes there is a clear public interest in disclosure of arrangements for the future local health services in general.
In favour of withholding the information:
The internal draft discussion paper is at a very early stage of development and will be subject to further change.
Disclosure at this point could result in inaccurate, incomplete and misleading information entering the public domain causing concern and confusion among the public and providers.
The release of misleading information would most likely result in the CCG and providers having to expend resources responding to queries.
Disclosure at this point could also result in confusion among providers damaging both the CCG’s relationship with them and potentially unnecessarily and negatively affecting patients’ receipt of care.
Subject to decisions made, the CCG will publish its proposals as part of its decision making process and there is clear intention to do this in 2018.
In conclusion, we consider the public interest to be in favour of withholding the requested information until any eventual proposals are brought forward for decision. This will happen during 2018.
6. What is the current average wait from referral to treatment for elective hip replacements for patients who are obese or smoke?
NHS Calderdale CCG does not hold this information. We would suggest that you need to contact the service provider which in this instance is Calderdale and Huddersfield NHS Foundation Trust (firstname.lastname@example.org.).
7. What is the current average wait from referral to treatment for elective hip replacements for patients who are not obese and do not smoke?
Please see response to question 6.