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How is funding eligibility determined?

Great, it's all so confusing and each hospital is so different as well, but just ask away and I'm sure they'll be someone to answer your questions! Xx
 
yvonne83 said:
I'm sorry - this is a late night for me so I'm not understanding!
If you have co-mobidities you miss the the weight management? But if you have any bmi even over 50 and no co-morbidities you have to do a year weight management then, plus 6 months at the hospital before surgery? or before they agree to starting the process for surgery?

Sorry to be so dim, I just cant get my head around everyone's experiences being so different!! Aren't we all paying into the same pot?!!
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Which hospital are you under? Maybe call the bariatric office of the hospital and find out the exact criteria which they have in that hospital? Or try to contact your local ccg (clinical commisinion group or whatever they are called?) then you will know for sure.

I actually googled criteria for bariatric surgery in ..... 2013 (Fill with the name of your area and change the year). As i was doing my research last year when i needed it!

My ccg criteria said if your bmi is over 50 then tier 4 (surgery) can be CONSIDERED as first line treatment. That does not mean it will happen. It also did say you have to be fit for surgery and prove you have tried you have done everything else before (exercise, pills, weight managment courses, diets ect..). I cant rember what it said for bmi less than 50. As mine was way over 50
:)
 
Llora said:
Which hospital are you under? Maybe call the bariatric office of the hospital and find out the exact criteria which they have in that hospital? Or try to contact your local ccg (clinical commisinion group or whatever they are called?) then you will know for sure.

I actually googled criteria for bariatric surgery in ..... 2013 (Fill with the name of your area and change the year). As i was doing my research last year when i needed it!

My ccg criteria said if your bmi is over 50 then tier 4 (surgery) can be CONSIDERED as first line treatment. That does not mean it will happen. It also did say you have to be fit for surgery and prove you have tried you have done everything else before (exercise, pills, weight managment courses, diets ect..). I cant rember what it said for bmi less than 50. As mine was way over 50
:)
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Is ccg the new/old (not sure!) name for primary care trust? I have tried googling this for lancashire and it just linked to the NICE guidelines. I think I have confused myself trying to read too much about it as my GP didn't/doesn't even know how to refer me. With my BMI being over 50 already I am worried that by the time i actually get to the point of surgery (possibly 18 mnths plus?) I could be even bigger and even less healthy. :(

Waiting and patience and not knowing what is going on are not my favourite things!!
 
Hi Yvonne - yes I think CCG is the new PCT. Once you start the weight management they try get you to loose weight rather than leave you to pick up more. Reason is that it's obviously better for your health but also for surgery too. You have to show them you're willing and able to make changes and commit to the long term requirements of surgery.
 
yvonne83 said:
Is ccg the new/old (not sure!) name for primary care trust? I have tried googling this for lancashire and it just linked to the NICE guidelines. I think I have confused myself trying to read too much about it as my GP didn't/doesn't even know how to refer me. With my BMI being over 50 already I am worried that by the time i actually get to the point of surgery (possibly 18 mnths plus?) I could be even bigger and even less healthy. :(

Waiting and patience and not knowing what is going on are not my favourite things!!
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I do understand!!! The unknown is just the worst part!!!

I was never asked to loose weight by the hospital. They only said 'it would be good if you didnt gain any more weight'. And i was advised to make some changes in my diet.. so I did that and more.. So i've lost 14kg since jan. I know its not a lot! But i didnt gain, that was important for me. Also in my oponion that was the best way to show to the hospital that i was comited and determined! :)

I am not sure about if its new pct .. But you might be right :)

Well my in my are they did use nice as the main guidline too. I think!

I am sure your doctor will find out exactly what is needed. But it never hurts to find out yourself then you can make sure no mistakes are made and can prepare yourself too.
 
yvonne83 said:
Is ccg the new/old (not sure!) name for primary care trust? I have tried googling this for lancashire and it just linked to the NICE guidelines. I think I have confused myself trying to read too much about it as my GP didn't/doesn't even know how to refer me. With my BMI being over 50 already I am worried that by the time i actually get to the point of surgery (possibly 18 mnths plus?) I could be even bigger and even less healthy. :(

Waiting and patience and not knowing what is going on are not my favourite things!!
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Btw, thats what i found.

http://www.westlancashireccg.nhs.uk/wp-content/uploads/sites/4/2013/04/Bariatric-Surgery.pdf

Hope it helps a bit.. Or at least helps you for your research for corect information. I just googled 'nhs guidline for bariatric surgery in lancashire 2014'

But i really suggest to find out which ccg you ate under and then try and contact them to be sure you know up to date information.
 
Llora, 14kg is a lot! Well done!! I have only lost 1 stone since September last year, so you are well ahead of me. Also wasnt told to lose a certain amount but was told to try and change my habits etc and just incorporate extra exercise if possible to help me along. I admit that I have tried my best but I am human and like most of us have had bad days with the good. So while I say i havent lost that much, i am also pleased to say that during this time, my weight hasnt ever gone back up and I have had to loose extra to compensate - so that in itself for me is an achievement! :)
 
Yet something else that differs! I've been asked to lose 8kg in weight by my next appointment to show my commitment. If I haven't lost it on my own then I will get support from the dietician at this point. I was also told that I wouldn't be put forward for surgery either!
 
Blondie43 said:
Yet something else that differs! I've been asked to lose 8kg in weight by my next appointment to show my commitment. If I haven't lost it on my own then I will get support from the dietician at this point. I was also told that I wouldn't be put forward for surgery either!
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When is your next appt Blondie?
 
Yes confident on being able to meet the target, good at dieting-not so good at keeping it off!
Before my first seminar I had to fill in a questionnaire, health problems, what kind of eater you are, why do I want the operation etc. the nurse said we will be going through this in more detail ?
 
That's interesting - I've not had those questions! Again they are all different.

Oh yes I'm the same - dieting is not the problem it's keeping the weight off.
 
Hi Birdie
i have sent you a private PM, but not sure if I have done it right. Please let me know
 
im in Sheffield and am post op

i went to my GP in October 2012 to be referred. she tried to refer me to the hospital as my bmi was 70 and i had a few co morbiditys.

i had to be referred to weigh ahead instead which is a community based weight loss thing that anyone can be referred to not just surgery patients.
There i saw a dietitian, physio and a weight loss support person. i was then referred to the hospital for the seminar in the September.
After i confirmed i wished to go ahead i had appointments with the doctor, dietitian etc over the course of a few months.

In january of this year i got my surgery. not once was funding mentioned, i did ask and was told if i was attending the seminar then its a given that funding was in place for me
 
I just googled this for some one else but I'm rubbish at cut and paste but try googling
Clinical commissioning policy 2013 for complex and specialist obesity nhs . It states that with bmi of 50 or over than surgery should be considered as first option , but you have to meet the criteria . It worth digesting and downloading the main article to take to your GP
 
Kimberly said:
I just googled this for some one else but I'm rubbish at cut and paste but try googling
Clinical commissioning policy 2013 for complex and specialist obesity nhs . It states that with bmi of 50 or over than surgery should be considered as first option , but you have to meet the criteria . It worth digesting and downloading the main article to take to your GP
Click to expand...

thank you Kimberly, I'll have a look at that - will this still be valid though if it is dated previous to the changes made in April 2014?
 
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