I'm not sure how the process works; I've found it so far to be really confusing!! I was originally under Buckinghamshire PCT, they refused me - BMI was when 53, as I had not got diabetes and they said I couldn't prove I have tried to lose weight, REALLY?! My medical records from the age of 8 should show my weight battle is well documented!! They also had no contact with myself, they wrote totally through my GP at the time... I gave up and hoped one-day I'd be able to save enough to get it done privately (bad credit, so can't get loans etc). Too much going on in my personal life to fight the rejection. I have now moved into London and fall under the Imperial PCT and St Mary's Hospital, who have a dedicated Bariatric Team. My GP referred me on 6th November 2013, I had my group information session on 23rd December, bloods and heart tracing done at the same time. I now have an appointment to meet the Surgeon and an endocrinologist on 4th February 2014, but to be honest I have had minimal contact other than appointment letters, the process is still unclear and different people advise different things. A nurse advised me that the whole process can take 10-12 weeks, due to new centre self-funding, or something. I haven't actually been told if I have been approved, but I presume - and hope, that all these appointments mean I have been! I'm not sure if different PCT's have different rules/guidelines, if the funding across the country has changed or if it depends on if your PCT has a dedicated Bariatric Team. Good Luck!! xx