VSG Kings College Hospital

[Jadine Hayles]

Hey guys I am new to all this WLS life.
I began my journey from seeing the hospital dietitan at my GP from December who then referred me to KCH.
I had my first appointment in August of which the guy told me I'd have to see their Dietitan for 6 months to get the funding excepted. He also done bloods that day and I have a lung function test next week.

I've just received the hospital letter stating they will discuss me in their Mdt meeting as well as me seeing their Dietitan and doing a tier 3 management programme.
Now he never mentioned this tier 3 thing to me. Has anyone else had to do this? And how long would the process take now? As I thought I'd be having this sleeve done a little over 6 months.
I'm so confused here!!!

 

[Mazza]

Seeing the dietician is part of the tier 3 programme, which is all about weight management.

I think everyone has to do it if they are going through the NHS route.

Google your hospital and tier 3 and see what comes up but you may have to wait longer than six months for your op.

 

[Jadine Hayles]

Oh right thanks so much. It's silly really as I've already been under hospital Dietitans since December.
A friend of mine done hers through Lewisham hospital and never had to do it.

I will have a look on Google again I couldn't find much on Kings college hospital.
Thanks again for your reply

 

[Hannah2]

Depends on your BMI and if you have co-morbidities (diabetes etc) or not as to whether you are referred to tier 3 or straight to tier 4 (surgery).

I think for direct to tier 4 you need to have a BMI of 50 or more, or 45 if you have 2 or more co-morbidities.

You need to check the NICE guidelines to be sure.

 

[Jadine Hayles]

Ohh I get it.i will have a look on the guidelines well I only have polycystic ovaries and bmi is high. Guess I'll have to wait for the mdt meeting. They may change their mind. With tier 3 can you still have the surgery though? ... I'll have a look on the site thanks alot

 

[Hannah2]

Yes people can be referred from tier 3 to 4 depending on funding available. Differs in different areas.

 

[Jadine Hayles]

Ok thanks so this will be a very long wait then.

 

[Turps]

I can't help with your questions as while I'm also NHS my provider did things differently to yours. But I did want to welcome you to the forums.
Good luck on your journey.