Morbid Obesity Surgical Services Morbid Obesity Surgical Services If you would like this information in another format, such as large print or another language, please call 01226 43 3678, or email enquiries@barnsleypct.nhs.uk What are morbid obesity surgical services? Body Mass Index (BMI) is a calculation used to work out how overweight people are by using their weight and height measurements to determine a score. People considered a healthy weight have a BMI between 20kg/m2 and 25kg/m2. A person is usually considered morbidly obese when they have a BMI of over 40kg/m2. A morbidly obese person is considered to have a body weight high enough to pose a severe risk to their health, which could mean that they have reduced life expectancy and/or increased health problems. Morbid obesity surgery, often referred to as bariatric surgery (which could include gastric band or gastric bypass surgery), is a recommended treatment option for people who are morbidly obese. Review of morbid obesity surgical services in the Yorkshire and Humber region The National Institute for Health and Clinical Excellence (NICE) is an organisation that advises the NHS when a clinical treatment (or set of clinical procedures) is considered highly clinically effective, cost effective and safe. NICE has issued some guidelines that PCTs may consider when commissioning morbid obesity surgery. These take into account the clinical effectiveness of treatment, money saved due to the reduction in weight after surgery and any costs of aftercare. Primary Care Trusts (PCTs) are responsible for funding NHS treatment locally. The PCts in this region are currently reviewing the criteria for funding surgery for individuals who are morbidly obsese. Reason for the survey We want to understand your views on NHS funded surgery for people who are considered morbidly obese. As such we are working with patients, carers, members of the public, health care professionals and a number of organisations to understand these views. Please complete questionnaire no later than Monday 10 January 2011.
Morbid Obesity Surgical Services
SECTION A: Funding Surgery The NHS should fund morbid obesity surgery for: (please tick one answer for each question) Agree
Disagree
a) anyone who is morbidly obese b) people that have already tried to lose weight c) people who are morbidly obese and have other illnesses (like diabetes that could improve after successful surgery) Please provide any additional comments here:
The NHS should fund plastic surgery procedures for patients who have lost weight after morbid obesity surgery and have excess skin: (please tick one answer for each question) Agree a) to improve appearance b) for health reasons
Disagree
Morbid Obesity Surgical Services
Please provide any additional comments here:
SECTION B: Prioritising people who are funded for morbid obesity surgery If PCTs have to prioritise the amount of surgery they fund, in your view, which of the following should be prioritised for surgery? (please tick the statement which is most important to you) (please tick one answer) People who currently have the worst health state ............................................... People who are likely to have the most long term health gain ............................ Please provide any additonal comments here:
Morbid Obesity Surgical Services
Currently different PCTs have different rules for access to surgery - moving to a single set of rules could mean less patients get treated in certain PCT areas. What is more important to you? (please tick the statement which is most important to you) (please tick one answer) Everyone has the same rules ............................................................................. Some PCTs areas fund more surgery than others ............................................. Please provide any additional comments here:
Morbid Obesity Surgical Services
SECTION C: About You Which PCT area do you live in? NHS Barnsley ..................................................................................................... NHS Bradford & Airedale .................................................................................... NHS Calderdale .................................................................................................. NHS Doncaster ................................................................................................... NHS East Riding of Yorkshire ............................................................................. NHS Kirklees ...................................................................................................... NHS Leeds ......................................................................................................... NHS Hull ............................................................................................................. NHS North Lincolnshire ...................................................................................... NOrth East Lincolnshire Care Trust Plus ............................................................ NHS North Yorkshire & York ................................................................................ NHS Rotherham ................................................................................................. NHS Sheffield ..................................................................................................... NHS Wakefield District ........................................................................................ If you are unsure, or live in an area outside the region, please enter your post code here
Morbid Obesity Surgical Services In what capacity are you responding to these questions? Member of the public .......................................................................................... Partner organisation ........................................................................................... Patient Group/Community Group ........................................................................ Clinician/NHS Staff ............................................................................................. Morbid Obesity surgical patient/former morbid obesity surgical patient ............. Carer ................................................................................................................... Prefer not to answer ............................................................................................ Other ................................................................................................................... Other (please specify)
If you would like to receive information about the progress of this review, or take part in work to improve SCG services in the future please tick the appropriate box(es). Please let us know how to contact you by writing your contact details below. (please tick all that apply) I would like to receive further information about the progress of this review ....... I would like to take part in future work to improve services .................................
Morbid Obesity Surgical Services
Equality Monitoring Form
Gender Are You? (please tick all that apply) Male .................................................................................................................... Female ................................................................................................................ Age What is your date of birth?
Morbid Obesity Surgical Services What is your age? 0-16 ..................................................................................................................... 17-20 ................................................................................................................... 21-30 ................................................................................................................... 31-40 ................................................................................................................... 41-50 ................................................................................................................... 51-60 ................................................................................................................... 61-70 ................................................................................................................... 71-80 ................................................................................................................... 81+ ...................................................................................................................... Prefer not to disclose .......................................................................................... Disability Are you disabled? (A disabled person can be someone with a physical or sensory impairment, learning difficulties, mental health problems or a long term or progressive medical condition.) (please tick one answer) Yes ....................................................
No .....................................................
If yes, please tick the relevant box/es Blind/partially sighted .......................................................................................... Learning disability ............................................................................................... Dyslexia .............................................................................................................. Long term illness ................................................................................................. Mental health difficulties ..................................................................................... Mobility difficulties ............................................................................................... Wheelchair user .................................................................................................. Deaf/hearing impairment .................................................................................... Prefer not to disclose .......................................................................................... Other ................................................................................................................... Other - Please state
Morbid Obesity Surgical Services Ethnicity What is your ethnic origin? (please tick one only) White - British ..................................................................................................... White - Irish ......................................................................................................... White - European ................................................................................................ Mixed - White and Black Caribbean .................................................................... Gypsy/Traveller ................................................................................................... Chinese ............................................................................................................... Asian or Asian British - Bangledeshi ................................................................... Asian or Asian British - Pakistani ........................................................................ Asian or Asian British - Indian ............................................................................. Black or Black British - African ............................................................................ Black or Black British - Caribbean ...................................................................... Mixed - White and Asian ..................................................................................... Mixed - White and Black African ......................................................................... Other ................................................................................................................... Prefer not to disclose .......................................................................................... Other - Please state:
Morbid Obesity Surgical Services Religion and Belief What is your religion? Christian .............................................................................................................. Muslim ................................................................................................................ Hindu .................................................................................................................. Buddhist .............................................................................................................. Jewish ................................................................................................................. Sikh ..................................................................................................................... Rastafarian ......................................................................................................... No Religion ......................................................................................................... Other ................................................................................................................... Prefer not to disclose .......................................................................................... Other - Please state:
Sexual Orientation How would you describe your sexual orientation? Heterosexual ....................................................................................................... Bisexual .............................................................................................................. Gay ..................................................................................................................... Lesbian ............................................................................................................... Other ................................................................................................................... Prefer not to answer ............................................................................................ Other - Please state:
Morbid Obesity Surgical Services Gender Identity Do you consider yourself to be transgender? (for example, have you considered, or do you plan to have, surgery to change your sex) Yes ...................................................................................................................... No ....................................................................................................................... Prefer not to answer ............................................................................................