This is a very knee jerk post but one I feel very strongly about. NHS bean counters.
My local CCG (Clinical Commissioning Group) have a policy that for non-urgent procedures if your BMI is over 30 then they will help you to lose weight to get you below 30 prior to your procedure.
Let’s have a think about the implications of this as the same CCG advise they also have too many patients addicted to painkillers.
They have just taken on another two addictions nurses to manage this.
So, bearing in mind a large majority of these non-urgent procedures will be limb operations, most likely lower limb.
They advise a decreased BMI will help the following, which of course they are selling as increasing your health and wellbeing.
Faster recovery from your operation
Where is the evidence for this?
Better wound healing
I can’t see what the difference would be for this, there are so many other implications to wound healing and the effect other illnesses can have on this.
A shorter stay in hospital
Again, thinking of their finances with this one, but using your BMI against you for this is again not taking into account other illnesses.
No need for intensive care
How do they know this, are they saying all patients over 30 BMI will need intensive care, how bloody ridiculous.
Need for further surgery
And finally, need for further surgery can happen as a result of so many different problems that can arise.
You really should try harder East Riding CCG because you need to do your research and then come back and tell us how all of the above’s risks increase with your BMI.
This to me is another shout out to BMI – BMI doesn’t work, when are they going to realise that, my own BMI is 28 when I lost weight a few years ago I looked pale and gaunt and my BMI was still 26.
BMI is like all outdated measurements, you could have an 18 stone rugby player with a fat index of 18% and their BMI would be well over 30.
As the majority of these procedures will be lower limb how do they profess to get people moving when they are in so much pain anyway, the easiest thing to aid them, in my opinion, is to do the procedure then they will be in a position to move.
Again, they are defeating the object of trying to manage the pain killer addiction too.
Moreover, though it is fatphobic and they really need to concentrate on other issues.
The evidence from the Royal College of Surgeons is patients should be treated as per need not per what they weigh and whether they smoke or not.
This ironically is only happening in the East Riding of Yorkshire CCG not it’s neighbouring Hull CCG.“This is NHS bean counters trying to ration care” – as per a retired surgeon. Click To Tweet