Common use of Weight Loss Clause in Contracts

Weight Loss. Weight should be recorded at onset of engagement with T3 weight management programme. Weight should be recorded at the time of assessment at surgical MDT and post-surgery (WL) by surgical procedure. WL to be monitored at 6-months, 12- months, 18-months and 24- months’ post- surgery. Weight Loss for patients clinically unsuitable for surgery also to be monitored at 6- months, 12-months, 18-months and 24-months post intervention. 100% data submission to National Bariatric Surgery Registry: all procedures carried out will be entered into the NBSR as per Dendrite data entry criteria. Percentage (%) of patients lost to follow-up: 6-months; 12-months; 24-months. It is the responsibility of the bariatric provider to ensure follow up to 2 years. There is an expectation of <1% of patients will be lost to follow-up. Percentage of patients treated within 18-weeks; will be within current NHS waiting times standards and no patient will wait in excess of 52 weeks. (Please be aware that this does not mean surgery within 18-weeks of referral, first definitive treatment might be any non-surgical intervention deemed clinically necessary). Patient access will be managed in line with the latest NHS waiting list management guidance; this may be subject to random audit by commissioners. Morbidity and Mortality Post-operative complications (rate, type, onset time): leak rate, early obstruction, deep vein thrombosis, pulmonary embolism, chest infection, bleeding or other. In-hospital mortality rates: classified by operation type, BMI group and surgical risk score (separate data to be recorded for revision procedures). Post-discharge mortality rate: All deaths that occur post-discharge, reporting at 30days, 6-months and 12-months following primary or revision surgery. Surgical complications requiring HDU/ITU: Recorded admissions post operatively into ITU/HDU (reason for admission, duration of stay). Morbidity and mortality rates will be benchmarked against other Tier 4 services by commissioners. ANNEX 1 TO SERVICE SPECIFICATION: IFSO Guidelines for Safety, Quality, and Excellence in Bariatric Surgery: xxxx://xxx.xxx-xx.xxx/site/index.php/sqe-guidelines ANNEX 2 TO SERVICE SPECIFICATION: Person specifications of specialists comprising multi-disciplinary team (MDT) Bariatric Surgeons The surgeons in the multidisciplinary team should hold GMC (General Medical Council) registration, be on the specialist register for general surgery and have undertaken a relevant supervised training programme and have specialist experience in bariatric surgery. See IFSO guidelines appendix 2. They should be members of The British Obesity & Metabolic Surgery Society (BOMMS).

Weight Loss. Weight should be recorded at onset of engagement with T3 weight management programme. Weight should be recorded at the time of assessment at surgical MDT and post-surgery (WL) by surgical procedure. WL Weight loss to be monitored at 6-6- months, 12- 12-months, 18-months and 24- months’ post- surgery. For patients undergoing surgery: At least 50% of excess weight should be lost at 12 - 18 months and maintenance at 2 years; Weight Loss for patients clinically unsuitable for surgery also to be monitored at 6- months, 12-months, 18-months and 24-months post intervention. 100% data submission to National Bariatric Surgery Registry: all procedures carried out will be entered into the NBSR as per Dendrite data entry criteria. Percentage (%) of patients lost to follow-up: 6-months; 12-months; 24-months. It is the responsibility of the bariatric provider to ensure follow up to 2 years. There is an expectation of <1% of patients will be lost to follow-up. Percentage of patients treated within 18-weeks; will be within current NHS waiting times standards and no patient will wait in excess of 52 weeks. (Please be aware that this does not mean surgery within 18-weeks of referral, first definitive treatment might be any non-surgical intervention deemed clinically necessary). Patient access will be managed in line with the latest NHS waiting list management guidance; this may be subject to random audit by commissioners. Morbidity and Mortality Post-operative complications (rate, type, onset time): leak rate, early obstruction, deep vein thrombosis, pulmonary embolism, chest infection, bleeding or other. In-hospital mortality rates: classified by operation type, BMI group and surgical risk score (separate data to be recorded for revision procedures). Post-discharge mortality rate: All deaths that occur post-discharge, reporting at 30days, 6-months and 12-months following primary or revision surgery. Surgical complications requiring HDU/ITU: Recorded admissions post operatively into ITU/HDU (reason for admission, duration of stay). Morbidity and mortality rates will be benchmarked against other Tier 4 services by commissioners. For patients undergoing surgery: Outcomes of 65% of patients achieving complete remission in diabetes, with a further 35% having better control of their diabetes should be expected. In addition reduced blood pressure rates should be expected to reduced by 50%. ANNEX 1 TO SERVICE SPECIFICATION: IFSO Guidelines for Safety, Quality, and Excellence in Bariatric Surgery: xxxx://xxx.xxx-xx.xxx/site/index.php/sqe-guidelines ANNEX 2 TO SERVICE SPECIFICATION: Person specifications of specialists comprising multi-disciplinary team (MDT) Bariatric Surgeons The surgeons in the multidisciplinary team should hold GMC (General Medical Council) registration, be on the specialist register for general surgery and have undertaken a relevant supervised training programme and have specialist experience in bariatric surgery. See IFSO guidelines appendix 2. They should be members of The British Obesity & Metabolic Surgery Society (BOMMS).SUGGESTED TWO YEAR FOLLOW – UP SCHEDULE FOR POST - BARIATRIC PATIENTS

Weight Loss. Weight should be recorded at onset of engagement with T3 weight management programme. Weight should be recorded at the time of assessment at surgical MDT and post-surgery (WL) by surgical procedure. WL to be monitored at 6-months, 12- months, 18-months and 24- months’ post- surgery. Weight Loss for patients clinically unsuitable for surgery also to be monitored at 6- months, 12-months, 18-months and 24-months post intervention. 100% data submission to National Bariatric Surgery Registry: all procedures carried out will be entered into the NBSR as per Dendrite data entry criteria. Percentage (%) of patients lost to follow-up: 6-months; 12-months; 24-months. It is the responsibility of the bariatric provider to ensure follow up to 2 years. There is an expectation of <1% of patients will be lost to follow-up. Percentage of patients treated within 18-weeks; will be within current NHS waiting times standards and no patient will wait in excess of 52 weeks. (Please be aware that this does not mean surgery within 18-weeks of referral, first definitive treatment might be any non-surgical intervention deemed clinically necessary). Patient access will be managed in line with the latest NHS waiting list management guidance; this may be subject to random audit by commissioners. Mental health measure? Morbidity and Mortality Post-operative complications (rate, type, onset time): leak rate, early obstruction, deep vein thrombosis, pulmonary embolism, chest infection, bleeding or other. In-hospital mortality rates: classified by operation type, BMI group and surgical risk score (separate data to be recorded for revision procedures). Post-discharge mortality rate: All deaths that occur post-discharge, reporting at 30days, 6-months and 12-months following primary or revision surgery. Surgical complications requiring HDU/ITU: Recorded admissions post operatively into ITU/HDU (reason for admission, duration of stay). Morbidity and mortality rates will be benchmarked against other Tier 4 services by commissioners. ANNEX 1 TO SERVICE SPECIFICATION: IFSO Guidelines for Safety, Quality, and Excellence in Bariatric Surgery: xxxx://xxx.xxx-xx.xxx/site/index.php/sqe-guidelines ANNEX 2 TO SERVICE SPECIFICATION: Person specifications of specialists comprising multi-disciplinary team (MDT) Bariatric Surgeons The surgeons in the multidisciplinary team should must hold GMC (General Medical Council) registration, be on the specialist register for general surgery and have undertaken a relevant supervised training programme and have specialist experience in bariatric surgery. See IFSO guidelines appendix 2. They should be members of The British Obesity & Metabolic Surgery Society (BOMMS).