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Ban on surgery for patients who are overweight or who smoke?

(370 Posts)
JessM Sat 03-Sept-16 07:22:16

This idea has been mooted before. However it now is looks like it might begin to happen in a systematic way, due to the government keeping the NHS so desperately short of the money it needs if it is to maintain current levels of service.
It is more expensive and more difficult to operate on people who are overweight, and who smoke. They are likely to be in hospital longer. They are less likely to make a successful recovery and feel the benefits. Is this is sensible way to ration NHS surgical treatment?

www.telegraph.co.uk/news/2016/09/02/obese-patients-and-smokers-banned-from-all-routine-operations-by/

lizzypopbottle Sun 04-Sept-16 12:55:40

I guess preventive interventions would be pretty expensive to start with but, as I mentioned before, most of us only see our GP when something's already wrong with us. If everyone was called to see their practice nurse/GP, say, every 5 years, for a general check up, and a family history recorded, many possible future health issues could be avoided, e.g. type 2 diabetes, smoking related heart and lung problems, joint and mobility etc. That must save money in the long run, surely, as well as saving a lot of pain, anger, frustration and grief? Expecting people to take responsibility for their own health seems to be a non-starter. Of course, many people wouldn't attend but that could be recorded too...

durhamjen Sun 04-Sept-16 12:52:42

Granny23, I think you'll find the waste of money on Trident, etc., mentioned on the NHS thread.
I agree with you.
Happy birthday. Are you sure you want Viagra?

The only reason the NHS is short of money is because this government wants it so, so that all the people will be demoralised and not notice it being sold off to private healthcare companies.

durhamjen Sun 04-Sept-16 12:34:20

Jingl, some of us have already said it's been called off.

Lewlew, I think your WHO link is out of date.

jinglbellsfrocks Sun 04-Sept-16 12:33:02

Happy birthday anyway Granny23. flowers

annsixty Sun 04-Sept-16 12:31:52

Very badly worded on my part, I hope you get the jist.

annsixty Sun 04-Sept-16 12:29:58

An article today in the DT highlights a story of (I think)) a CEO of a hospital trust, the paper has been consigned to waste, earning £240,000 a year who has left her job as her position is untenable.
There have been lots of complaints about this particular trust, however the staggering thing is that she is being kept on at the same salary and conditions as an advisor.
How many times is this happening?
A drop in the ocean money wise unless this not uncommon.

Granny23 Sun 04-Sept-16 12:05:03

I am obese, I smoke 20 a day, I am hospital phobic, I have caring responsibilities. Today I became officially elderly. I have chronic depression but will only be prescribed the lowest dose of anti-D because I am elderly. I have Willets-Ekbom syndrome (Restless Leg)and am told I have augmentation and it will become progressively worse with age.

Having completed my three-score-and ten, in a law abiding, productive, tax paying manner, I think I should now be issued with my 'Blue Pill' to be taken when I become a burden rather than an asset, when I can no longer stich on a smile and face the next day.

I have perused most of the thread and deplore the enthusiasm for denying health care to various groupings. I have seen no mention of the billions wasted on Trident which, at best, could only ensure that we ALL die of Nuclear Fall-out rather than blast. If these billions were spent on housing, social care, rehab, Health and other Education and the NHS perhaps we could ALL live healthier, happier lives. It seems to me that we are, collectively, voluntarily living in poverty, (relative to the wealth of the nation) in order to have the biggest, poshest funeral.

Nonnie Sun 04-Sept-16 12:01:33

Read the first page and part of the second but not going to read the rest.

Anyone can lose weight if they want to, whatever their medical condition. It is simply a matter of consuming less than you use. I speak as someone who has such a condition and can only lose weight if I average about 850 calories a day. To say that lack of mobility makes you put on weight is to make an excuse. Would you say that all athletes would be anorexic if they ate normally? No, of course not, they have to eat more because they use more.

This is not about people who are overweight it is about people who are obese and is not punishing them it is helping them if they want the help.

elfies Sun 04-Sept-16 11:56:46

Oh Please !!
Smokers , Foodies ,sweet eaters, drinkers , motorists ,unmarried mothers. Everyone does SOMETHING which could be labelled a cause of medical intervention being needed.
Perhaps we should be allowed medical care on how many insurance contributions we've made ,that would then stop people picking on older people who have age related illnesses , but at least worked and paid in for future care for their entire working lives

JessM Sun 04-Sept-16 11:48:04

Quizqueen have you not heard? Where have you been??
It's not the young people who come here to work that are making the big demands on the NHS. Most of them are under 35 and in good health. It's an age group that don't get ill very often. Very cheap to keep when it comes to healthcare.
And the other thing that you seem to have overlooked is the number of immigrants working in the NHS. Without their hard work the NHS would have to shut half its services down.
And have you checked who works in the care sector in large parts of England lately - immigrants, coping with the increased demand.
If you stopped immigration tomorrow the population would be falling quite sharply as there are a lot fewer births than deaths. This is a major problem if it occurs in a country with little or no immigration, such as Japan.
It's the UK nationals that are creating the extra demand by getting older and, in some cases, by not taking care of themselves very well.

Gaggi3 Sun 04-Sept-16 11:29:59

The NHS is suffering from severe financial shortages,( where oh where is the £350,000,000?) but that is the problem that needs solving. If conditions are applied before an operation on health grounds, that's fair enough, but I am very worried about the trend that this proposal might start, away from the basic principles of the NHS.

Anniebach Sun 04-Sept-16 11:27:49

Obieone, in my opinion it's wrong to put people into neat little piles, the obese are greedy, the alcholic is weak willed, politicians are self serving, on it goes, but they are individuals with their problems, faults, weaknesses , no one is perfect

radicalnan Sun 04-Sept-16 11:07:29

We haven't even mentioned the epidemic of sexually transmitted diseases that could be avoided with more sensible use of available precautions......I regret now that I chose to spend my life chained to a desk job and eating crap because I was so tired....when taking drugs and shagging more would have kept me thin and at the top of the career ladder. The last insult that is socially permissible is the 'fat' one ......'

Obesity is a complex issue, not just greedy people get fat. I get tired of it, after 50 off years paying in I am told that I can't have my knee op......but have seen in my work in the NHS people from abroad come here for maternity care and operations and go home not having paid a penny.

I am pretty sure older people are just neglected to death, my dad died last year when he was drugged to avoid end of life pain and then denied food and fluids for 10 days ...this is the Liverpool Care pathway, which is supposed to be banned, but is used to get rid of the oldies. I complained and the Ombudsman said it was 'the right care', if my old dad had been as ill as they t old me he was before I agreed to palliative care, he wouldn't have last 10 days on their starvation diet.

I won't get my knee replacement but have the LCP to look forward to.......

It is so easy to judge another person but to deny them health care ?????????

Everthankful Sun 04-Sept-16 11:07:29

I agree with restricting or maybe postponing some treatments for smokers and people who are grossly overweight so long as they are encouraged and supported by NHS to rectify the problem first. This could be part of the pre-op procedure to encourage a more healthy way of life and increase the possibility of the operation being a success. People can't help getting old, it comes to us all but they can help themselves (barring medical problems) with addiction and weight and fitness concerns

quizqueen Sun 04-Sept-16 11:05:36

I hope that anyone complaining on this thread that the NHS doesn't have enough money to cover non-essential operations for everyone didn't vote for any political party that has allowed about 10 million( if that figure is honest which I doubt)extra people to enter this country over the last 20 years. The NHS was never set up to care 'from cradle to the grave' for so many people and its founders didn't envisage the invention of costly treatments to prolong life or that men would want to become women etc. There is a limit on money for everything the government is expected to provide so decisions have to be made which not everyone will like or agree with. Take measures to severely control the population by removing financial incentives to breed by restricting child benefit/child tax credit for those who choose to have more than two children, restrict immigration and expect people to take take better care of themselves and pay for unnecessary cosmetic procedures or problems caused entirely by their chosen lifestyle, limit foreign aid to help with natural disasters only etc. and then there may be enough money to help those who are suffering through no fault of their own.

jinglbellsfrocks Sun 04-Sept-16 10:57:14

They have called the ban off now. If anyone's actually interested.

Lewlew Sun 04-Sept-16 10:55:52

For looking at the WHO's standings of international healthcare, this is interesting:

thepatientfactor.com/canadian-health-care-information/world-health-organizations-ranking-of-the-worlds-health-systems/

obieone Sun 04-Sept-16 10:41:21

Is it right to say or even label all obese people as having problems?
Some do just overeat for no reason?

whitewave Sun 04-Sept-16 10:41:04

With regard to the Junior Doctors strike.

I am beginning to see a parrallel with Thatcher and the miners.
The Thatcher government wanted rid if the mining industry, so they took on the miners and we know the result.
I reckon that the Tories are keen to privatise health and taking on the Junior Doctors is one step towards encouraging a privatised system. Another nail in the coffin.

Anniebach Sun 04-Sept-16 10:36:15

Iam, there has always been the obese, the alcholic, the uneducated, the mentally ill, and those who judge them

Im68Now Sun 04-Sept-16 10:25:10

I'm so right, you lot are just sinking lower and lower, I'm just waiting for someone to start on the GAY community, they must be unworthy of NHS treatment, and another thought, Ex-offends maybe a reduced form of care.

HannahLoisLuke Sun 04-Sept-16 10:25:08

Spyder08 How about charging for missed appointments? There are about 100 a month just at my local GP. They put a notice in the waiting room. Dentists already do it, but the funds probably don't get fed back into the system.

whitewave Sun 04-Sept-16 09:59:18

I expect it has been said, but does no harm to reiterate the fact that obesity largely falls in the poorer demographic. If this goes ahead the poor will have a double whammy.
1. Delay in a painful, life limiting condition.
2. Inability to pay for treatment which the more wealthy obese will have as an option.

This is what a two tier system will look like

Wobblybits Sun 04-Sept-16 09:52:34

Having tried to lose weight for most of my life, you think I would be happy to have lost 1/2 stone, but no, I'm worried why i have lost it so quickly, just a couple of weeks, without trying. Never happy.

Anniebach Sun 04-Sept-16 09:42:27

Why the need for the decision to be made to the press, this was so wrong, all they have done is place the obese open to even more criticism and judgement

Why not leave it between doctor and patient