A report to a council meeting next week reveal how many patients in York have had elective surgery delayed because they’re overweight.
The Vale of York CCG’s “Health Optimisation policy” started in February 2017. Patients seeking operations but who had a Body Mass Index (BMI) of over 30 faced possible delays.
There was a long list of procedures that were not affected by the policy.
The CCG said it had learned from elsewhere that implementation of this policy could contribute to confined financial management while providing the opportunity for improving the health of the population.
Other claimed that the policy was driven by cost cutting rather than patient welfare.
The criteria used was If a patient’s BMI>=30 their surgery if delayed/deferred until the following was achieved:
- Their BMI is <30
- They’ve lost 10% of their weight
- They’ve not achieved a or b but have waited 12 months since initial assessment.
Since its inception of Health Optimisation in February 2017 the Referral Support Service have sent out 1,766 letters for patients that exceed BMI criteria. Not all of these had to wait before joining the a waiting list.
The CCG has claimed some anecdotal evidence that patients have reported to their GPs that as a result of losing weight, in accordance with the policy, the pain they were previously suffering from had dissipated. Some patients did not therefore require surgery.
Children’s ball games facility threatened
Not often that we agree with the Daily Mail and government Ministers but they’ve got this right.
Communities need open spaces, outdoor sports facilities, green parks and amenity areas.
The York Council has a lamentable recent record in the Westfield area at least.
- Our Lady’s school playing field – Gone
- Lowfields sportsfield – Going
- Acomb Bowling Green – Doomed
- Kingsway kickabout area – Condemned
- Hob Moor school playing field – Shrinking
….and that in the ward with the largest proportion of obese children in the City and the lowest life expectancy.
Westfield set to lose another area of green space
The report on this planning application has now been published (click)
It is recommended for approval.
The development, as it is presently proposed, is not in line with residents wishes as expressed in responses to a recent survey. They wanted to see a comprehensive plan for all the sites which lie to the rear of the Library.
There are two significant tissues.
- Planning officers claim that no discussions have taken place on the possible extension of the library. We don’t believe this is true The future of the “allotments” land, and also of that to the side of Chancery Court, must be determined together. They are inextricably linked.
- To offset the loss of open space on Front Street, officials are proposing a section 106 contribution to provide part of a bowling green at the York RI. This is located in the Holgate ward, about a mile from Front Street. While this may meet the need for bowling facilities (the site is already green field sports pitch) it does nothing to help Westfield or to address the cumulative deficiency in green space provision in the ward. (It is almost as insensitive as the Councils decision to “relocate” the sports field from Lowfields to land near Bishopthorpe).
There is a very good argument to be made that the Front Street area needs more open space to accommodate the incremental increases in population that are occurring, not least as a result of commercial properties in the area being converted into residential accommodation.
This latest proposal just adds more pressures onto the rapidly diminishing areas of green space in the area.
The planning meeting is open to the public and takes place on Thursday 4th October at 4:30pm at West Offices. The planning committee will visit the site the previous day shortly after 10:00am.