Diet sheets and patient resources

The Gastric Band and Gastric Bypass diet sheets have now been updated, and along with Sleeve Gastrectomy diet sheet are available through NDR UK.

The Ayrshire and Arran dietitians have produced a preoperative “liver shrinking” leaflet which gives patients a choice of diet to follow.

They have also produced a bariatric cookery book “Recipes for Life” suitable for patients going forward for the sleeve gastrectomy and gastric bypass procedures.

All of the dietary resources are available for purchase by dietitians through NDR UK. In the near future, patients will be able to purchase the recipe book directly from NDR UK (to be used in conjunction with the information given by a Specialist Bariatric Dietitian).

For further information contact www.ndr-uk.org


BOMSS responds to HSCIC report into rising obesity levels

BOMSS has responded  to the recent HSCIC report into Obesity, Diet and Physical Activity which showed that rising numbers of people are obese and that there is an increase in the number of obesity-related hospital admissions
Roger Ackroyd, the President of BOMSS said in response to the HSCIC report: “Being overweight is linked to a host of health problems, all of which can reduce quality of life and a person’s ability to be economically active as well as increasing the general healthcare bill.
Bariatric surgery can be an effective treatment for many health complications which are linked to being overweight – diabetes and high blood pressure for example.

Bariatric surgery is not to blame for the obesity crisis – and surgery is not a ‘quick-fix’ – but it can be part of the solution. And surgical success comes despite the fact that our patients are becoming heavier and presenting with more health complications at the point of surgery.

Surgeons in the UK currently operate on only a tiny proportion of the people who would be eligible for surgery under NICE guidelines. As Professor Sir Bruce Keogh, Medical Director of the NHS, said at the launch of the National Bariatric Surgery Registry (NBSR): “As in all branches of medicine, prevention is better than cure but, when required, bariatric surgery is effective and safe.”

In many cases bariatric surgery is the right choice for many people who have severe and complex obesity. It improves their quality of life and often enables them to achieve things that had become impossible. For some people, bariatric surgery is one episode in the lifelong chronic disease of obesity. Bariatric surgeons in the NHS are pioneers and champions of the multidisciplinary team (MDT) approach to patient care, ensuring that we get the best possible results in both short and long term.

Members of the British Obesity and Metabolic Surgery Society (BOMSS) and their colleagues do important work. Audits and official figures only confirm what we see day to day in our surgeries – bariatric surgery plays a vital role in helping people who suffer ill-health because of their weight and saves the NHS money at the same time.”

The full report can be seen here: http://www.hscic.gov.uk/catalogue/PUB20562/obes-phys-acti-diet-eng-2016-app.pdf


BOMSS responds to the sugar tax

In response to the introduction of a sugar tax on soft drinks, announced in the Budget, Mr Roger Ackroyd, president of BOMSS, said: “A focus on the problem of drinks with a high sugar content and little or no nutritional value is welcome – but it should be part of wide and coherent strategy to tackle rising levels of overweight and obesity across society which robs people of their health and places such a financial burden on the health service.”


Shaw takes on visiting lecturer post

BOMSS Council member Shaw Somers has been invited by the Royal Australasian College of Surgeons to be their visiting Bariatric lecturer for 2016.

He will be visiting three centres in New Zealand and four in Australia, as well as presenting keynote lectures at the New Zealand Association of General Surgeons meeting this month and the Royal Australasian College of Surgeons meeting in May 2016).

Shaw will be particularly interested in seeing bariatric clinics at work and learning how barriers to access for surgery are approached in Australia and New Zealand. He is also looking forward to meeting the personalities and leaders in bariatric surgery that shape practice in these countries and learning their challenges.

Along the way, there will be time to take in the experiences of another continent! Follow him at https://www.facebook.com/streamlinesurgical

 


BOMSS echoes concerns of Obesity Alliance over delay to Government Obesity Strategy

Members of the Obesity Health Alliance, a campaign group which formed last year to tackle obesity – and which includes BOMSS – has expressed concern about the increased to children’s health caused by the delay of the Government’s Obesity Strategy.

The Government’s strategy has already been delayed for months but the Department of Health has now confirmed that it will not be published until the summer, after the European referendum. With almost two thirds of adults and almost a third of children in the UK overweight or obese, members of the Alliance have warned that every day without an effective strategy in place means that the obesity time bomb is ticking, and that opportunities are being missed to protect the health and wellbeing of children and their families.

The group members say it is vital that the Prime Minister shows strong leadership, and calls on the Government to take urgent steps to address the obesity crisis. Being overweight or obese poses significant risk factors for serious health conditions such as Type 2 diabetes, cardiovascular disease, stroke, a range of cancers and poor mental health. These conditions have a devastating impact on our nation’s health and also place a huge financial burden on the NHS.

The OHA has produced a joint position statement which outlines ten urgent population-level policy interventions for government, retailers and health professionals. This is accessible at: https://www.rcplondon.ac.uk/news/new-alliance-obesity-outlines-priorities-action


BOMSS Council Elections

Six officers demitting from BOMSS Council. We are seeking nominations for:

  • One trainee member
  • Two ordinary Council Members
  • Three AHP Members

These positions will be vacant from June and the successful candidates will attend their first Council meeting in October 2016.

Nominations will need support from two other BOMSS members (one of whom must be a Full Consultant member). Send your nomination in with a 100 word statement confirming your objectives as to how you would work to enhance the benefit to members and the reputation of the society.

Nominees are required to inform the BOMSS Secretariat by email or in writing of their willingness to stand and should be proposed and seconded accordingly.  Please send your nomination to the Society office sarvjit@augis.org by 5pm on Thursday, 3 March.

Note that a Full Member or Trainee Member of BOMSS can only propose one person and can only second one person. It is possible to propose one person and second another. Proposers and seconders must contact the office separately.

If more than one individual is nominated, a postal ballot of members will be held.


BOMSS defends bariatric surgery

An article – http://www.theguardian.com/society/2016/jan/18/simon-stevens-trying-save-nhs-from-mother-of-messes – quotes Simon Stevens as saying that if the 1.4 million most severely obese people in UK received bariatric surgery it would use up the entire extra £8.2bn the NHS has just been given.

Mr Roger Ackroyd, the president of BOMSS, says: “There is no suggestion – and no capacity – for the NHS to treat this number of people.

The NHS currently spends about £40 million per annum on bariatric surgery. If this was doubled (to 14,000 operations a year) surgeons would be treating just 1% of patients who might benefit and still doing less than half the number done in France (same population as us).

It would only use 0.5% of the £8.2bn of “new” NHS money but, crucially, would enable the NHS to reap enormous savings within a few years of bariatric surgery by significantly curbing costs of treating diabetes, high blood pressure and heart attacks as repeatedly demonstrated by health economists. http://news.sky.com/story/1610936/weight-loss-surgery-could-save-nhs-money

Bariatric surgery is safe and effective. It helps give people back their health and quality of life – and reduces social security benefit and healthcare costs.”


BOMSS welcomes study which shows that bariatric surgery can cut the risk of diabetes and heart attacks as well as help weight loss

Mr Roger Ackroyd, President of BOMSS, has welcomed the findings of a major study which shows that bariatric surgery can help curb the risk of diabetes, high blood pressure and heart attacks as well as aiding weight loss.

Research led by scientists from the London School of Hygiene & Tropical Medicine compared rates of obesity-associated illnesses in 3,882 weight-loss surgery patients with those who had not undergone the procedure.

They found that over three-and-a-half years, surgery significantly improved existing Type 2 diabetes and lowered high blood pressure.

Applying the findings to the 1.4million Britons believed to be morbidly obese, the study in the journal PLOS Medicine said surgery could prevent 80,000 cases of high blood pressure, 40,000 cases of type 2 diabetes and 5,000 heart attacks over four years.

Mr Ackroyd said: “We welcome the findings of this important study. It shows that bariatric surgery can be an effective treatment for diabetes and high blood pressure while also cutting the number of heart attacks, all of which have serious implications for people’s health and represent a heavy financial burden for the health service.”

It is the largest comprehensive investigation of bariatric surgery – spanning around four years in nearly 8,000 patients.

The researchers looked at 3,882 patients who underwent weight loss surgery and compared them with an identical number who did not have surgery.

Gastric bypass, sleeve gastrectomy and gastric banding were all included in the study – and all led to a significant and sustained weight loss of between 20kg and 48kg.

The weight stayed off which, in turn, significantly lowered people’s risk of developing Type 2 diabetes, high blood pressure, angina and heart attacks.

All surgery carries risks, however, and so people should only be offered surgery if attempts to lose weight through healthy eating and physical activity have already been tried and not worked, they add.

Lead researcher Dr Ian Douglas, from the London School of Hygiene and Tropical Medicine, said: “The results are really encouraging. Obviously we would love to help people lose weight in other ways, through exercise and healthy diets, but that’s difficult. Diets do not always work well for everyone.”

http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001925

 


Bariatric Fellowships – apply now

Applications are invited from surgeons with full GMC registration for Clinical Fellowships in laparoscopic bariatric surgery, administered by Phoenix Health (www.phoenix-health.co.uk) under the supervision of Professor David Kerrigan. Phoenix Health delivers bariatric surgery in partnership with two NHS Foundation Trusts; NHS work accounts for approximately 70% of our clinical activity. The Phoenix Fellowship programme is now in its 8th year and has a solid reputation for high quality hands-on training and clinical research.

Duration:                   6 or 12 months

Start Date:                 1 April 2016

Location:  Post A: Countess of Chester Hospitals NHS Foundation Trust, Chester.

Post B: Aintree University Hospitals NHS Foundation Trust, Liverpool.

Person Spec: Applicants are expected to possess experience in laparoscopic fundoplication and/or intracorporeal suturing, to have meticulous clinical standards and an excellent work ethic.

Job Description:  Each of the two units will treat approximately 300 NHS/self-funding patients per year. Successful candidates will have the opportunity to work in both units during their Fellowship programme.

Fellows are responsible for supervised day-to-day ward and outpatient care of patients and will receive comprehensive training in all aspects of bariatric surgery, including supervised hands-on laparoscopic training. It is expected that Fellows will be able to independently perform gastric banding, gastric bypass and sleeve gastrectomy by the end of the attachment.

Fellows will be encouraged to contribute to our active clinical research programme and receive mentoring in clinical research methodology.

A tax-free Educational Bursary equivalent to £2,500 per month will be awarded to successful applicants for the duration of their Fellowship.

Interested applicants should apply electronically with a CV and covering letter explaining their interest/experience in bariatric surgery which includes the names of two referees to Professor David Kerrigan, CEO Phoenix Health at phoenix.health@btconnect.com.

Closing Date:   Midnight, Friday, 20 November 2015

Interview Date:        Friday, 27 November 2015