Weight Management Service       

FOI REFERENCE: 24216   FOI DATE: 9^th July 2024     

Provide the name of your organisation Worcestershire Acute Hospitals NHS Trust

Specify which ICB commission your services Herefordshire and Worcestershire ICB

Tier 3 Weight Management Service

1. Do you offer a Tier 3 weight management service (WMS)? Yes 
   1. If yes, how many patients are currently in your Tier 3 WMS?  112
   1. How many patients were on the waiting list for Tier 3 WMS as of 30/04/24? 1200
   1. What is the average waiting time for people to be seen by the service as of 30/04/24? (in months) Currently a new patient referred now will wait over 3 years    

Access to bariatric surgery

2.    Do you offer bariatric surgery?  Yes          

1. If yes, how many non-diabetic patients received bariatric surgery between 01/09/23 and 30/04/24? 

Methodology:

Includes admissions where at least 1 of the following procedures was completed

G281: Partial gastrectomy and anastomosis of stomach to duodenum

G282: Partial gastrectomy and anastomosis of stomach to transposed jejunum

G283: Partial gastrectomy and anastomosis of stomach to jejunum NEC

G284: Sleeve gastrectomy and duodenal switch

G285: Sleeve gastrectomy NEC

G288: Other specified partial excision of stomach

G289: Unspecified partial excision of stomach

G291: Open excision of polyp of stomach

G292: Open excision of lesion of stomach NEC

G298: Other specified open extirpation of lesion of stomach

G301: Gastroplasty NEC

G302: Partitioning of stomach NEC

G303: Partitioning of stomach using band

G304: Partitioning of stomach using staples

G305: Maintenance of gastric band

G308: Other specified plastic operations on stomach

G312: Bypass of stomach by anastomosis of stomach to duodenum

G319: Unspecified connection of stomach to duodenum

G320: Conversion from previous anastomosis of stomach to transposed jejunum

G321: Bypass of stomach by anastomosis of stomach to transposed jejunum

G322: Revision of anastomosis of stomach to transposed jejunum

G323: Conversion to anastomosis of stomach to transposed jejunum

G324: Closure of connection of stomach to transposed jejunum

G328: Other specified connection of stomach to transposed jejunum

Excluded 10 admissions that had diabetic diagnosis codes recorded

Total non-diabetic bariatric surgeries = 40

• If yes, what is the average waiting time for bariatric surgery as of 30/04/24? (in months)  

Average number of days between decision to operate and date of operation = 98.6 days

In addition, the average number of days patients awaiting bariatric surgery were waiting as at 30/04/2024 was 78.7 days. This represents the number of days they had been on the waiting list since it was decided they required bariatric surgery

Access to Wegovy

3.    Do you offer Wegovy? Not Currently         

1. If yes, please specify any other eligibility criteria you impose in addition to the NICE technology appraisal Not applicable
   1. How many patients received Wegovy between 01/09/2023 – 30/04/2024? 0 

How many patients do you have capacity / resources to treat annually with Wegovy