Oxford University Hospitals NHS Foundation Trust

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Oxford Bariatric Service (OBS) referrals

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How do I refer a patient to the Oxford Bariatric Service?

OBS receives referrals as per the National Commissioning Guidelines.

Please note we are unable to accept referrals from secondary care due to commissioning guidelines. In this instance please ask the patient's GP to complete the referral form and return as directed.

All Oxfordshire GP referrals

Please complete the new Oxfordshire weight management service referral form in your clinical system.

If you need a copy please email: OCCG.GPproformas@nhs.net

After 1 January 2017 we will return any referrals that do not use the relevant form.

This includes referrals for patients who require input from the Oxford bariatric team who have previously had bariatric surgery.

We will still accept referrals outside of Oxfordshire on the existing form.

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What happens once a referral form has been received by the Oxford Bariatric Service?

Completed referral forms will be reviewed by the team and a multidisciplinary assessment will be arranged with the team if appropriate.

If we require further information to decide if a referral is appropriate we will contact you; please ensure your details are included on the referral.

Patients will be invited to an information session which outlines different types of bariatric surgery, together with the risks, benefits and long-term implications.

Patients will also be encouraged to attend the local patient-led support group for bariatric surgery patients.

Once an assessment is complete, new patients will be discussed at a multidisciplinary team meeting, and further investigations will be requested as required to optimise the patient for surgery. We will keep you informed of this.

Patients who are ready to proceed to surgery will be prepared for surgery, including nutritional optimisation and pre-operative dietary advice.

Post surgery, patients will be followed up within the service for two years. At two years, the patient will be reviewed by the MDT and biochemistry will be reviewed.

After this point the responsibility for monitoring nutritional status and co-morbidities will return to the patient’s GP, unless further care is required within the bariatric service.

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Can I refer my patients back to the service after the two year follow up period?

Patients who are experiencing symptoms which could be related to complications of surgery should be re-referred back to the service for review.

These symptoms could include:

  • weight regain
  • pain
  • swallowing difficulties
  • regurgitation
  • vomiting and reflux.

Additional complications for patients following roux-en-y gastric bypass or the sleeve gastrectomy could also include the development of internal hernias.

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Is plastic surgery to remove excess skin included in the service?

Currently surgery to remove excess skin following weight loss is not funded as part of bariatric surgery. Individual funding requests could be made to the relevant commissioning group for patients experiencing severe complications of excess skin.

Clinical Practice Guidelines

Long-term follow-up advice sheets for clinicians

Queries

If you have any questions, please contact the Oxford Bariatric Service:

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DEPARTMENTS AND SERVICES