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Oxford Bariatric Service (OBS) referrals

OBS receives referrals as per the National Commissioning Guidelines.

National Commissioning Guidelines (NHS England) (pdf)

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 send all GP referrals via the eReferral Service.

We are unable to review referrals which are not sent via the eReferral Service.

  • Specialty: GI and Liver (Medicine Surgery)
  • Clinic Type: Upper GI inc Dyspepsia
  • Assessment Service: Oxford University Hospitals - RTH

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.

Referral back to service after 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.

Plastic surgery to remove excess skin

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.

Long-term follow-up advice sheets for clinicians

Queries

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

Anamaria Adebowale
Tel: 01865 235131

Last reviewed:19 April 2022