York Hospital spends £1m on weight loss ops

York Hospital has spent almost £1 million over two years on gastric surgery to help morbidly obese people lose weight.

Ninety-one people from the York and North Yorkshire area had weight loss surgery at the hospital in 2010/11 and 89 people in 2011/12 at a cost of £958,702 to the NHS.

The number of bariatric operations – which reduce the size of the stomach or bypasses it to mean patients consume fewer calories – has become far more prevalent in recent years, rising from 42 patients undergoing surgery in 2008/09 by 145 per cent to 103 people in 2009/10.

Patients with a body mass index of 40 or above must have tried diet and exercise, but have failed to achieve or maintain a beneficial level of weight loss for at least six months to be eligible for treatment.

A York Hospital spokesman said: “The decision to recommend surgery is not taken lightly. Patients who are referred to us for this type of surgery are seen by a wide-ranging team including dieticians, specialists nurses, anaesthetists and surgeons, and a great deal of time is invested in preparing patients for their surgery and making them aware of the risks involved.

“Successful surgery, where patients have made and maintained the necessary changes to their lifestyle, can improve people’s overall health and avoid or reduce complications later in life as a result of remaining significantly overweight.”

The operation is known to be risky. In 2009, 30-year-old York mum Kerry Greaves, of Tang Hall, died from problems following gastric bypass surgery. She had the operation after becoming worried that her size may lead to her daughter being teased.

Her mother, Anne, has warned people to think carefully about the surgery. She said: “Kerry knew there were risks, but it’s not until they go into theatre or afterwards they know if there’s going to be any problems.

“I would say people should think twice. I think people need to know there is a lot of risk with the operation.”

A greater prevalence of weight loss surgery at York Hospital echoes national patterns – figures released by the NHS Information Centre earlier this year showed there had been a 30-fold increase in bariatric surgeries in a decade – up from 261 in 2000-01 to 8,087 in 2010-11.

Considering the argument that weight loss surgery is a quick but expensive fix for the NHS, Tam Fry, a spokesman for the National Obesity Forum, argued the surgery is known to be cost-effective in the long-term as the operation lowers the risk of associated health problems such as diabetes, cardiovascular problems, hypertension and stroke.

He said: “The number of gastric band operations is rising considerably and will continue to rise for the next ten years. The obesity problem we have at the moment is that the fat people are getting fatter... it’s for those people these operations are a necessity.

“The gastric band or any other of the operations which reduce the weight of the individual dramatically has a positive effect on the other comorbidities.

“In the long-term, the NHS will not be paying so much money.”

‘I’d been on diet for 40 years’

SALLY Cunningham said she had been on a diet for 40 years before finally having the gastric bypass operation at York Hospital which changed her life.

Sally Cunningham before and after her op

Mrs Cunningham, 47, had tried countless diets including the Rosemary Conley diet plans, the Cambridge Diet and slimming clubs. But despite her efforts, she had reached dress size 28 to 30 before going ahead with the operation in December last year.

Since the surgery – which means she can now only eat very small portions – she has already lost six-and-a-half stone and hopes to lose another six to reach her target dress size 14.

Mrs Cunningham, who lives in Knaresborough, said she feels the operation has given her a new optimism about the future and has allowed her to live life to the full. She said she can live an active life and can now go to the theatre and cinema without worrying whether the chair will be too small, can go out with her daughter without regularly having to sit down and can easily find clothes to fit.

She said: “I was probably heading for, if not a heart attack, certainly knee replacements. I’m much more useful to everybody now.

“It’s life changing, I have got a zest for life. Everything is so much better. I know some people get very depressed about their weight, but this changes their lives.”

Comments(16)

chickpea says...
10:45am Thu 28 Jun 12

Well done Sally! Haven't seen you since I was pre-op myself and am now 8 stone lighter and a size 16. To those who might think we fatties should just exercise more self control and save the nhs money, there are complex reasons behind overeating. The surgery has given me a new lease of life and I am so much more confident and like myself for the first time ever. Before surgery I was depressed and scared to go out because of the comments I got from strangers on the street. Now I go everywhere on my bike, including to my new allotment, where I am growing lots of healthy veg for my new way of eating. My cholesterol and bp are now great. My knees don't hurt all the time and people in my local area whom i've never spoken to before have stopped me in the street to say well done and to comment on how much happier I look. York District Hospital gave me my life back and I can never thank them enough.

Ignatius Lumpopo says...
10:47am Thu 28 Jun 12

I'm flabbergasted.

Or I would be if my flabber hadn't already been gasted at York Hospital...

markymmark says...
11:13am Thu 28 Jun 12

All this story & first comment proves is that the people who had the band fitted were overweight due to eating too much - nothing complex about that !

BL2 says...
11:27am Thu 28 Jun 12

The only way to "diet" is to eat less calories than you use up in a day... Non of these "fads" work properly.

Digeorge says...
11:33am Thu 28 Jun 12

chickpea - since we last wrote on such articles you were going through real anxiety and depression before that operation.

I am so pleased that things have turn out positively for you at last and the amount of weight loss staggering and things look a lot rosier for you.

It does help enormously having a supportive medical team and GP (and I bet you are glad like me that you are away from certain doctors in the past)!

Good luck and I hope it continues well for you.

R'Marcus says...
11:57am Thu 28 Jun 12

What a waste of money.
It peoples' large waists continue to grow, stop eating fast food and excercise.
Simple!

R'Marcus says...
11:59am Thu 28 Jun 12

chickpea wrote:
Well done Sally! Haven't seen you since I was pre-op myself and am now 8 stone lighter and a size 16. To those who might think we fatties should just exercise more self control and save the nhs money, there are complex reasons behind overeating. The surgery has given me a new lease of life and I am so much more confident and like myself for the first time ever. Before surgery I was depressed and scared to go out because of the comments I got from strangers on the street. Now I go everywhere on my bike, including to my new allotment, where I am growing lots of healthy veg for my new way of eating. My cholesterol and bp are now great. My knees don't hurt all the time and people in my local area whom i've never spoken to before have stopped me in the street to say well done and to comment on how much happier I look. York District Hospital gave me my life back and I can never thank them enough.
She looks the same on the photos!

ELS4377 says...
12:38pm Thu 28 Jun 12

I cant believe that some people this day in age are still so small minded. BL2 - what do you think a "diet" is? Diets are fads too, alot of which take alot of money off you week after week to be made to feel 2 inches high if you have maintained or put on a lb or two! Obesity isnt just a case of being greedy - its an illness just like any other addiction. The only difference is, the obesity addiction is more visible to others than drugs and alcohol. There are many reasons why people are overweight and the gastric bypass is by no means an "easy fix". The NHS dont fund it to just anyone, there are strict criteria you have to meet, many months of tests etc before you even get to the operating theatre. It is one of the most difficult decisions anyone with a weight problem will ever have to make but will be one of the best of their life. Their Psychological issues might not disappear at the same time but they are one step in the right direction to fixing their problem for life and will in the long term save the NHS a hell of alot of money on diabetes drugs etc. I suggest those negative people who have commented, may want to get their facts in order before commenting on something they quite obviously dont know anything about!

Digeorge says...
1:18pm Thu 28 Jun 12

"Obesity isnt just a case of being greedy - its an illness just like any other addiction".

I agree with you there and am thinking of the recent case of Georgia Davis whom the Press in general widely reported at the back end of May.

My first thoughts, "gosh, this person" 62 stone at the age of 19. When I thought about it more and saw the pictures aged 3, she was obese then and yet Social Services allowed her to be returned to her mother for the abuse to continue. Surely be God, her doctors would have thought - hmm, is this genetic? The mother was similarly obese but not quite as bad and the facial features very similar! How society let her get that fat, goodness me and not intervene?
Prader Willi syndrome was the first syndrome that came to mind.

Digeorge says...
1:21pm Thu 28 Jun 12

Plus the help of a neuro-endocrinologis
t.

alfie says...
1:53pm Thu 28 Jun 12

Gastric Surgery is for people who really cant be bothered to do it the proper way its a disgrace.

chickpea says...
3:07pm Thu 28 Jun 12

alfie wrote:
Gastric Surgery is for people who really cant be bothered to do it the proper way its a disgrace.
Yes because risking your life by having major surgery, spending months drinking tiny amounts of liquids, then slowly on to sloppy food, still throwing up after a couple of bites of chicken a year on, risking the possibility of major post op complications and knowing personally of people who have died from this surgery, is absolutely because I can't be bothered to just cut down on calories and exercise more. How stupid of me to spend 18 months proving to the hospital that I was ready for surgery by having a multitude of tests and paying through the nose for private therapy to get my head ready for it too, when all I needed to do was eat more salad. How idiotic was I to do weightwatchers, atkins, rosemary conley, liter life, slimming world, weight loss pills, over and over again for 20 years? Why didn't I just ignore the surgeon and psychiatrists who told me the bypass was my only hope due to my lifelong addiction to food? I should have just listened to you.

Mustard1 says...
3:36pm Thu 28 Jun 12

The double standards of people's opinions of weight loss surgery astound me. if someone was anorexic, you would want them to get help, you wouldnt just say eat more! if someone was an alcoholic and needed treatment it would be given, no one would say well stop drinking then. if the surgery is needed to save someones life then it should be given. and as for this being the easy way out it so far from the truth, itd be a darn site easier to just stick to a diet and do it naturally if you could but it doesnt work for everyone. if someones slim and cant put on weight no matter how much they eat people accept it, if someone can diet and not loose any weight everyone thinks theyre eating in secret. sometimes help is needed and if its there why shouldnt people get it.

MrsHoney says...
9:35am Fri 29 Jun 12

I agree Mustard1, I never understand why it's not treated the same way as alcholism or smoking. Where is the help? Being told to eat less and do more isn't really help. I can tell someone to stop smoking is that helping them? No! There are psychological reasons for overeating as well as physiological. There needs to be more emphasis on councelling and support, this would make a HUGE difference. And I don't mean paying for someone to go to WW. I mean proper groups like AA where you get a sponsor and 24hr support. The other thing is there are a multitude of reasons why someone is more prone to putting on weight than someone else. Genetics, thyroid and other endocrinological disorders. Plus when someone puts on weight the fat cells don't disappear, they just shrink. Every fat cells secretes a hormone that basically says to your brain I'm hungry!! I need filling up!! So even when you do lose weight it's a struggle to keep it off because you're constantly under pressure from your own endocrine system to put the weight back on. Ignorance is bliss for those lucky enough to have the right genetics, it makes them feel superior. Especially if they're lacking in other areas like intelligence (which is highly probable). As for exercise, if you like sport it is easy for you to exercise, so don't lord it over other people who hate it. It's not their fault if they don't like it just like it's not some great sacrifice you're making by doing something you love! Try and educate yourselves a bit before passing judgement. If it was a simple case of eating less and doing more there wouldn't be a problem, would there?!

Digeorge says...
5:48pm Fri 29 Jun 12

Mrs Honey - I totally agree with what you are saying and there is very little emphasis on the words - genetics and neuro-endocrinology especially thyroid etc disorders. Many of these obese people will also fit into these categories and there are very valid reason why somebody eats to the extent they do and a hugely complex endocrinology pathway and agree with you about the support issues rather than passing judgement.

The lady I was talking about that was widely published, she should have had help and support many moons ago like as a child. Yet I can not believe that the medical profession allowed her to get that fat without intervention. Now she is in hospital for many months to loose the shed stones. I feel sorry for the lady and she should have never have been allowed back home when coming back from America. I hope that they don't turn her into some celebrity for weight loss programmes.

ames191 says...
2:32pm Mon 2 Jul 12

alfie wrote:
Gastric Surgery is for people who really cant be bothered to do it the proper way its a disgrace.
Sorry alfie, but I completely disagree with your comment, and I find it somewhat offensive. My mother has had weight loss surgery on the NHS and she tried everything to lose weight before she finally got the all clear to have the operation.
The NHS do not just let anyone have it. You have to prove that you have tried everything.
You don't just have the surgery and everything is fine. It takes real work to stick to all the rules when recovering from this massive operation.

Frankly, I'm very proud of my mother, and how much she has been through. She has done so well, and is happier than ever.

Maybe you should not comment so harshly on something you clearly know nothing about, that, is the real disgrace.

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