To ask Her Majesty's Government what plans they have to increase the provision of bariatric surgery where there is a cost-effective treatment option for eligible patients in England to the levels recommended by the National Institute for Health and Clinical Excellence; and what impact they expect the removal of gastric band devices from the Payment by Results device exclusions list will have on the provision of this procedure within the National Health Service in England. [HL2157]
The guidance by the National Institute for Health and Clinical Excellence stipulates a number of criteria that need to be fulfilled for bariatric surgery to be considered as a suitable treatment option. Bariatric surgery may not be appropriate for all patients clinically assessed as obese. The Government expect that primary care trusts, as local commissioners and providers of services, will determine the most appropriate treatments for their populations. In line with this, the local care and treatment of patients will be based on clinical assessment.
On the advice of the high cost devices steering group, gastric band devices have been removed from the exclusions list in 2010-11. Their costs will be met in the national tariff rather than local payment. Commissioners and providers will also have the flexibility to use innovation payments, previously known as pass through payments, to support funding.