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Hip and knee replacement surgery in obese patients (those with a body mass index of 30 or greater)

This is a summary of the NHS Devon commissioning policy for Hip and knee replacement surgery in obese patients (those with a body mass index of 30 or greater).

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Referral Criteria

The Peninsula Commissioning Priorities Group has come to a decision regarding total knee and total hip replacement surgery in obese people (defined as body mass index (BMI) of 30 or greater).

No BMI threshold will be placed on patients who require immediate referral for total knee and hip replacement surgery for clinical reasons. However, patients with a BMI of 35 or more will be actively supported to engage with local weight management programmes to reduce BMI to maximise the functional benefit of surgery and reduce the risk of complications during or following surgery.

Where the circumstances of treatment for an individual patient do not meet the criteria described above exceptional funding can be sought.

NHS Devon Commissioning policy for Hip and Knee replacement surgery

Referral Instructions

Queries and applications should be submitted by clinicians to the Individual Funding Request Panel via our generic email address:

Exceptional /Individual Funding Requests (IFR).

Referral Forms

Referral Form – Individual Funding Request (IFR)

Patient Information

Individual Funding Request (IFR) Patient information

Date of publication: 22nd June 2011

This commissioning decision was adopted by Northern, Eastern and Western NHS

Devon and South Devon and Torbay CCG on 1 April 2013, having been

originally agreed by the previous commissioning organisation.

This policy has been adopted from Northern, Eastern and Western Devon CCG

and South Devon and Torbay CCG by NHS Devon from 1 April 2019

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