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Bariatric surgery is a hugely effective treatment for individuals who are seriously overweight - both in terms of clinical outcomes and cost-effectiveness.
NICE backs surgery as first-line treatment in people with a BMI over 50 and says it can be used in those with a BMI over 40 (or 35 if the patient has weight-related health problems) if other interventions have failed.
However, a number of PCTs in England are ignoring this recommendation, and the body of evidence that supports bariatric surgery, by restricting it to patients with a BMI over 50 who have diabetes or severe sleep apnoea.
Around half of all patients who are obese have diabetes or …