OU2024 Presented Posters (12 abstracts)
Ashford and St Peters Hospital, Chertsey, United Kingdom
Over the last few years, the number of referrals and demand for weight management services has significantly increased. This has in part been due to the introduction of novel medical therapies, recognition of co-morbidities associated with obesity during the Covid-19 pandemic and the rise in people living with obesity. This rise in demand has occurred at a time of financial austerity within the NHS and without the necessary investment in workforce required to address the demand. This has led to increasing waiting times and at Ashford and St Peters Hospital, this led us to re-design our pathways and create patient-centred medical and surgical pathways. NICE guidance (CG189) was further updated in July 2023, which encouraged us to look at earlier referral to surgery and a more streamlined approach to identify medical problems early in the pathway. In addition, to address our backlog and waiting times of patients awaiting surgery, we created dedicated clinics, Super Saturdays, focusing on an MDT approach and seeing 100 patients each day. We present our medical and surgical pathways and ways in which this provided a more patient-centred approach, reduced waiting times and allowed us to proceed with surgery in a more timely manner. We discuss the challenges faced and opportunities that hopefully other organisations may find helpful if faced with similar issues.