22 August to 21 September 2016
The outcome of surgery is not always successful if patients have not addressed other conditions which impact on their physical health. There is clear evidence that patients who have a BMI of 40+ or who smoke have poorer outcomes following hip and knee replacements.
As an example, in April this year a briefing was published by ASH (Action on Smoking and Health) which promoted strong evidence of higher risks and worse surgical outcomes when a patient continues to smoke.
With this in mind, the two local Clinical Commissioning Groups (CCGs) — NHS Southend CCG and NHS Castle Point and Rochford CCG — are jointly reviewing their policies for orthopaedic surgery and are undertaking a public consultation on potentially changing the eligibility criteria for total hip replacements, simultaneous joint replacements, total knee replacements and arthroscopy.
The changes to policies for orthopaedic care were approved at the NHS Southend CCG governing body meeting in October 2016. Click here to read the outcome.