|Title:||Plan for access to Surgical Procedures for Obesity for Public Patients|
|Document ID:||Operational Directive OD 0402/12|
|Date of issue:||Thursday, 29 November 2012|
|Status:||NO LONGER APPLICABLE|
|Description:||A statewide plan has been developed to effectively standardise and manage bariatric demand (on the elective surgery wait list) across the state.|
|Period of effect:||from 26 November 2012 to 26 November 2018|
|Review date:||16 November 2017|
|Authorised by:||Kim Snowball, Director General, Department of Health, 15-Nov-2012|
|Print version:||View print version|
Plan for access to Surgical Procedures for Obesity for Public Patients
This plan should be read in conjunction with the Elective Surgery Access Policy – WA Health Services (2009) OD 0189/09.
The most recent published data shows that from a Western Australian perspective, the burden of disease and injury attributed to preventable risks to health in WA in 2006 found that excess body weight (overweight and obesity) was the leading cause of disease burden (premature death and disability combined). “High body mass ranked as the highest contributor to disease burden (8.7%) of the total burden of disease and injury in WA. High body mass contributed 2.2% more to the total burden than the next leading risk factor, tobacco (6.5%)”.1
Nationally, the demand for surgical procedures to manage obesity (bariatric surgery) is increasing.
In 2007-08, the public sector across Australia performed approximately 10% of these procedures while the majority of procedures were completed in the private sector. Eighty-two per cent of procedures performed in private hospitals were funded by private health insurers (p.viii).2
WA Health is committed to addressing the health burden caused by obesity and to standardise access to publically funded bariatric surgery. Surgery to help obese people lose weight is subject to strict safety and quality controls and is considered a last resort due to the potential risks involved.
Other jurisdictions have applied strategies to ensure both equity of access and to manage demand for bariatric procedures, based on evidence based best practice and research. The WA Health Bariatric Surgery Plan – a standardised approach to surgery for obesity (2012) reflects the changes in approach taken in other jurisdictions. Following an audit of the Elective Surgery Waiting List (ESWL) in Western Australia the following strategies have been developed:
The implementation of the Plan will commence as of 26 November 2012, with WA Health transitioning all bariatric cases on the ESWL to the state-wide bariatric service at Joondalup Health Campus. Some complex tertiary level bariatric cases will continue to be completed at Sir Charles Gairdner Hospital.
The Department will undertake a communication strategy to inform general practitioners and specialists of the WA Health Bariatric Surgery Plan – a standardised approach to surgery for obesity (2012).
This circular last updated: Thursday, 29 November 2012 at 3:42pm