Smokers and overweight patients: soft targets for NHS savings?

Smokers and overweight patients: soft targets for NHS savings? This report explores how widespread the practice of restricting surgery on the basis of weight or smoking status has become by examining the commissioning policies of CCGs in England. The report compares these against guidance produced by NICE, RCS and surgical specialty associations. It found that over one in three CCGs in England are denying or delaying routine surgery to patients – such as hip and knee replacements – until they stop smoking or lose weight, in contravention of national clinical guidance. Royal College of Surgeons