Should the NHS look at potential savings v costs by the case....

[R1Geezer]

The NHS tends to have a "rules are the rules" type attitude to costs. Do you think they should have a system for judging each case on some sort of NHS equivalent of ROI calculation? Eg take this case:
http://news.sky.com/s...Weight-Loss_Operation
The gastric bypass would pay for itself in 3 years and probably save a future fortune, but no, the rules say BMI must be 45 to consider the surgery, hence this costs a lot more in the long run. This is not an obesity discussion, ok!

[ummmm]

That's something I always wonder about. Especially for the obese people who are so big they are housebound. Who is buying all this food for them, preparing it for them?

[R1Geezer]

Ya canee change the laws o fusics Capt!

I don't care what the reasons are sqad, the basic physics apply, energy in V energy out. To coin a phrase there were no fat people in Belsen.

As ummm points out people are deluded. I've seen many times the sort of program referred to where someone blames glands, or slow metabolism etc etc, and the program does a test and it always turns out that they have a normal metabolism and are in fact consuming more calories than they are expending.

[Sqad]

starbuck.....I have no idea....but it seems that it is only for a short period of time until he makes that magical BMI.

[rov1100]

Treating case by case is fraught with difficulties. In education the pushy parents always seem to win and I daresay when it comes to health matters those with the loudest voice would be treated first.

There should be cases based on merit. State pensions are only paid in full if you have so many full contribution years. Council housing is based on needs and points.

They could easily employ a system in the NHS where those who have contributed most get to the front of the queue. Its the way the market works in real life and nobody could really disagree with that!

[Sqad]

ankou....LOL....I have a certain amount of sympathy with your post.

Drs no longer take the Hippocratic Oath and haven't done for over 40years.

[Ankou]

isn't it a case of gigo? garbage in, garbage out. except in these instances, they eat garbage and talk garbage.

starbuck, i am also losing 2 stone for my 40th. if you are eating the right foods and atregular times, then the hunger pangs should not really be there. its probably a psychological lust for something naughty/forbidden which you have to overcome, or take in smaller and smaller doses. if this guy eats what he says he is eating to reach this bmi, then he is in for one massive shock if he gets the band.

[starone]

You are right Ankou. I am not really hungry just b****y greedy, as I suspect is the case with this man. I make the kids put the biscuits and chocolate buttons in the cupboard where I cannot see them. It is definitely a psychological lust for naughty things. Also if you drink something (not alcohol, preferably water) it fills you up a bit. This man should be reading all these hints.

[bednobs]

they do look at things case by case

[modeller]

ummmmm A friend of mine is in a similar situation to your Granddad but doesn't seem to suffer the same financial problems. His wife has dementia and he is paid about £80 a week as her carer. He doesn't pay anything else out for here. However he has a carer for himself who comes in every day for which he pays £10 a day . I believe that is Mon to Friday. so that is £50 a week.
The figures you quote are enormous so something is wrong.
I have another friend whose wife is in an up market home for which he pays £750 a week and that will be reduced when her personal savings fall below £22k. They both live in Bucks which is a very expensive county.
I don't know if this information is of any help but it looks as though you need to look carefully to see how they arrive at the figures you quoted and what they include, care ,food , accomodation etc.

[karenmac60]

Kinell, not being a natural ginger I have the perfect cure at my fingertips - I can stop dyeing it any time I want :)