Counties Manukau Health Bariatric Pathway GP or Specialist

Counties Manukau Health Bariatric Pathway GP or Specialist @ CMH GP: General Practitioner CMH: Counties Manukau Health FSA: First Surgical Appointment SMO: Senior Medical Officer BCNS: Bariatric Clinical Nurse Specialist E-Referral Bariatric SMO (Review eligibility) Not accepted (not fitting criteria) Accepted (fitting criteria) SMO FSA 1 hour education session Acronyms Within 3 months Within 4 weeks Dietitian & BCNS Second 1 hour education session After 8 weeks BCNS ‘Weigh in’ clinic #1 Thursday pm (Module 8) Weight lost target NOT MET BCNS ‘Weigh in’ clinic #2 Thursday pm (Module 8) Weight lost target NOT MET DISCHARGE back to CMH Specialist/GP Weight lost target MET Second Specialist appt with SMO Within 8 weeks Thurs am/Fri pm Bariatric Clinical Nurse Specialist (BCNS) Same day as SMO Thurs am/Fri pm Wait list for surgery Group info session Intro to Optifast Pre-admission appointment Surgery approx 4 months 2 to 4 weeks prior to surgery Surgery Post-op follow ups Dietician post-surgery follow-up at 3 weeks, 6 months, 12 months and 18 month group session SMO, BCNS & Dietitian 2 weeks post surgery BCNS post-surgery follow-up at 2 weeks, 3 months, 6 months and 9 months 12 month post-op Group session Specialist review Discharge to GP/referral for weight regain or support 18 Month follow-up