The UK Orthopaedics Industry Group launched a report in March 2017 which found that CCGs are using factors such as Body Mass Index (BMI) to set arbitrary thresholds for receiving treatment. This practice is not supported by any clinical evidence and has been repeatedly criticised by the Royal College of Surgeons.

Key findings from the report are:

  • 98 CCGs out of 209 have some form of arbitrary threshold in place
  • 8 have a BMI threshold of 25 – BMI 25 is considered ‘overweight’
  • 20 have a BMI threshold of 30 – the lowest BMI classed as ‘obese’
  • Of the 141 CCGs with an available commissioning policy, 69% have a BMI threshold
  • 47% of all CCGs have a BMI threshold in place

Read more here: https://www.abhi.org.uk/media/1379/hip-and-knee-replacement-the-hidden-barriers.pdf