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