|Pre-surgery targets||Centre 1||Centre 2||Centre 3||Centre 4||Centre 5||Centre 6||Centre 7||Centre 8||Centre 9||Centre 10|
Pre-surgery targets – weight loss, glycaemic control|
(targets not specified by NICE).
Most boards stated other factors such as attendance rates at clinics and lifestyle changes.
|5% weight loss, Hba1c < 64 mmol/mol||5–10% weight loss. Hba1c – control but no target. Smoking cessation. Remittance binge eating.||10% weight loss, Hba1c < 69 mmol/mol||5% weight loss in tier 3, further 5% weight loss tier 4. Hba1c – control but no target.||Weight loss > 5 kg in 6 months||5–10% weight loss. If < 50 BMI, must reach target. Hba1c < 64 mmol/mol||Weight loss > 5 kg, Hba1c < 75 mmol/mol||Weight loss > = 5 kg||Weight loss > 5%, HbA1c < 75 mmol/mol||10% weight loss. Glycaemic control < 75 mmol/mol Hb1c. Smoking cessation. Sleep apnoea 3 months treatment.|
|Pre-operative assessment a|
|Assessment of any psychological or clinical factors that may affect adherence to postoperative care requirements (such as changes to diet).||MDT including clinical psychologist||Dietician, clinical psychologist||Dietician only||Dietician, clinical psychologist||Dietician, clinical psychologist||MDT including clinical psychologist||MDT including clinical psychologist||MDT includes diabetologist||MDT including clinical psychologist||MDT including clinical psychologist|
|Psychological support||Yes||Yes||No||Yes||If required||Yes||Yes||No||Yes||Yes|
|Format of sessions (Group or 1:1)||Group||1:1||Either||Both||1:1||Both||Both||1:1||Both||Both|
|Regular postoperative assessment, including specialist dietetic and surgical follow-up||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes|
|Psychological support||As required||Not stated||Not stated||Yes||If required||Yes||Yes||No||As required||Not stated|
|Format of sessions (Group or 1:1)||1:1||1:1||1:1||Both||1:1||1:1||Both||1:1||1:1||1:1|