Joint Replacements: Obesity

(asked on 15th September 2025) - View Source

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has made of the effectiveness of the use of body mass index criteria as a means to accessing treatment such as joint replacement surgery.


Answered by
Karin Smyth Portrait
Karin Smyth
Minister of State (Department of Health and Social Care)
This question was answered on 13th October 2025

The Department has made no specific assessment of this criterion alone.

As with all surgery, body mass index would be considered as part of a holistic, personalised, perioperative evaluation of the risks versus the clinical need for joint replacement surgery of an individual patient. However, body mass index should not be considered in isolation and in and of itself should not act as a barrier to surgery.

For example, blanket body mass index thresholds for surgery should not be in place or used as a means of determining eligibility for surgery.

As part of the NHS Elective Reform Plan there is a commitment to expand access to the NHS Digital Weight Management Programme for patients waiting for hip and knee surgery.

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