Question to the Department of Health and Social Care:

To ask Her Majesty’s Government what action they are taking to ensure that Clinical Commissioning Groups do not arbitrarily restrict treatments for obese people and smokers.

Arbitrary restrictions on treatment by clinical commissioning groups (CCGs) are unacceptable. Treatment decisions should always be made by doctors based on a patient’s individual clinical needs. For instance, major surgery poses much higher risks for severely overweight patients and those who smoke. So, where it is clinically appropriate, local general practitioner-led CCGs are right to ensure these patients first get support to lose weight and try to stop smoking before their operation.

NHS England must ensure that CCGs are not breaching their statutory responsibility to provide services that meet the reasonable needs of the local population, including obese people and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population and are based on the available evidence and take into account national guidelines.