Life-changing treatment could be scrapped

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A LIFE-changing surgery for people with a rare medical condition could be scrapped in Oxfordshire.

Surgery for internal rectal prolapse, which is carried out at the Pelvic Floor Clinic at the John Radcliffe Hospital , has been suspended since June.

Now it has emerged the service is being reviewed while health bosses discuss its future.

Last night a pensioner who was hoping to have the surgery said it would have transformed her life.

Each year about 125 people receive treatment for the condition which causes severe problems for people trying to pass stools, and in some cases complete incontinence.

The surgery can help people lead a normal life and reduce the need for colostomy bags.

Susan Hillsdon said her life would be transformed by the treatment.

She had been awaiting an appointment with a consultant to discuss it. The 77-year-old, from Radley, has been diagnosed with internal rectal prolapse and has become permanently incontinent.

As a result she and husband John rarely leave the house for fear of getting ‘caught short’.

She said: “It makes life incredibly hard. The surgery would change my life. It would transform it.”

Mr Hillsdon added: “Whenever we leave our house we have to plan our trip to be near a public toilet.

“We’ve now reached the point where my wife does not wish to leave the house, and it will not be long before she will feel a prisoner in her home.”

The surgery, which costs between £2,640 and £5,440, has been suspended while the Oxfordshire Clinical Commissioning Group (OCCG), the group of clinicians which will commission the county’s health care, decides its future. A spokesman admitted it had been ‘beneficial for some patients in the short term’ but added: “A review is now needed to confirm the longer-term benefits and its clinical effectiveness.

“The Oxford University Hospitals trust has agreed with the Oxfordshire Clinical Commissioning Group (OCCG) to suspend this type of surgery while it seeks research funding for a clinical trial which will provide the evidence needed.

“We hope that appropriate Oxfordshire patients will be offered the opportunity to be involved in a trial if the OUH is successful in getting funding.”

The suspension will affect new referrals, and those patients currently waiting for tests and examination under anaesthetic as part of their work-up for surgery.

Surgery for patients currently on the waiting list will proceed to surgery as planned. No date has been set for a decision once the review has been carried out. The spokesman added: “The OUH and OCCG understand that this will impact some patients. All patients affected will be notified by letter and will be directed to their GP to agree a care plan.

“The OUH Colorectal Team will be supporting GPs in the management of these patients going forward.”

Comments (4)

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12:12pm Wed 5 Sep 12

the wizard says...

The cost of this operation is minimal compared to that of lung cancer procedures and after care caused by smoking and it is being with drawn. I take it smokers will also suffer cut backs or have to go private for their operations then. Another Tory driven cut back to the NHS, perhaps if Mr Cameron were to suffer from this he would be top of the list to get it done, oh silly me, he would go private as he can afford it now wouldn't he, shame about those poor souls who cannot. Disgraceful. Tories should hang their heads in shame over what they are quietly doing to the NHS, perhaps just hanging their heads would suffice.
The cost of this operation is minimal compared to that of lung cancer procedures and after care caused by smoking and it is being with drawn. I take it smokers will also suffer cut backs or have to go private for their operations then. Another Tory driven cut back to the NHS, perhaps if Mr Cameron were to suffer from this he would be top of the list to get it done, oh silly me, he would go private as he can afford it now wouldn't he, shame about those poor souls who cannot. Disgraceful. Tories should hang their heads in shame over what they are quietly doing to the NHS, perhaps just hanging their heads would suffice. the wizard
  • Score: -5

12:21pm Wed 5 Sep 12

snert says...

@Wizard. Should sports men and women be made to go private for their treatment for sports related injuries? After all their chosen pursuits are not taxed like smoking is taxed?

We could then force those that drink to pay for anything that could be blamed on drinking.

Maybe we could get parents with children that recklessly ride their bicycles and crash and break limbs to pay for their treatment. After all, it was all their choice.

Do you think fat people should also be made to pay for treatment for ailments that could be related to their weight?

Where do you stop?

I do however agree with you on this operation. This sort of operation should be available. I suspect it may be available in other areas as the availability of procedures does appear to be a postcode lottery.
@Wizard. Should sports men and women be made to go private for their treatment for sports related injuries? After all their chosen pursuits are not taxed like smoking is taxed? We could then force those that drink to pay for anything that could be blamed on drinking. Maybe we could get parents with children that recklessly ride their bicycles and crash and break limbs to pay for their treatment. After all, it was all their choice. Do you think fat people should also be made to pay for treatment for ailments that could be related to their weight? Where do you stop? I do however agree with you on this operation. This sort of operation should be available. I suspect it may be available in other areas as the availability of procedures does appear to be a postcode lottery. snert
  • Score: -2

11:10am Thu 6 Sep 12

xjohnx says...

This story is a birt of a con, maybe to puff up the story.

The operation is still available in the normal way, provided by many NHS hospitals.

However, because so few are done they are not safe to perform at every hospital because staff must stay in practice..

If you need the op your doctor will refer you to the nearest surgical unit that does do thid surgery.

Same really as brain, heart, lung, liver, specialist surgical teams etc.
This story is a birt of a con, maybe to puff up the story. The operation is still available in the normal way, provided by many NHS hospitals. However, because so few are done they are not safe to perform at every hospital because staff must stay in practice.. If you need the op your doctor will refer you to the nearest surgical unit that does do thid surgery. Same really as brain, heart, lung, liver, specialist surgical teams etc. xjohnx
  • Score: -39

11:11am Thu 6 Sep 12

xjohnx says...

xjohnx wrote:
This story is a birt of a con, maybe to puff up the story.

The operation is still available in the normal way, provided by many NHS hospitals.

However, because so few are done they are not safe to perform at every hospital because staff must stay in practice..

If you need the op your doctor will refer you to the nearest surgical unit that does do thid surgery.

Same really as brain, heart, lung, liver, specialist surgical teams etc.
Do they provide surgical cures for thick finger syndrome!!
[quote][p][bold]xjohnx[/bold] wrote: This story is a birt of a con, maybe to puff up the story. The operation is still available in the normal way, provided by many NHS hospitals. However, because so few are done they are not safe to perform at every hospital because staff must stay in practice.. If you need the op your doctor will refer you to the nearest surgical unit that does do thid surgery. Same really as brain, heart, lung, liver, specialist surgical teams etc.[/p][/quote]Do they provide surgical cures for thick finger syndrome!! xjohnx
  • Score: -33

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