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Seven days in medicine: 5-11 October

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5499 (Published 13 October 2016) Cite this as: BMJ 2016;355:i5499

NHS news

Another CCG limits surgery for obese patients and smokers

NHS Harrogate and Rural District Clinical Commissioning Group announced on 6 October that smokers and patients with a BMI of 30 or over will be denied non-urgent operations for six months until they have attended a stop smoking service or completed a weight management programme. The CCG said the move was part of measures to tackle a deficit of £8.4m. Ian Eardley of the Royal College of Surgeons said that the policy ignored “the public outcry that surrounded similar plans announced by neighbouring Vale of York CCG in September” and “flew in the face of the intervention made by NHS England to prevent those plans from going ahead.”

UK’s health needs radical rethink

The United Kingdom’s approach to health needs a radical rethink to create a healthy and health creating society, a group of clinicians, scientists, social entrepreneurs, and cross bench peers has said in the Lancet. They argued that the health and care system needed to provide many more services in homes and communities, to work with partners outside health, and to embrace new technology. At the same time, communities, employers, educators, and other organisations could do far more to develop healthy and resilient communities, they said.

Come to work with a positive attitude, doctors are told

Doctors and other NHS staff need to be more positive at work, said Henrietta Hughes, the new national …

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