NHS & Private Surgery


  • Specialist NHS and Private Bariatric Surgeon
  • 16 years experience
  • 2000 Weight loss Surgery Procedures
  • Over 500 Laparoscopic Adjustable Gastric Bands
  • Over 1000 Roux en-Y Gastric Bypasses and Sleeve Gastrectomies
  • Over 150 Laparoscopic Revision Gastric Bypasses
  • Zero mortality rate for laparoscopic Weight Loss Surgery
  • Very low complication and re-operation rate


Just like cancer surgery, weight loss surgery is complex, the surgery is demanding, the patients can be challenging and the management of complications can be difficult. In the NHS a non-cancer surgeon, would not be allowed to perform cancer surgery and non-bariatric surgeons are not allowed to perform weight loss surgery. Private surgery should not be different.


Before now, private surgery has not been so well regulated. There are lots of non-bariatric surgeons, performing bariatric surgery. It is very easy to find out whether or not your surgeon is an NHS bariatric surgeon, by visiting the National Bariatric Surgery Registry website. If in doubt, ask your surgeon.


Steps have been taken to regulate private surgery. Private hospitals now have to submit outcome data to the Private Hospitals Information Network (PHIN).


NHS consultants are appointed, by a competitive interview process. Posts at NHS bariatric surgery units are advertised, in the medical press, so that surgeons who want to practice weight loss surgery can apply for those posts. In the interview process, their training in bariatric surgery and their experience will be assessed to ensure they are competent safe surgeons.


If your surgeon is not an NHS bariatric surgeon, you need to ask yourself why not? Maybe he wasn't sufficiently interested in weight loss surgery to apply to an NHS bariatric surgery unit, or was unsuccessful in his applications.


NHS bariatric surgeons, have to submit all their NHS outcome data to a National database to ensure they continue to be safe and operate well. My data can be found by following the link below.


Learning to operate is a practical skill. To become the best sportsman, musician or artist takes many, many hours, with the very best having 10,000 hours of practice. Bariatric Surgery is no different; to build up 10,000 hours of practice in bariatric surgery, in the UK, without an NHS practice, is not possible.


It would not have been possible, for me to have an experience in excess of 2000 weight loss surgery procedures, without my NHS practice.


Similarly, I would not have my low complication rate, without my NHS experience and without my NHS experience, I would be much less competent in the management of those complications.

Streamline Surgical

Streamline Surgical is a a healthcare business, that I set up with Shaw Somers in 2006. At that time we recognised, that private hospitals were not set up to provide the specialist aftercare needed by patients undergoing weight loss surgery. Streamline works in partnership with private and NHS Hospitals, allowing them to concentrate on the in-patient care of our patients while we take responsibility for all the pre-operation and after-operation care.


An excellent surgeon will give the patient the best start on their weight loss path, but to get the very best outcome from weight loss surgery, patients need to be looked after for at least two years after surgery, by specialist nurses and dieticians too.


Streamline provides this for patients with fixed price two year packages, that include the cost of surgery, with two years aftercare, to ensure our patients get the very best outcomes from surgery. For further information, including patient reviews, patient stories and procedure information, follow the link below.

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© Guy Slater