[PRACTICE HEADING]
Dear [X]
ref: [Patient details]
Thank you for your letter seeking to discharge [X] to our care following their bariatric surgery.
The British Obesity and Metabolic Society follows NICE guidance (NG246) and recommends that after two years specialist follow-up, patients can be discharged to the care of their NHS GP under a Shared Care Agreement (SCA).
There is no SCA commissioned locally by the ICB to support the workload associated with this care.
[X Practice] therefore cannot accept the discharge of this patient, and you therefore remain responsible for their continuing care.
[X Practice] recommend this matter is raised with ICB colleagues who, in consultation with the LMC, may be in a position to commission this care from General Practice.
With best wishes