 Non-elective admissions at York Teaching Hospital NHS Foundation Trust were 14% more than planned and emergency department attendances 17% more.There have been ongoing financial problems in York since the year 2000.Harrogate and Rural District CCG decided in October 2016 that anyone who smoked or had a Body Mass Index of more than 30 would be referred to a weight management or smoking cessation service for six months before they would be considered for elective surgery.