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In a significant move to enhance accessibility to weight-loss medications across the UK, the Department of Health and Social Care (DHSC) has announced that general practitioners (GPs) will receive financial bonuses to encourage the prescription of these drugs. This initiative comes after the realisation that many practices have been slow to adopt the new treatments, resulting in unequal access for patients who need support in managing obesity.
Addressing Disparities in Treatment Access
Since the introduction of weight-loss medications last summer, an estimated 2.4 million people in the UK have turned to these treatments, primarily through private channels. However, with the NHS programme struggling to reach all eligible patients, Health Secretary Wes Streeting has committed to ensuring that these medications are available based on need rather than financial capacity.
The DHSC’s announcement highlighted a troubling gap in the rollout of weight-loss drugs, with many GP practices not prescribing them despite their availability. Streeting stated, “Weight-loss drugs can be a real game changer for those who need them. I’m determined that access should be based on need, not ability to pay.” This sentiment underscores the government’s commitment to equity in healthcare.
New Financial Incentives for GPs
To combat the slow uptake of weight-loss treatments, the government has introduced new financial incentives amounting to £25 million, aimed at encouraging family doctors to prescribe these medications and refer eligible patients to specialised weight management services. This initiative is part of a broader GP contract designed to improve patient access to essential weight-loss support.

Streeting further noted the dangers posed by unregulated private prescriptions, which have proliferated due to the lack of NHS access. “Outside the NHS, we’ve seen those who can spare the cash buying privately, and the proliferation of rogue prescribers peddling dangerous unlicensed drugs that are putting patients at risk,” he cautioned.
The Phased Rollout of Mounjaro
NHS England has implemented a phased rollout plan for the weight-loss drug Mounjaro, set to unfold over a period of up to 12 years. Current estimates indicate that approximately 220,000 patients have been prioritised within the first three years, while the total number of eligible individuals exceeds three million.
The once-weekly injection is currently restricted to individuals classified as severely obese, particularly those with accompanying health complications. Researchers project that if all eligible patients sought treatment within the first year, the demand could consume up to 18 per cent of GP appointments, potentially overwhelming primary care services.
Trends in Private Prescription Usage
Recent studies indicate that the uptake of private prescriptions for weight-loss injections is notably dominated by women and middle-class individuals. This trend raises concerns about the equitable distribution of healthcare resources and the potential for widening health disparities. As more people seek private options due to NHS limitations, the government faces mounting pressure to ensure that all citizens can access necessary treatments without financial barriers.

Why it Matters
This initiative from the DHSC is crucial in addressing the growing obesity epidemic in the UK, which imposes an estimated £11 billion burden on the healthcare system and the economy. By offering financial incentives to GPs, the government aims to bridge the gap in access to weight-loss medications, ensuring that those in need receive timely and appropriate care. Ultimately, this step is not just about treating obesity but about fostering a fairer healthcare system that prioritises patient needs over financial constraints.