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In a significant shift to enhance access to weight-loss treatments, the UK government has announced that General Practitioners (GPs) will receive financial incentives to prescribe weight-loss medications. This initiative, aimed at addressing disparities in access to treatment, comes eight months after the National Health Service (NHS) began its rollout of these drugs. Health Secretary Wes Streeting has emphasised the importance of ensuring that treatment is based on need rather than financial capability.
Addressing Access Inequities
Despite the introduction of weight-loss drugs like Ozempic and Mounjaro, many patients have encountered barriers to receiving treatment. The Department of Health and Social Care (DHSC) acknowledged that “not all practices prescribe weight-loss drugs,” resulting in inconsistencies in patient access across the nation. This disparity has prompted calls for a more equitable approach to prescribing these medications.
To bridge this gap, the government is introducing a new financial framework as part of an updated GP contract, allocating £25 million to incentivise family doctors. The initiative is designed to encourage GPs to not only prescribe these medications but also to refer eligible patients to specialised weight management services. Streeting stated, “Weight-loss drugs can be a real game changer for those who need them,” underscoring his commitment to fairness in healthcare access.
The Scale of the Challenge
Currently, an estimated 2.4 million individuals in the UK are utilising weight-loss drugs, with the majority obtaining these treatments through private channels. The NHS has initiated a phased approach to roll out Mounjaro, which is projected to unfold over the next 12 years. However, reports indicate that many eligible patients continue to face difficulties accessing the medication.

In the initial three years of the NHS programme, only 220,000 patients have been prioritised for treatment, while estimates suggest that over three million individuals could potentially qualify. NHS England has warned that, should all eligible patients seek treatment in the first year, and if 70 per cent begin receiving the drug, the demand could significantly strain primary care resources.
Disparities in Treatment Uptake
Recent research highlights a concerning trend in the uptake of private prescriptions for weight-loss injections, with evidence suggesting that women and individuals from middle-class backgrounds are predominantly accessing these treatments. This raises questions about the fairness and accessibility of weight-loss drugs within the current healthcare framework.
Streeting has expressed concern over the rise of unregulated prescribers offering potentially dangerous unlicensed alternatives. He noted, “This is just part of a wider public health package to help ease the £11 billion burden obesity places on the health service and economy.” The government’s plan to incentivise GPs is part of a broader strategy to tackle obesity and its associated health risks.
Why it Matters
The introduction of financial incentives for GPs to prescribe weight-loss medications represents a pivotal moment in the UK’s healthcare landscape. By striving to make treatments more accessible, the government is taking steps to combat the growing obesity crisis, which has far-reaching implications for public health and the NHS. Ensuring that those in need can obtain effective treatments without the burden of financial constraints is essential for fostering a healthier society. The success of this initiative could pave the way for more comprehensive approaches to healthcare equity, ultimately benefiting millions of individuals striving for better health outcomes.
