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In a significant move to improve access to weight-loss treatments across the UK, the government has announced financial incentives for general practitioners (GPs) to prescribe crucial medications. Approximately 2.4 million individuals are currently using weight-loss drugs in the UK, with the majority acquiring them through private channels. This initiative aims to rectify disparities in access observed since the NHS first rolled out these treatments eight months ago.
Closing the Gap in Weight-Loss Treatment Access
The Department of Health and Social Care (DHSC) recently acknowledged that not all GP practices are prescribing weight-loss medications, which has led to uneven availability for patients nationwide. Health Secretary Wes Streeting is committed to ensuring that these medications reach those in need, rather than being a privilege for those who can afford to pay privately.
Streeting emphasised the importance of equitable access, stating, “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.” His remarks highlight the urgency of addressing both the rising obesity rates and the associated economic burden of £11 billion on the health service.
Financial Support for GPs
To facilitate this initiative, the government is backing a new incentive scheme with £25 million aimed at encouraging family doctors to prescribe weight-loss medications and refer eligible patients to specialised weight management services. This initiative is part of a broader GP contract designed to enhance patient care and accessibility.

Despite initial hesitations among GPs regarding increased workloads, this new financial backing aims to alleviate concerns and ensure that weight-loss solutions are available to those who qualify. By focusing on patients with the highest clinical need, the government hopes to create a fairer healthcare system.
Phased Roll-Out of Weight-Loss Drugs
The NHS has established a phased roll-out plan for Mounjaro, a weight-loss injection, extending over a 12-year period. Early data indicates that even eligible patients struggle to access the drug. Currently, about 220,000 patients have been prioritised for treatment during the initial three years of the programme.
The once-weekly injection is currently restricted to individuals with severe obesity who also face a range of related health challenges. Research indicates that if all eligible patients—estimated to exceed three million—sought the drug within the first year, it could lead to a significant increase in demand on primary care services, potentially consuming 18% of GP appointments.
The Impact of Private Prescriptions
Recent studies reveal that the demographic accessing private prescriptions for weight-loss injections is predominantly women and individuals from middle-class backgrounds. This trend raises concerns about the accessibility of these treatments for lower-income populations, further emphasizing the need for equitable distribution through the NHS.

Why it Matters
The recent initiative to incentivise GPs for prescribing weight-loss medications represents a crucial step towards addressing the obesity epidemic in the UK. With obesity-related health issues placing a significant strain on the NHS, equitable access to effective treatments is more important than ever. By ensuring that weight-loss drugs are available based on need rather than financial capability, the government not only aims to improve individual health outcomes but also to alleviate the broader economic impact on the healthcare system. This move could mark a pivotal shift in how weight-management solutions are distributed, ultimately leading to a healthier population.