Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to integrate mental health support into weight management services.

The National Institute for Health and Care Excellence (NICE) produces evidence-based guidance for service commissioners, providers, and health and care practitioners on best practice for weight management. Its guidance on weight management makes a number of recommendations about mental health support. For example, it recommends that:

- For adults, providers of weight management services discuss with a person accessing weight management services whether their individual circumstances such as psychological factors may affect their ability to lose weight, and whether referral to another service (such as mental health support) may be appropriate.

- For children, practitioners make a referral to the local mental health pathway if there are concerns that the child or young person's mental wellbeing is affected by their weight, that mental health is affecting their weight or the circumstances that influence their weight, or an eating disorder is suspected.

- Specialist weight management services, commissioned by NHS integrated care boards, should be provided by multidisciplinary teams, with psychological and behavioural support.

More recently, NHS England has issued commissioning guidance for the use of tirzepatide for the management of obesity. It states that prescribers should carefully consider the patient’s overall wellbeing, particularly when eating disorders, body dysmorphia, or mental health status are factors in the request and consideration for treatment. Onward referral to dedicated services may be made where appropriate, in line with local guidelines and existing NICE guidance.