Asked by: Mary Glindon (Labour - North Tyneside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure that Tier 2 weight management services are sufficiently (a) resourced and (b) integrated with (i) primary care networks, (ii) community health hubs and (iii) other relevant providers to offer comprehensive support for people living with obesity.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service and local government provide a range of free tier two weight management services (WMS), to help eligible people living with obesity to lose weight. These are multi-component programmes, including dietary approaches and physical activity, with behaviour change support. The length of support can vary, but guidance from the National Institute of Health and Care Excellence suggests these should last at least three months.
The NHS offers the NHS Digital Weight Management Programme, which is a tier two service aimed at adults living with obesity, who also have type 2 diabetes or hypertension, or both, as well as NHS staff living with obesity. The 12-week programme is directly commissioned and managed by NHS England nationally, and is available via direct referral from any general practice or Community Pharmacy
Local authorities are able to spend funding from the Public Health Grant on weight management services in line with local population need. They may be delivered as a standalone service or as part of an integrated service, for example with smoking cessation support. Where local authorities commission these services, they are responsible for determining the required resourcing and interaction with other services, along with weight management service providers
Local authorities are part of integrated care systems (ICSs), which are partnerships of organisations that come together to plan and deliver joined up health and care services, and to improve the lives of people who live and work in their area. ICS membership also includes the NHS, social care providers, charities, and other organisations. Being a member of the ICS will help local authorities to work more closely with partner organisations and offer integrated support for people living with obesity.
Asked by: Mary Glindon (Labour - North Tyneside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure adequate oversight of how primary care settings deliver equitable access to weight management services in line with NICE Guidance.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Local authorities and the National Health Service provide a range of Weight Management Services (WMS) to support their communities to achieve and maintain a healthier weight. Generally, WMS delivered in the community are behavioural services provided by local authorities or the NHS Digital Weight Management Programme, rather than in primary care.
Local commissioners and WMS providers are expected to take National Institute for Health and Care Excellence (NICE) guidelines into account, alongside the individual needs, preferences, and values of their patients or service users. The NICE’s guidelines provide recommendations on best practice in terms of both the effectiveness and cost-effectiveness of interventions and services. It is not mandatory to apply the recommendations, although health and care commissioners are expected to take them fully into account.
Although primary care services are not a main provider of WMS, general practice (GP) is an important source of referrals to WMS. The Department funds the GP Weight Management Enhanced Service, which incentivises GPs to develop and implement a proactive approach to identifying and engaging with patients living with obesity, including the referral to WMS where appropriate. The service delivery specification for this enhanced service includes minimum standards such as undertaking training to have sensitive conversations about weight, and the review and restoration of the practice obesity register.
Asked by: Mary Glindon (Labour - North Tyneside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to improve access to weight management services in areas of socioeconomic deprivation.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Local authorities and the National Health Service provide weight management services to support their communities to achieve and maintain a healthier weight. These range from behavioural weight management programmes to specialist services for those living with obesity and associated co-morbidities.
Local authorities are able to spend funding from the Public Health Grant on behavioural weight management services in line with local population need, including in areas of socioeconomic deprivation. Integrated care boards are responsible for commissioning NHS specialist weight management services in line with local population need, as well as determining the criteria for access to these services in line with relevant guidance.
NHS England commissions the Digital Weight Management Programme nationally for people living with obesity and an existing comorbidity of either diabetes, or hypertension, or both. The 12-week programme is available via direct referral from any general practice or Community Pharmacy.
The programme provides three levels of intervention at varying intensities, and patients less likely to complete a behavioural programme of this nature, for instance those of a younger age, from ethnic minority backgrounds, from a more deprived area, or who are male, are offered a higher level of intervention and support to retain their engagement on the programme. Approximately 50% of total referrals are from the two most deprived socioeconomic quintiles.
Asked by: Mary Glindon (Labour - North Tyneside)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress NHS England has made on integrating Wegovy to existing weight management structures within primary care settings.
Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)
The National Institute for Health and Care Excellence’s guidance on semaglutide, the active ingredient in wegovy, for managing overweight and obesity was published in March 2023, and updated in September 2023. It recommends semaglutide as a treatment option for patients that meet specified eligibility criteria, and recommends that the treatment is provided within specialist weight management services. These services are typically provided in secondary rather than primary care settings. The Government is committed to the safe introduction of new weight loss drugs into the National Health Service, and is exploring ways to increase access to more people, who meet the relevant eligibility criteria.
Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of the accessibility of tier 3 weight management services for patients; and in which (a) Integrated Care Board areas and (b) NHS trusts those services are available.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning tier three specialist weight management services (SWMS). These services are generally aimed at those living with severe obesity and associated co-morbidities. They provide support through a tailored programme of care from multidisciplinary teams able to assess and work with patients to establish the most suitable care, considering psychological, behavioural, dietary drivers, as well as underlying disordered eating or compulsions. These tier three SWMS are primarily delivered in secondary care, with occasional specialist primary and community-based provision.
In 2021, during the pandemic, NHS England oversaw a SWMS mapping exercise, via voluntary ICB and trust submission, to inform the COVID-19 recovery plan. Overall findings at the time suggested 37 out of 42 ICBs were commissioning provision of tier three SWMS, with approximately 35,000 patients in England accessing services. However, capacity constraints indicated an estimated 12,000 patients waiting to access services, with an average waiting time of six months nationally. ICBs who participated in the voluntary mapping exercise did not consent to the publication of identifiable information. NHS England does not routinely capture specific data on waiting times to access tier three SWMS.
Asked by: Preet Kaur Gill (Labour (Co-op) - Birmingham, Edgbaston)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will publish a breakdown of the number of people on waiting lists for tier 3 weight management services by (a) Integrated Care Board area and (b) NHS trust.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
Integrated care boards (ICBs) are responsible for commissioning tier three specialist weight management services (SWMS). These services are generally aimed at those living with severe obesity and associated co-morbidities. They provide support through a tailored programme of care from multidisciplinary teams able to assess and work with patients to establish the most suitable care, considering psychological, behavioural, dietary drivers, as well as underlying disordered eating or compulsions. These tier three SWMS are primarily delivered in secondary care, with occasional specialist primary and community-based provision.
In 2021, during the pandemic, NHS England oversaw a SWMS mapping exercise, via voluntary ICB and trust submission, to inform the COVID-19 recovery plan. Overall findings at the time suggested 37 out of 42 ICBs were commissioning provision of tier three SWMS, with approximately 35,000 patients in England accessing services. However, capacity constraints indicated an estimated 12,000 patients waiting to access services, with an average waiting time of six months nationally. ICBs who participated in the voluntary mapping exercise did not consent to the publication of identifiable information. NHS England does not routinely capture specific data on waiting times to access tier three SWMS.
Mentions:
1: David Evennett (Con - Bexleyheath and Crayford) According to the World Health Organisation, worldwide obesity has nearly tripled since 1975. - Speech Link
2: Fleur Anderson (Lab - Putney) They were worried that the current state of the NHS meant that it was unable to provide services to combat - Speech Link
3: Maggie Throup (Con - Erewash) The Obesity Health Alliance has said that obesity is the new smoking.We have already heard that 30% of - Speech Link
4: Andrea Leadsom (Con - South Northamptonshire) The NHS provides a digital weight management programme and many specialist services. - Speech Link
Apr. 21 2009
Source Page: Impact Assessment of Child Health Promotion Programme Guidance. 12 p.Found: Impact Assessment of Child Health Promotion Programme Guidance. 12 p.
Mentions:
1: Lord Markham (Con - Life peer) services and around £300 million in the family hubs and Start for Life programmes. - Speech Link
2: Lord Markham (Con - Life peer) So, in the area of obesity, we can show that our plans are working. - Speech Link
3: Lord Rooker (Lab - Life peer) The Minister has addressed only obesity. - Speech Link
4: Lord Markham (Con - Life peer) of training places by 74%, because it is understood that we need the workforce to provide all these services - Speech Link
5: Lord Markham (Con - Life peer) We are expanding the number of PE services available for children, because exercise is vital. - Speech Link
Mentions:
1: Navendu Mishra (Lab - Stockport) She is a long-standing champion of public services and better healthcare provision for all.I am grateful - Speech Link
2: Sharon Hodgson (Lab - Washington and Sunderland West) In the short term, I urge Ministers to deliver a prompt and comprehensive review of adult liver services - Speech Link
3: Alison Thewliss (SNP - Glasgow Central) services but to people’s life outcomes. - Speech Link
4: Preet Kaur Gill (LAB - Birmingham, Edgbaston) grant in the spending review in March, even as alcohol treatment services have been hollowed out over - Speech Link
5: Navendu Mishra (Lab - Stockport) inequalities and a prompt, comprehensive review of adult liver services by NHS England. - Speech Link