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1698122

	registered interest
	date	22/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	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.
	tabling member constituency	North Tyneside
	tabling member printed	Mary Glindon
	uin	20054
	answer	answer is ministerial correction date of answer 03/04/2024 answer text <p>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.</p><p>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.</p><p>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.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 03/04/2024 14:57:49 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4126 label Biography information for Mary Glindon

1698123

	registered interest
	date	22/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	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.
	tabling member constituency	North Tyneside
	tabling member printed	Mary Glindon
	uin	20055
	answer	answer is ministerial correction date of answer 03/04/2024 answer text <p>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.</p><p>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.</p><p>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.</p><p>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.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 03/04/2024 14:57:01 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4126 label Biography information for Mary Glindon

1698124

	registered interest
	date	22/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	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.
	tabling member constituency	North Tyneside
	tabling member printed	Mary Glindon
	uin	20056
	answer	answer is ministerial correction date of answer 28/03/2024 answer text <p>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.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 28/03/2024 13:23:44 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4126 label Biography information for Mary Glindon

1698126

	registered interest
	date	22/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	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.
	tabling member constituency	North Tyneside
	tabling member printed	Mary Glindon
	uin	20057
	answer	answer is ministerial correction date of answer 03/04/2024 answer text <p>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.</p><p> </p><p>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</p><p> </p><p>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</p><p> </p><p>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.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 03/04/2024 14:56:42 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4126 label Biography information for Mary Glindon

1692493

	registered interest
	date	28/02/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	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.
	tabling member constituency	Birmingham, Edgbaston
	tabling member printed	Preet Kaur Gill
	uin	16238
	answer	answer is ministerial correction date of answer 08/03/2024 answer text <p>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.</p><p>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.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 16245 question first answered 08/03/2024 11:36:23 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4603 label Biography information for Preet Kaur Gill

1692513

	registered interest
	date	28/02/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	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.
	tabling member constituency	Birmingham, Edgbaston
	tabling member printed	Preet Kaur Gill
	uin	16245
	answer	answer is ministerial correction date of answer 08/03/2024 answer text <p>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.</p><p>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.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom grouped question UIN 16238 question first answered 08/03/2024 11:36:23 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	4603 label Biography information for Preet Kaur Gill

1681130

	registered interest
	date	10/01/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much the NHS has spent on treating obesity-related diseases in each of the last five years.
	tabling member constituency	Bexleyheath and Crayford
	tabling member printed	Sir David Evennett
	uin	8928
	answer	answer is ministerial correction date of answer 18/01/2024 answer text <p>It was estimated that in 2021 obesity related ill-health cost the National Health Service £6.5 billion annually.</p><p> </p><p>The NHS is committed to improving obesity care and other major causes of ill health through a preventive approach as outlined in the NHS’s Long Term Plan. It continues to offer support to the population, enabling them to take greater control of their own health and stay healthy for longer.</p> answering member constituency South Northamptonshire answering member printed Andrea Leadsom question first answered 18/01/2024 17:29:41 answering member 4117 label Biography information for Andrea Leadsom
	tabling member	1198 label Biography information for Sir David Evennett

1643602

	registered interest
	date	12/06/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to Government grants statistics 2020 to 2021, published 31 March 2022, what assessment his Department has made of the effectiveness of the Adult Weight Management Services Grant.
	tabling member constituency	Solihull
	tabling member printed	Julian Knight
	uin	188956
	answer	answer is ministerial correction date of answer 19/06/2023 answer text <p>91% of local authorities in receipt of the Adult Weight Management Services Grant funding shared data on participants and their progress with the Office for Health and Disparities. Provisional data, covering the period April 2021 to December 2022, was published on 27 April 2023.</p><p>The statistical summary is available at the following link: https://www.gov.uk/government/statistics/adult-tier-2-weight-management-services-provisional-data-for-april-2021-to-december-2022-experimental-statistics/adult-tier-2-weight-management-services-short-statistical-commentary-april-2023.</p><p>It shows that 40% of participants had lost weight by the end of their service, with 15% having lost at least 5% of their initial body weight. A final report will be published in due course.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 19/06/2023 16:05:03 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4410 label Biography information for Julian Knight

1604953

	registered interest
	date	16/03/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to help tackle obesity in adults.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	167183
	answer	answer is ministerial correction date of answer 20/03/2023 answer text <p>In addition to the answer I gave the hon. Member on 27 February 2023 to Question 151337, the weight loss drug Semaglutide (Wegovy) will be available on the National Health Service within three months of its launch in the United Kingdom with eligibility in line with National Institute for Health and Care Excellence recommendations to ensure clinically and cost effective use.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 20/03/2023 16:25:00 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4471 label Biography information for Rachael Maskell

1588626

	registered interest
	date	23/02/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Obesity: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help tackle levels of obesity; and if he will make an assessment of the potential merits of publishing an obesity strategy.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	151337
	answer	answer is ministerial correction date of answer 27/02/2023 answer text <p>The Government published its obesity strategy in July 2020. On what steps we are taking, I refer the hon. Member to the answers I gave on 6 February 2023 to Question <a href="https://questions-statements.parliament.uk/written-questions/detail/2023-02-01/137874" target="_blank">137874</a> and 20 February 2023 to Question <a href="https://questions-statements.parliament.uk/written-questions/detail/2023-02-09/143770" target="_blank">143770</a>. We will continue to follow the evidence and consider what more we can do.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 27/02/2023 16:46:36 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4471 label Biography information for Rachael Maskell