Question 1

Yes. Tier 3 and Tier 4.

Please note: The BMI threshold is reduced by 2.5 kg/m² for people from South Asian, Chinese, other Asian, Middle Eastern, Black African, or African
Caribbean ethnic backgrounds.

In relation to timeframe, whilst NICE required roll out to commence in June
2025, the late issuing of NHSE commissioning guidance to ICBs and the need for the ICB to commission a primary care delivery model has meant roll out in Birmingham and Solihull (BSOL) will commence during November 2025 for eligible patients. This timeline is similar to other ICBs implementing this model.  

Question 2

24/25:

a) IMD
1 - 70
2 - 40
3 - 30
4 - 60
5 - 60

b) Ethnicity

Ethnicity
White - 230
White any other - 10
Not recorded - 20
All others - * (meaning between 1 and 7, all other counts are rounded to nearest 5)

c) Age

Age
20s - 30
30s - 60
40s - 60
50s - 90
60s - 30
70s - 10

d) Sex

Female - 230
Male - 50

Question 3

During 2026/27, BNSSG ICB, in partnership with relevant
stakeholders, is going to develop new models of care for weight management services. It is therefore too early to say whether some of these NHS commissioned services will be delivered in, or planned for, Neighbourhood Health Centres or equivalent neighbourhood health structures. 

BNSSG ICB is a member of Bristol Health Partners (an
accredited Health Science Centre) who have a Healthy Weight
Health Integration Team Healthy Weight HIT - Bristol Health
Partners

Question 4

BNSSG ICB does not allocate a set amount of funding for adult
weight management services. We pay for each patient that uses a service on either a zero based contract or a payment by results basis from the total funding allocation we are given by NHS England (money we are given to fund all the services we commission). 

During 2026/27, BNSSG ICB, in partnership with relevant
stakeholders, is going to develop new models of care for weight management services during 2026/27. It is therefore too early to provide details of planned timelines or anticipated impacts.