Question 1

Yes. Please see the flow chart at this link.

This shows the current weight management / obesity services available to patients in Norfolk and Waveney and includes links to further information on services where available. Some of these services are provided by other commissioners, including NHS England and local authorities.

Norfolk and Waveney ICB commissions specialist weight management services including services commonly known as tier 3 and tier 4 (bariatric) services and has a pathway in place for prescribing of tirzepatide in primary care settings.

Question 2

This information is not held for all tiers.

Question 3

No weight management services are currently being delivered in Neighbourhood Health Centres or equivalent neighbourhood health structures, although Mounjaro® is available in primary care. We are currently undertaking our local planning in response to national guidance associated with the 10 Year Plan, and we anticipate a significant expansion of access to Mounjaro® via our community outreach service, which is part of the Weight Management and Complex Obesity Service (WMCOS). 

We do not have a formal partnership for weight management with local Health Innovation Network, or similar innovation / academic health science networks. However, we work closely with SNEE ICB, which is working with Health Innovation East who will be evaluating the WMCOS Single Point of Access (SPoA).

Question 4

No Weight Management operational budget is ringfenced, the total budget excluding drugs is £1.4m and includes both surgical and non-surgical elements.

Please see response to question 1a. WMCOS is an integrated pathway which includes a full assessment of each patient’s needs and access within WMCOS - where eligible - to specialist dietary advice, obesity management medications and bariatric surgery. We have plans to support patients of lower complexity but high need through community settings although the exact model is still under development.