Question 1

No - currently in progress. NHS South Yorkshire ICB is working to redesign the obesity treatment pathway. Previously there have been four separate pathways which are currently being consolidated into one consistent patient journey. The new referral criteria for specialist weight management service is available here: Policies, procedures and guidance: South Yorkshire I.C.B.

The primary care pathway for tirzepatide in the treatment of overweight and obesity is being finalised and will be available on the ICB website when approved.

Question 2

Between April 2024 and March 2025, the Sheffield locally-commissioned

specialist weight management service was delivered by Oviva.

a) Index of Multiple Deprivation (IMD) quintile.

This information is not held by the ICB.

b) Ethnicity

• White 294

• Black 16

• Asian 17

• Mixed 13

• Other 8

• Prefer not to say 4

• Unknown 19

c) Age

• 18-25 8

• 26-35 82

• 36-45 114

• 46-55 75

• 56-65 67

• 66+ 25

d) Sex

• Female 305

• Male 66

Question 3

NHS South Yorkshire ICB (SYICB) is currently working with wider partners in response to the 10 Year Plan to build on existing local integrated working to create neighbourhood health systems, teams and processes shaped by local needs.

These models are in active development, and we would anticipate that they would include advice and holistic interventions around supporting patients to have a healthy lifestyle e.g., via behavior change, social prescribing, care navigation and onward referral. Currently there are no SYICB commissioned weight management services delivered or planned in the neighbourhood structures.

SYICB has strong partnership links and working with the Yorkshire and
Humber Health Innovation Network.  However, does not currently have any
active programs relating to weight management services. 

Question 4

The total funding for the three South Yorkshire specialist weight
management services in 24/25 was £594,033. These delivered via
• 2 x block contracts
• 1 x commissioned service
 
Patients have also been referred to a national right to choose contract and
paid on a tariff per patient seen basis.
 
Two bariatric surgery providers are commissioned and funded through
block contracts.
 
A primary care local enhanced service is expected to commence in early
2026, funded on a fee per patient basis. 

As noted in the responses above planning on neighbourhood models is still
underway, with further guidance from DHSC, LGA and NHSE expected in
year 2025/26.
 
SYICB is conducting a review of weight management services in South
Yorkshire which will consider all models of potential future delivery.