Obesity care ‘insufficient’ as patients wait up to five years for care

Patients in Wales are facing insufficient obesity care, with some having to wait up to five years for specialist support, according to a recent report. The Obesity Health Alliance (OHA) highlighted that certain services for overweight and obesity management are so overwhelmed that they have closed their waiting lists entirely. The OHA stated that the majority of individuals struggling with weight-related issues do not receive the necessary level of assistance from weight management services.

The organization, comprising 60 health charities and medical royal colleges, warned that the unprecedented demand for new weight loss drugs could further strain already stretched services. NHS England’s Amanda Pritchard emphasized the significance of transforming pathways to prevent services from becoming overwhelmed by the introduction of “game-changing” weight loss medications. The Alliance has urged for an independent review of obesity services to ensure that patients receive adequate care.

The report from the OHA emphasised that obesity pharmacotherapy can only be accessed through specialist services, which are unable to cater to the growing number of individuals eligible for treatment. As a result, waiting lists are now reaching up to five years, with some services closing to referrals due to exceeding capacity. The authors of the report underscored the insufficiency of evidence-based services for individuals living with overweight or obesity.

Alfie Slade, government affairs lead at the OHA, stressed the need for urgent government intervention to address the shortcomings in current obesity services. He highlighted the importance of meeting the needs of millions of patients to avoid exacerbating health inequalities. The deployment of weight loss jabs has been considered a potential solution to boost the nation’s health and economy by leading politicians like Sir Keir Starmer and Health Secretary Wes Streeting.

Plans for new trials assessing the impact of a weight loss treatment, Mounjaro (tirzepatide), in Manchester have been announced. The drug, referred to as the “King Kong” of weight-loss jabs, has shown promising results in previous studies. Despite the anticipated high demand for Mounjaro, the phased rollout across England may take up to 12 years due to cost implications and a lack of primary care services to support access for all eligible individuals.

Mounjaro, a glucagon-like peptide-1 (GLP-1) agonist, is part of a family of medications used to manage blood sugar, type 2 diabetes, and obesity. The rising prevalence of obesity in England, with 29% of adults classified as obese and 64% overweight or living with obesity in 2022, has prompted health officials to seek effective solutions. The Department of Health and Social Care highlighted the significant impact of obesity-related illness on healthcare costs and productivity, emphasising the role of obesity drugs in alleviating these burdens.

Efforts are being made to develop new services that enable the safe, effective, and affordable rollout of approved treatments without compromising existing patient care. The collaboration between the NHS, government, and industry aims to address the challenges associated with expanding access to obesity treatments. Ultimately, the goal is to tackle the obesity crisis comprehensively through interventions such as restrictions on junk food advertising and measures to improve public health.

In conclusion, the challenges faced by individuals seeking obesity care in Wales highlight the pressing need for enhanced support and resources to address this significant public health issue. The call for government intervention and improved services underscores the critical importance of effective obesity management strategies for the well-being of the population.