Weight loss injections on the NHS: who qualifies and when
The NHS in England offers two main weight loss injections. Access to each follows different rules.
Mounjaro is being phased in through GP practices in England, starting on 23 June 2025 with people who have a BMI of 40 or more and at least four of five listed conditions. Wegovy is offered only through specialist weight management services.
Mounjaro on the NHS: the phased rollout
NICE estimated 3.4 million people are eligible under its guidance. To manage demand, NHS England is opening access in groups. About 220,000 people are expected to become eligible in the first three years, and full access can take up to 12 years. Sources: NHS England, House of Commons Library.
| Phase | BMI | Listed conditions needed | When |
|---|---|---|---|
| Year 1, 2025 to 2026 | 40 or more | At least four of the five | From 23 June 2025 |
| Year 2, 2026 to 2027 | 35 to 39.9 | At least four of the five | Added to the first group |
| Year 3, 2027 to 2029 | 40 or more | Three of the five | Added to the first two groups |
The five listed conditions
- High blood pressure (hypertension)
- Abnormal blood fats (dyslipidaemia)
- Obstructive sleep apnoea
- Cardiovascular disease
- Type 2 diabetes
Source: NHS England.
Specialist weight management services
From 24 March 2025, specialist NHS weight management services in England must fund Mounjaro for eligible patients. Source: NHS England. NICE recommends Mounjaro for adults with a BMI of at least 35 and at least one weight related condition. Source: NICE.
Wegovy on the NHS
Wegovy is taken once a week and is available only through a specialist weight management service, usually when diet and exercise alone have not worked. The usual threshold is a BMI of 35 or more, or 30 to 34.9 with other criteria for specialist treatment. Eligibility varies by area. Sources: NHS England, NICE.
The new tablets
Foundayo is not currently available on the NHS. NHS use will follow the standard process, including an evaluation by NICE. Source: MHRA.
Wraparound care
Everyone prescribed Mounjaro on the NHS must also receive support. As a minimum this means nutritional and dietetic advice and behaviour change support. In GP practices the support runs for at least nine months. Source: NHS England.
What to do next
- Check the thresholds. Use the BMI threshold checker.
- Ask locally. NHS England says to check with your local integrated care board about an assessment.
- Compare private prices. See NHS vs private cost if you do not qualify yet.
Questions
Can my GP prescribe Mounjaro for weight loss?
In England, GP practices can prescribe Mounjaro for weight management to people in the current priority groups. Check with your local integrated care board about your area.
Can I get Wegovy from my GP?
Wegovy for weight management is available only through a specialist weight management service, according to NHS England.
How long will the NHS rollout take?
NICE allowed up to 12 years for everyone eligible to gain access. About 220,000 people are expected to become eligible in the first three years.
What is wraparound care?
Support given alongside the medicine. NHS England requires nutritional and dietetic advice and behaviour change support as a minimum.
What if I do not qualify on the NHS?
A private prescriber can assess you against the medicine licence. GLP Index lists live private prices for every dose in the price index.
Official sources
Every rule on this page comes from the sources below. GLP Index checked each one on 8 October 2026.
- NHS England. Interim commissioning guidance: NICE TA1026 tirzepatide. Reviewed April 2026.
- House of Commons Library. Weight loss medicines in England (CBP-10171). 10 April 2025.
- NHS England. Weight management injections. Checked 8 October 2026.
- National Institute for Health and Care Excellence. Tirzepatide for managing overweight and obesity (TA1026). Published December 2024.
- National Institute for Health and Care Excellence. Semaglutide for managing overweight and obesity (TA875). Published March 2023.
- Medicines and Healthcare products Regulatory Agency. UK first in Europe to authorise orforglipron for weight management and type 2 diabetes. 10 August 2026.
More on UK rules
- GLP-1 medicines in the UK: which are licensed for weight loss
- Who can get weight loss medicine in the UK
- Buying weight loss medicine online: the UK rules
- MHRA safety advice for weight loss medicines
- Why weight loss medicines are not advertised in the UK
- Who regulates weight loss medicines in the UK
- UK weight loss medicine timeline: every key decision
- NHS vs private: what weight loss medicine costs in the UK
- All UK rules pages