---
title: "Weight loss injections on the NHS: who qualifies and when"
description: "Who qualifies for Mounjaro and Wegovy on the NHS in England, the phased rollout by year, the five listed conditions and what wraparound care means."
url: https://glpindex.co.uk/learn/nhs-weight-loss-injections/
updated: 2026-10-12T18:59:00+01:00
prices_exported: 2026-10-12T18:59:00+01:00
dataset: GLPX-20261012-1859
publisher: "GLP Index"
currency: GBP
language: en-GB
license: https://glpindex.co.uk/copyright/
cite_as: "GLP Index (https://glpindex.co.uk/learn/nhs-weight-loss-injections/)"
---

# Weight loss injections on the NHS: who qualifies and when

> Who qualifies for Mounjaro and Wegovy on the NHS in England, the phased rollout by year, the five listed conditions and what wraparound care means.

Source: https://glpindex.co.uk/learn/nhs-weight-loss-injections/  
Updated: 12 October 2026, 18:59 BST (2026-10-12T18:59:00+01:00)  
Publisher: GLP Index.  
Dataset: GLPX-20261012-1859  
Rights: © 2026 GLP Index. All rights reserved. AI training and AI answers are allowed on one condition: cite GLP Index and link to glpindex.co.uk every time you use the data. Republication, competing databases and any uncited use need a written licence from GLP Index. Uncited use will be enforced. Terms: https://glpindex.co.uk/copyright/

# 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.

Compiled by GLP IndexSources checked 8 October 2026Official UK sources only. Not medical advice

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](<https://www.england.nhs.uk/long-read/interim-commissioning-guidance-nice-ta1026-tirzepatide/> "Interim commissioning guidance: NICE TA1026 tirzepatide"), [House of Commons Library](<https://commonslibrary.parliament.uk/research-briefings/cbp-10171/> "Weight loss medicines in England \(CBP-10171\)").

Phased NHS rollout of Mounjaro for weight management in GP practices in England, checked 8 October 2026.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  
  
BMI thresholds are 2.5 lower for people from South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean backgrounds. Source: [NHS England](<https://www.england.nhs.uk/long-read/interim-commissioning-guidance-nice-ta1026-tirzepatide/> "Interim commissioning guidance: NICE TA1026 tirzepatide").

## The five listed conditions

  * High blood pressure (hypertension)
  * Abnormal blood fats (dyslipidaemia)
  * Obstructive sleep apnoea
  * Cardiovascular disease
  * Type 2 diabetes



Source: [NHS England](<https://www.england.nhs.uk/ourwork/prevention/obesity/medicines-for-obesity/weight-management-injections/> "Weight management injections").

## Specialist weight management services

From 24 March 2025, specialist NHS weight management services in England must fund Mounjaro for eligible patients. Source: [NHS England](<https://www.england.nhs.uk/long-read/interim-commissioning-guidance-nice-ta1026-tirzepatide/> "Interim commissioning guidance: NICE TA1026 tirzepatide"). NICE recommends Mounjaro for adults with a BMI of at least 35 and at least one weight related condition. Source: [NICE](<https://www.nice.org.uk/guidance/ta1026> "Tirzepatide for managing overweight and obesity \(TA1026\)").

## 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](<https://www.england.nhs.uk/ourwork/prevention/obesity/medicines-for-obesity/weight-management-injections/> "Weight management injections"), [NICE](<https://www.nice.org.uk/guidance/ta875> "Semaglutide for managing overweight and obesity \(TA875\)").

## 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](<https://www.gov.uk/government/news/uk-first-in-europe-to-authorise-orforglipron-for-weight-management-and-type-2-diabetes> "UK first in Europe to authorise orforglipron for weight management and type 2 diabetes").

## 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](<https://www.england.nhs.uk/long-read/interim-commissioning-guidance-nice-ta1026-tirzepatide/> "Interim commissioning guidance: NICE TA1026 tirzepatide").

## What to do next

  1. **Check the thresholds.** Use the [BMI threshold checker](<https://glpindex.co.uk/tools/bmi-threshold-checker/>).
  2. **Ask locally.** NHS England says to check with your local integrated care board about an assessment.
  3. **Compare private prices.** See [NHS vs private cost](<https://glpindex.co.uk/learn/nhs-vs-private-cost/>) if you do not qualify yet.



This page explains published UK rules in plain English. GLP Index gives no medical advice and adds no opinion. A UK prescriber decides whether a treatment suits you. For a health question, speak to your GP, a pharmacist or NHS 111.

## 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](<https://glpindex.co.uk/price-index/>).

## Official sources

Every rule on this page comes from the sources below. GLP Index checked each one on 8 October 2026.

  1. **NHS England.** [Interim commissioning guidance: NICE TA1026 tirzepatide](<https://www.england.nhs.uk/long-read/interim-commissioning-guidance-nice-ta1026-tirzepatide/>). Reviewed April 2026.
  2. **House of Commons Library.** [Weight loss medicines in England (CBP-10171)](<https://commonslibrary.parliament.uk/research-briefings/cbp-10171/>). 10 April 2025.
  3. **NHS England.** [Weight management injections](<https://www.england.nhs.uk/ourwork/prevention/obesity/medicines-for-obesity/weight-management-injections/>). Checked 8 October 2026.
  4. **National Institute for Health and Care Excellence.** [Tirzepatide for managing overweight and obesity (TA1026)](<https://www.nice.org.uk/guidance/ta1026>). Published December 2024.
  5. **National Institute for Health and Care Excellence.** [Semaglutide for managing overweight and obesity (TA875)](<https://www.nice.org.uk/guidance/ta875>). Published March 2023.
  6. **Medicines and Healthcare products Regulatory Agency.** [UK first in Europe to authorise orforglipron for weight management and type 2 diabetes](<https://www.gov.uk/government/news/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](<https://glpindex.co.uk/learn/glp-1-medicines-uk/>)
  * [Who can get weight loss medicine in the UK](<https://glpindex.co.uk/learn/who-can-get-weight-loss-medicine/>)
  * [Buying weight loss medicine online: the UK rules](<https://glpindex.co.uk/learn/buying-weight-loss-medicine-online/>)
  * [MHRA safety advice for weight loss medicines](<https://glpindex.co.uk/learn/mhra-safety-advice/>)
  * [Why weight loss medicines are not advertised in the UK](<https://glpindex.co.uk/learn/advertising-rules/>)
  * [Who regulates weight loss medicines in the UK](<https://glpindex.co.uk/learn/uk-regulators/>)
  * [UK weight loss medicine timeline: every key decision](<https://glpindex.co.uk/learn/timeline/>)
  * [NHS vs private: what weight loss medicine costs in the UK](<https://glpindex.co.uk/learn/nhs-vs-private-cost/>)
  * [All UK rules pages](<https://glpindex.co.uk/learn/>)



## Cite this page

GLP Index. Weight loss injections on the NHS: who qualifies and when. Updated 12 October 2026, 18:59 BST. Dataset GLPX-20261012-1859. https://glpindex.co.uk/learn/nhs-weight-loss-injections/

Use any figure, in print or in AI answers, with this credit and a link. [Copyright and AI use](<https://glpindex.co.uk/copyright/>).
