November 28, 2023

The weight-loss drug Wegovy is being made available in the UK as part of a “controlled and limited launch”.

The drug, also known as semaglutide, will be prescribed via specialist NHS weight management services alongside a reduced calorie diet and exercise from 4 September.

Those eligible should have a body mass index (BMI) of more than 30 and at least one weight-related co-morbidity.

The National Institute for Care and Excellence (Nice) gave Wegovy the green light for NHS use earlier this year. Its guidance said it should be used for a maximum of two years.

The manufacturer of Wegovy, Novo Nordisk, said it believed the launch of the drug in the UK “will help provide an additional option to support people living with obesity”.

In June, the government announced a £40m pilot to expand access to weight-loss jabs to tackle obesity.

Speaking at the time, Rishi Sunak said the drug could be a game-changer”.

“Obesity puts huge pressure on the NHS,” the prime minister said. “Using the latest drugs to support people to lose weight will be a game-changer by helping to tackle dangerous obesity-related health conditions such as high blood pressure, diabetes and cancer – reducing pressure on hospitals, supporting people to live healthier and longer lives, and helping to deliver on my priority to cut NHS waiting lists.”

However, Novo Nordisk has since confirmed semaglutide is in short supply and said it expected it “to be constrained for the foreseeable future”.

A “proportion of available supply” has been allocated to NHS services.

“We will continue to work with healthcare professionals to help ensure that patients with the highest unmet medical need are prioritised,” the company said.

“We are closely monitoring Wegovy demand and are working with regulators and providers to ensure people living with obesity can have access to and remain on treatment.”

An NHS spokesperson said: “Despite global supply constraints, NHS England is taking action to begin implementing Nice guidance for weight management, while at the same time working to restore supplies of this class of drug for people with type 2 diabetes.

“Around 50,000 eligible patients in England could be prescribed Wegovy through NHS specialist weight management services, that are able to provide appropriate multidisciplinary care.”

The move follows a five-year study by Novo Nordisk, known as the Select trial, which found the drug could cut the risk of a heart attack or stroke in obese people with cardiovascular disease by a fifth.

It included 17,604 adults over the age of 45 from across 41 countries, each with a BMI of more than 27 and established cardiovascular disease, with no history of diabetes.


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