FOI 2026/1867

Request 1: Type 2 diabetes policies and pathways

Please confirm whether NHS Greater Manchester ICB has a current policy, clinical guideline or patient pathway relating to the management of type 2 diabetes in adults.

If yes, please provide a copy of the relevant information.

Request 2: NICE guideline NG28 implementation

 Please confirm whether NHS Greater Manchester ICB has any specific impact assessments, plans or other documents relating to the implementation of NICE guideline NG28 (updated in February 2026). 

 If yes, please provide a copy of the relevant information and state which of the following best describes the ICB’s position:

(a)  NG28 is being implemented in full

(b)  NG28 is not yet fully implemented, but there is a plan to do so by 31 December 2026

(c)   NG28 is not fully implemented and there is no defined timeline for doing so

Request 3: Prescribing guidance and communications

Please confirm whether NHS Greater Manchester ICB has issued any prescribing guidance or other communications since 1 January 2026 relating to choosing, reviewing or changing medicines for type 2 diabetes in adults.

If yes, please provide a copy of the relevant information.

Request 4: Weight management policies and pathways

Please confirm whether NHS Greater Manchester ICB has a current policy, clinical guideline or patient pathway relating to weight management in adults.

If yes, please provide a copy of the relevant information.

Request 5: Referrals

Please confirm whether NHS Greater Manchester ICB holds data on referrals to weight management services.

If yes, please provide the most recent available data showing the percentage of adults living with obesity who were referred to a weight management programme within 90 days of a qualifying BMI being recorded.

If this exact data is not available, please provide the closest equivalent data on record.

Request 6: Waiting times

Please confirm whether NHS Greater Manchester ICB holds data on waiting times for weight management services.

If yes, for each of the services listed below, please provide the most recent available data showing (a) the estimated number of eligible patients in NHS Greater Manchester ICB (b) the number of people on the waiting list and (c) mean and median waiting times, in weeks:

(i)    Tier 2 service

(ii)    Tier 3 service

(iii)   Tier 4 service

(iv)  NHS Digital Weight Management Programme

(v)    NHS Diabetes Prevention Programme

(vi)  NHS Type 2 Diabetes Path to Remission Programme

If data is not held at this level of granularity, please provide the closest available breakdown.

If any waiting lists are currently closed, please indicate this and provide a brief explanation. 

Request 7: Funding

Please confirm whether NHS Greater Manchester ICB has instigated any reductions or freezes to the budget allocated to weight management services since 1 April 2025. We are defining ‘freeze’ as a flat cash allocation with no increase, or a suspension of planned expenditure or growth.

If yes, please provide:

(a)   Either:

           (i)  The value of the reduction (in £) and the percentage change from the previous budget; or

          (ii)  The start date and end date (or planned end date) of the freeze, and confirmation of the budget during the freeze period (in £ and as a percentage of the total ICB budget)

(b)   The services affected

(c)   A brief explanation

Request 1: Type 2 diabetes policies and pathways

NHS GM does not have a specific T2D prescribing guidance or pathway document. Prescribers are advised to follow the Greater Manchester Medicines Management Group (GMMMG) formulary which details approved medications and their pathway position – this is publicly available via the GMMMG website.

In addition, the following prescribing guidance is relevant to this request:

·         SGLT2-inhibitor-GM-position-statement-v1.0-March-2026.pdf

·         SGLT2-inhibitor-pathway-v1.0-March-2026-for-web.pdf

·         GMMMG-Incretin-statement-March-26-final-for-web.pdf

These are publicly available and can be accessed via the GMMMG website, listed under diabetes and endocrinology Clinical Guidance and Pathways – GMMMG

Request 2: NICE guideline NG28 implementation

NHS GM ICB does not have a finalised impact assessment or approved plan for implementation of NG28.   A holding statement has been issued while potential pathway changes, and the NICE NG28 impact assessment are reviewed.  The NHS GM holding statement is publicly available via the GMMMG website. GMMMG-NG28-holding-statement-March-26-final-for-web.pdf

The NICE NG28 impact assessment is publicly available via Tools and resources | Type 2 diabetes in adults: management | Guidance | NICE.

Request 3: Type 2 diabetes prescribing guidance and communications

See question 1 for prescribing guidance issued since January 2026.  In addition, the GMMMG have issued a communication on incretin therapies which is relevant to this request.  GMMMG incretin therapy update – GMMMG

Request 4: Weight management policies and pathways

NHS Greater Manchester ICB has the following current documents relating to adult weight management:

• NHS Greater Manchester Weight Management Clinical Pathway https://gmmmg.nhs.uk/wp-content/uploads/2025/08/GM-Weight-Management-Clinical-Pathway-for-Adults-final-v1.0-.pdf
• NHS Greater Manchester Commissioning Statement for Tirzepatide for Weight Management https://gmmmg.nhs.uk/wp-content/uploads/2025/09/Tirzepatide-for-weight-management-in-adults-commissioning-statement-for-GM-V1.2-for-GMMMG-website.pdf

Request 5: Referrals

Please see the attached spreadsheet. For the percentage of adults living with obesity who were referred to a weight management programme within 90 days of a qualifying BMI being recorded, NHS GM does not hold this level of data, and It would need to be obtained from the providers below.

Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance

Manchester University NHS Foundation Trust – Freedom of Information – Manchester University NHS Foundation Trust (mft.nhs.uk)

Request 6: Waiting times

1. Tier 2 service – NHS GM does not commission Tier 2 services. These are commissioned by the Local Authority in each of the 10 places in GM, and details for their FOI teams have been provided below.
2. Tier 3 service – NHS GM does not hold the requested information, and would recommend contacting providers directly for this.

• Tier 4 service – Please see attached spreadsheet.

1. NHS Digital Weight Management Programme – This service is commissioned by NHS England, and would need to be requested from them at https://www.england.nhs.uk/contact-us/foi/
2. NHS Diabetes Prevention Programme – Same as iv
3. NHS Type 2 Diabetes Path to Remission Programme – Same as iv

Bolton Council Freedom of Information – Bolton Council

Bury Council Freedom of Information request – Bury Council

Rochdale Borough Council About Freedom of Information requests | Freedom of Information request | Rochdale Borough Council

Manchester Council Freedom of Information | Freedom of Information | Manchester City Council

Oldham Council Freedom of information | Freedom of information | Oldham Council

Salford Council Freedom of Information Act•Salford City Council

Stockport Council Freedom of information – Stockport Council

Tameside Council Freedom of information requests (FOI) | Trafford Council

Trafford Council Freedom of Information (trafford.gov.uk)

Wigan Council Freedom of Information (wigan.gov.uk)

Request 7: Funding

There has been no uplift for 2025/26 or 2026/27 as agreed during the lifetime of the contract.

**An excel document was sent to the requester with this response.  If you require a copy of the full response, together with the attachments, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net **