FOI2026/1913

I am writing to make a request under the Freedom of Information Act 2000. Please treat each numbered question as a discrete request, capable of being answered individually where appropriate.

For the avoidance of doubt, the three financial years referred to throughout are:

1. i) 2023/24
2. ii) 2024/25

iii) 2026/27

Section A – Commissioning status and spend

1. Does your ICB currently commission Tier 3 weight management services? Please confirm separately for each of the three financial years identified above.
2. For each year in which Tier 3 weight management services were commissioned, please state the level of spend (including planned spend for 2026/27).
3. Does your ICB commission any weight management services through the Right to Choose (RtC) pathway? If yes, please provide the name of the provider(s).

Section B – Providers

1. Please list all providers from whom your ICB currently commissions Tier 3 weight management services.
2. For each provider listed in response to question 4, please confirm:
3. Whether they offer digital weight management services; and b. Whether they offer a digital prescribing pathway.

Section C – Patient activity and referrals 1. For (a) the last full financial year and (b) the most recent six-month period for which data are available, please state:

1. i) the total number of patients referred to a Tier 3 weight management service;
2. ii) of these, the number referred via the Right to Choose pathway; and

iii) the total spend attributable to patients referred via the Right to Choose pathway.

2. For the same periods as question 6, please state:
3. i) the number of patients enrolled in a Tier 3 weight management service who were prescribed a GLP-1 receptor agonist as part of their treatment; and
4. ii) of these, how many GLP-1 receptor agonist prescriptions were issued by Right to Choose providers.

Section D – Waiting times

1. As at the date of this request (or the most recent date for which figures are available), please state:
2. the number of patients on a waiting list for Tier 3 weight management services; b. the average waiting time; and c. the longest current waiting time

Section E – Policy documentation

Please supply a copy of any current policy, criteria, or clinical guidelines governing patient access to Tier 3 weight management services in your ICB area. If no standalone policy exists, please provide any relevant extract from a broader commissioning policy or clinical pathway document.

Section A:

Section B:

Section C

1. For up to date activity / referral data, please contact the Tier 3 providers direct.
2. No of patients referred under a Right to Choose Pathway / prescribed a GLP-1:

• The total spend attributable to patients referred via the Right to Choose pathway.

Section D:

For up to date waiting time information, please contact the Tier 3 providers direct.

Section E:

NHS GM does not have a policy or clinical guidelines governing patient access to Tier 3 weight management services in the area. Please find attached the two service specifications for the commissioned Tier 3 services for MoreLife and ABL.

A word 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