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Thousands of people with severe obesity are being denied access to effective treatment because the NHS rollout of the weight loss jab Wegovy is happening far more slowly than planned, research by Sky News shows.

Freedom of Information requests reveal that just 800 people had been prescribed the drug through hospital weight-loss services by the end of April – despite estimates by the Department of Health that 13,500 should have started treatment by then.

Sky News spoke to several patients who have been denied the jab on the NHS.

Ken Pollock
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Ken Pollock is in severe pain from osteoarthritis, but has been denied Wegovy

One was told there was no prospect of treatment, despite needing to lose five stones (32kg) before surgeons are prepared to go ahead with a double knee transplant.

Dr Robert Andrews of the University of Exeter, who has run clinical trials of new obesity drugs, said access was a “postcode lottery”.

He said: “As a doctor, you go into the profession to try and help people.

“But we are unable to offer treatment to everyone who could benefit. And that’s really difficult.

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“Money follows for other illnesses, but it doesn’t for this illness. And that’s really a form of bias.

“Seeing that within the NHS is soul destroying.”

NHS text message
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The NHS used a text message to tell Ken Pollock it couldn’t offer him Wegovy

Under guidelines from the National Institute for Health and Care Excellence (NICE) specialist weight-loss clinics in England and Wales should have started prescribing Wegovy in December last year.

The NHS cost-effectiveness authority said that people with a body mass index (BMI) over 35 and at least one related condition such as high blood pressure were eligible for treatment.

But Sky News asked Integrated Care Boards (ICBs), which commission local NHS services, whether they made the drug available through tier-3 weight-loss clinics in local hospitals.

By the end of April, only 14 of 42 ICBs had done so, and they imposed extra rules to restrict access – such as only offering it to patients in life-threatening situations, including those who need to lose weight ahead of cancer surgery or organ transplants.

Rob Andrews
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Dr Robert Andrews of the University of Exeter said access to Wegovy was a ‘postcode lottery’

In all, just 838 patients in England had been treated by then – a little over 6% of the 13,500 that NICE expected to be on Wegovy.

Ken Pollock, who weighs 25 stone and is in severe pain from osteoarthritis, has been denied NHS treatment with the drug.

He’s been told he must lose five stone before surgeons will go ahead with a double knee replacement that would allow him to exercise. At the moment he struggles to even climb the stairs.

But the hospital weight-loss clinic told him by text that there was a two-year wait to be seen and it was “unable to offer medication”.

“It’s so shocking,” he said.

“I considered going private. But I thought ‘no, I’ve paid into the NHS all my life’. So I’m stuck in a kind of loop and I don’t know what’s next.”

Rob Andrews
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Dr Robert Andrews (L) has run clinical trials of Wegovy

Studies show people lose on average 15% of their body weight within months of starting treatment with Wegovy. The drug mimics a natural hormone and people feel fuller faster and for longer.

Dr Jonathan Hazlehurst, an NHS obesity specialist in Birmingham, but speaking in a personal capacity, said the findings by Sky News confirm research that he and others have done on poor access to treatment.

“My concern is that there are so many people that could benefit, but increasingly the systems are not in place to provide this care,” he said.

“Those able to pay for treatment can access it, but many more are left untreated or on long waiting lists for overstretched services that are not resourced to meet patients’ needs.

Sally Hardwicke pays £160 per month to buy Wegovy privately
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Sally Hardwicke pays £160 per month to buy Wegovy privately

“The availability of effective medications for obesity should be viewed as an opportunity to improve health but to realise this potential will require a significant funding investment.”

Obesity costs the NHS £6bn a year and is linked to 200 different diseases.

Half of all obese people with three related problems, such as high blood pressure or diabetes, will be dead within 10 years.

Read more:
People on weight loss drugs to get ‘beach body ready’ risk consequences’
Ozempic to Wegovy: benefits and downsides
Wegovy supply issues as private clinics stockpile

Sally Hardwicke decided to buy Wegovy privately after being turned down for NHS treatment, despite meeting the NICE criteria.

She has to ring around pharmacies to find a supply, which costs her roughly £160 a month. But she says the drug is well worth the money.

“I never used to feel full. I could eat a very big meal and still want more,” she said.

“Now my food is on much smaller plates and nine times out of 10 I don’t even finish what I’ve got.”

Sally said she had tried countless diets to try to lose weight, but the effect was short-lived.

“Even my boss said ‘why would you want to be putting that drug in your body?’ Because I’m desperate,” she said.

A spokesperson for NHS England said: “While specialist weight management services – which are required to prescribe this particular treatment – are commissioned based on local priorities, the NHS provides a wide range of support which is helping hundreds of thousands of people lose weight and live healthier lives.

“We are committed to working with the government, industry and experts to ensure that new treatments can be rolled out safely, effectively and affordably.”

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Why many victims will welcome a national inquiry into grooming gangs

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Why many victims will welcome a national inquiry into grooming gangs

In 2019, nine men were jailed for raping and abusing two teenage girls living in a children’s home in Bradford.

One of the victims, Fiona Goddard, says more than 50 men raped her.

When the government began to talk about offering councils money for local inquiries, Fiona hoped Bradford would be one of the first to take up the offer. But there didn’t seem to be much enthusiasm.

The council was quick to point out that there had already been an independent case review into Fiona’s case, along with four other victims.

This, then, was Fiona’s first reasoning for wanting a national inquiry: The council felt it had done all that needed to be done. Fiona didn’t.

The Independent review, published in July 2021, found that while in the children’s home, Fiona “went missing almost on a daily basis”. The police attitude was that she could look after herself – she was “street-wise”.

There was “agreement by all agencies that Fiona was either at risk of Child Sexual Exploitation (CSE) or actively being sexually abused and exploited”. But “this was not addressed by any single agency”.

And “when Fiona became pregnant at the age of 15, there was little curiosity or enquiry who the father was”.

So, obvious failings were discovered.

The predictable response was that lessons had been learned and new processes put in place. But no one seemed to be held accountable.

Grooming gangs timeline: What happened, what inquiries there were and how Starmer was involved

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Grooming gangs: What happened?

Ms Goddard told Sky News: “In my serious case review she [Jane Booth, the independent chair] found seven incidences at least, in them records that she found, of them not reporting sexual abuse or rape or assault, from as young as eight years old, and one of the incidences I literally turned up covered in blood and they didn’t report it.

“That is not just misunderstanding a crime, that is making intentional decisions not to report the sexual abuse of a child.”

She adds: “Let’s not forget, these people still work within social services and the police force.”

Not only did this Independent review not satisfy Fiona, but it also didn’t begin to reflect the levels and scale of abuse Fiona had experienced outside of Bradford.

Fiona Goddard, who says more than 50 men raped her in Bradford
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‘I literally turned up covered in blood and they didn’t report it,’ Fiona says

Asked where she was trafficked to, Fiona rattles off a list of cities.

“Blackburn, Rotherham, Rochdale, Birmingham, Edinburgh, Oldham – never Telford, I’d never even heard of Telford until it all came out if I’m honest – Nottingham, Oxford.”

Then she remembers she didn’t go to Oxford – men from Oxford came to her – but the point is made.

Local enquiries can’t possibly begin to explore the networks of men who traffic women, often down routes of drug trafficking being done by the same gangs.

Bradford Council told Sky News it contributed to the national Independent Inquiry into Child Sexual Abuse (IICSA) and published more than 70 reports where child sexual exploitation was discussed and has implemented findings from the independent local review which included Fiona’s case.

Fiona believes there are numerous connections leading back to Bradford – but victims from each city often believe their abusers are at the centre of it.

We’ve spoken to grooming victims across the country, and in 2022, a case was reopened in Humberside after a Sky News investigation, where we found diary entries, texts, photos, and school reports all indicating that teenage victims had been abused.

Read more on this story:
Telford child abuse victims speak out

What we know about grooming gangs, from the data
The women who blew whistle on Rotherham

One of them was “Anna”, who also wants a national inquiry. She believes there is a national pattern of police forces not believing victims or even criminalising them instead.

Obtaining her own police records using a Subject Access Request (SAR), Anna found officers’ attitudes towards her were similar to what we heard with Fiona in Bradford, blaming her abuse and injuries on “lifestyle choices of her own”.

Anna said: “Every time I look at my Subject Access Request, I still think it’s shocking.

“It was the same sort of terminology – lifestyle choices, liar, attention seeker, and the majority of it was negative.

“It was really rare that I’d come across something where they were actually listening or they were concerned.”

Humberside Police told us: “As the investigation is active, it is imperative we protect its integrity; as such are unable to comment on aspects of the investigation as this could impact or jeopardise any criminal or judicial proceedings.”

But it is years now since Anna first reported her abuse, and she believes the police have left it too late to gather evidence.

She told Sky News: “I think it’s either happening everywhere, or young people have been taken everywhere.

“I think the attitudes of the professionals, the police, social services, from what I’ve heard and seen, they seem very similar in every area.”

The government-commissioned rapid review by Baroness Casey is due to be published next week and is expected to call for a national inquiry into grooming gangs.

Like Anna and Fiona, many victims will welcome Sir Keir Starmer’s early response accepting the recommendation.

They will want the inquiry to probe into the operations of the perpetrators – who they are and how they are connected.

But they will also want clear accountability of the people and organisations who failed to act when they reported their abuse – and an understanding of why, so often, authorities fail to protect these vulnerable girls.

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Woman, 23, dies after falling in water at beauty spot in Scottish Highlands

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Woman, 23, dies after falling in water at beauty spot in Scottish Highlands

A woman has died after falling into the water at a popular beauty spot in the Scottish Highlands.

The 23-year-old had fallen into the water in the Rogie Falls area of Wester Ross.

Police Scotland confirmed emergency services attended the scene after being called at 1.45pm on Saturday.

“However, [she] was pronounced dead at the scene,” a spokesperson said.

“There are no suspicious circumstances and a report will be submitted to the Procurator Fiscal.”

Rogie Falls are a series of waterfalls on the Black Water, a river in Ross-shire in the Highlands of Scotland. They are a popular attraction for tourists on Scotland’s North Coast 500 road trip.

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‘Happy Father’s Day, Papa’: Royal children share ‘before and after’ photos with Prince William

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'Happy Father's Day, Papa': Royal children share 'before and after' photos with Prince William

Prince George, Princess Charlotte and Prince Louis have wished their “Papa”, Prince William, a happy Father’s Day.

The post on the Prince and Princess of Wales‘s official social media pages features two photos – captioned “before and after”.

The children are seen hugging their father – and then piling on top of him.

The post reads: “Happy Father’s Day, Papa (before and after!) We love you! G, C & L.”

The two photographs of the family – one colour and one black and white – were taken earlier this year in Norfolk by photographer Josh Shinner, who also took Prince Louis’s birthday portraits earlier this year.

The post follows yesterday’s Trooping the Colour, celebrating King Charles‘s official birthday, after which the family shared a rare posed photo taken on the day of the event.

The first photo shows the Prince of Wales wearing a green woollen jumper and jeans, with his arms around George, 11, and Charlotte, 10, with Louis, seven, standing in front of him.

The second picture shows everyone in a bundle, lying on grass and daffodils, with Prince William at the centre.

The Royal family traditionally shares public wishes for Father’s Day and Mother’s Day.

Last year, the Prince of Wales shared a photo of himself playing football with the King, taken in the gardens of Kensington Palace in June 1984, just ahead of his second birthday.

This year, Buckingham Palace posted a black and white photo of Prince Philip pushing a young King Charles and Princess Anne on a swing.

A second photo showed the Queen and her father, Major Bruce Shand, taken on the day of her wedding to Charles in 2005.

The message read: “To all Dads everywhere, we wish you a happy Father’s Day today.”

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