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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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‘I’m deprived of my UK citizenship but I’m not a convicted terrorist’

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'I'm deprived of my UK citizenship but I'm not a convicted terrorist'

Hayat Tahrir al Sham (HTS) went from a jihadist movement once aligned to al Qaeda to forming the official government of Syria.

It was a monumental transformation for them, their country and the wider Middle East.

But potentially too for British people who went to Syria – and who were stripped of their citizenship as a result, on the grounds of national security.

Tauqir Sharif, better known as Tox, went to Syria in 2012 as an aid worker. He was accused of being part of a group affiliated with al Qaeda, which he denies, and the then-home secretary Amber Rudd deprived him of his British citizenship in 2017.

“As of now, I am deprived of my UK citizenship but I’m not a convicted terrorist – and the reason for that is because we refused, we boycotted, the SIAC [Special Immigration Appeals Commission] secret courts, which don’t allow you to see any of the evidence presented against you,” he said.

“And one of the things that I always called for was, look, put me in front of a jury, let’s have an open hearing.”

Tox went to Syria in 2012
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Tox went to Syria in 2012

HTS is still a proscribed terrorist organisation but the British government has now established relations with it.

Foreign Secretary David Lammy travelled to Damascus to meet the jihadist-turned-Syrian interim president – the man who swapped his nom de guerre of al Jolani for Ahmed al Sharaa.

David Lammy shakes hands with Ahmed al Sharaa in Damascus. Pic: X / @DavidLammy
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David Lammy shakes hands with Ahmed al Sharaa in Damascus. Pic: X / @DavidLammy

If the UK government takes HTS off the terror list, what does that mean for those who lost their citizenship after being accused of being part of it?

People who joined HTS are only a subset among the scores of people who have had their citizenship revoked – a tool the UK government has been quick to use.

According to a report by the Parliamentary Joint Human Rights Committee, the UK “uses deprivation of citizenship orders more than almost any country in the world”.

The peak of that was in 2017, and mainly in relation to Syria – especially in the case of people joining Islamic State, perhaps most famously Shamima Begum.

Shamima Begum was stripped of her British citizenship on national security grounds
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Shamima Begum was stripped of her British citizenship on national security grounds

And because people cannot be made entirely stateless, and need to have a second nationality, or be potentially eligible for one, there are worries of racism in who the orders apply to.

Countries like Pakistan and Bangladesh offer dual nationality, whereas other nations do not. In 2022, the Institute of Race Relations said “the vast majority of those deprived are Muslim men with South Asian or Middle Eastern/North African heritage”.

Legal grey areas

Sky News submitted Freedom of Information requests to the Home Office asking for a breakdown of second nationalities of those deprived of citizenship, but was refused twice on national security grounds.

The independent reviewer of terrorism legislation, Jonathan Hall KC, told Sky News there are issues around transparency.

“I do think there is a problem when you have people whose relationship with the country that they’re left with is really technical and they may never have realised that they had that citizenship before and may never gone to that country,” he said.

“Me and my predecessors have all said, owing to how frequently this power is used, it should be something that the independent reviewer should have the power to review. I asked, my predecessor asked, we’ve both been told no, so I agree there’s a lack of transparency.”

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No automatic reversal

Even if the government does remove HTS from the terror list, it would not automatically invalidate decisions to deprive people of their citizenship.

Macer Gifford fought with the Kurdish People's Protection Units (YPG) as a foreign volunteer. Pic: AP
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Macer Gifford fought with the Kurdish People’s Protection Units (YPG) as a foreign volunteer. Pic: AP

Macer Gifford gave up a career as a banker in London to join the Kurdish People’s Protection Units (YPG) as a foreign volunteer between 2015 and 2017.

He told Sky News that decisions “made years ago in the interest of the British public have to remain”.

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“We can’t sort of go through previous cases nitpicking through it, wasting time and money to bring it up to date,” he added.

“We can’t be naive because the intent to go out, the decision to go in itself is a huge decision for them. So it shows commitment when they’re there, they then, if they take an active participation in the organisations that they’ve been accused of joining, again, that involves training and perseverance and dedication to the cause.”

But those born and raised in Britain, who joined the same cause, and lost their citizenship as a result, might reasonably ask why that should remain the case.

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Criminals could be banned from pubs and sports grounds under new plans

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Criminals could be banned from pubs and sports grounds under new plans

Criminals face being banned from pubs, sports grounds and concerts under new government plans to give judges powers to pass tougher community sentences.

The new measures, which would apply to people in England and Wales, “should remind all offenders that, under this government, crime does not pay”, Justice Secretary Shabana Mahmood said.

Offenders’ freedom could also be curtailed with limits on driving, travel bans and restriction zones confining them to specific areas, the government said.

Similar measures could also apply to prisoners let out on licence, while drug testing would be expanded to include all those released, rather than just those with a history of substance misuse.

While judges are currently able to impose limited bans for specific crimes, such as football bans for crimes committed inside a stadium on match day, the new measures would allow for such bans to be handed down for any offence.

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Inside one of Britain’s most overcrowded prisons

The justice secretary said: “When criminals break society’s rules, they must be punished.

“Those serving their sentences in the community must have their freedom restricted there too.

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“These new punishments should remind all offenders that, under this government, crime does not pay.

“Rightly, the public expect the government to do everything in its power to keep Britain safe, and that’s what we’re doing.”

The proposals are part of the Labour government’s efforts to tackle overcrowding in prisons.

Back in June, it emerged that prisoners were to be transferred to lower security jails in an effort to ease overcrowding, as part of a new measure quietly unveiled by the government.

Sky News reported earlier this month how the prison system was close to collapse on a number of occasions between autumn 2023 and summer 2024, according to an independent review by former chief inspector of prisons, Dame Anne Owers.

The report said there was a systemic problem which has led to recurring prison capacity crises over the last 18 years.

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Police separate anti-immigration and anti-racism protesters across the country

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Police separate anti-immigration and anti-racism protesters across the country

Protesters have gathered across the country as groups demonstrated against asylum seeker housing and were met by anti-racism campaigners.

Demonstrations under the Abolish Asylum System slogan were held in England, Scotland and Wales, including in Bristol, Exeter, Tamworth, Cannock, Aberdeen, Mold, Perth, Nuneaton, Liverpool, Wakefield, Newcastle, Horley and Canary Wharf.

Counter-protests were also organised by campaign group Stand Up to Racism.

Police officers scuffle with demonstrators during protests at Castle Park in Bristol. Pic: PA
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Police officers scuffle with demonstrators during protests at Castle Park in Bristol. Pic: PA

In Bristol, mounted police separated the two groups in the Castle Park, with officers scuffling with protesters.

Police kept around 200 anti-immigration protesters draped in English flags away from roughly 50 Stand Up to Racism protesters in Horley, Surrey.

People take part in a protest outside the Sheraton Four Points Hotel in Horley, Surrey. Pic: PA
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People take part in a protest outside the Sheraton Four Points Hotel in Horley, Surrey. Pic: PA

One man, wearing a West Ham United football shirt, was held by police as he yelled: “You’re not welcome here, you’re not welcome here, you’re not welcome here” at anti-racism protesters.

Read more:
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Anti-immigration protesters also chanted: “Tommy, Tommy, Tommy, Tommy Robinson” in support of the far-right activist, whose real name is Stephen Yaxley-Lennon.

A confrontation between a protester and a counter-protester outside the Sheraton Four Points Hotel in Horley, Surrey. Pic: PA
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A confrontation between a protester and a counter-protester outside the Sheraton Four Points Hotel in Horley, Surrey. Pic: PA

The anti-racism protesters chanted “say it loud, say it clear, refugees are welcome here” and held signs calling for solidarity and to “stop deportations”.

The Stand Up to Racism protesters were shepherded into a smaller area as they continued to chant: “No hate, no fear, refugees are welcome here”, which was met with “No they’re f****** not” from the other side of the street.

People inside the hotel look at protesters outside the Radisson Hotel in Perth. Pic: PA
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People inside the hotel look at protesters outside the Radisson Hotel in Perth. Pic: PA

In Perth, protesters gathered outside the Radisson Hotel.

The anti-migration protesters held up signs with slogans such as “Perth is full – empty the hotels” and “get them out”.

People take part in a counter-protest outside the Radisson Hotel in Perth. Pic: PA
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People take part in a counter-protest outside the Radisson Hotel in Perth. Pic: PA

Stand Up to Racism Scotland said it had achieved “victory” in Perth, with more than 200 gathering to oppose the Abolish Asylum System demonstration.

In Liverpool, a dispersal order was issued to try and contain the protests.

Saturday’s events come amid continued tension around the use of the hotels for asylum seekers.

Regular protests had been held outside the Bell Hotel in Epping, Essex, which started after an asylum seeker housed there was charged with sexually assaulting a 14-year-old girl on 10 July.

Hadush Gerberslasie Kebatu, 38, was charged with trying to kiss a teenage girl and denies the allegations. He is due to stand trial later this month.

In the wake of those protests, Epping Forest District Council sought and won an interim High Court injunction to stop migrants from being accommodated there – a decision which the government is seeking permission to appeal.

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