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.
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.”
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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.
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.”
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.
“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.
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.”
An apparent firebomb attack at a DHL warehouse in Birmingham, linked to Russian-backed saboteurs, was believed to be a trial run for a US attack, according to Polish officials.
Poland’s National Prosecutor’s Office has confirmed four arrests after parcels “containing explosives” were allegedly sent via courier companies to countries including the UK.
Counter-terror police in the UK are already investigating whether Russia had any involvement after a suspicious package caught fire at a DHL warehouse in Minworth in July.
Authorities in Germany are also examining several fires thought to have been caused by incendiary devices hidden inside parcels at a warehouse in Leipzig.
Polish Prosecutor Katarzyna Calow-Jaszewska said the latest arrests were related to parcels “which spontaneously ignited or detonated during land and air transport” to EU countries and the UK.
She said the group’s goal was allegedly “to test the transfer channel for such parcels, which were ultimately to be sent to the United States of America and Canada”.
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She added that four people involved in “sabotage” and “of an international nature were detained”.
On Monday, Counter Terrorism Policing said the arrests reported by Polish authorities were not carried out as part of its investigation.
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It coincides with reports by the Wall Street Journal (WSJ) that the devices were “electric massagers implanted with a magnesium-based flammable substance” and “part of a wider Russian plot”.
Russia has denied involvement. A Kremlin spokesperson told the US newspaper the claims were “traditional unsubstantiated insinuations from the media”.
A suspicious fire took hold in July at a DHL warehouse in the UK after a package arrived by air, but further details about the plane and its flight path are unknown.
Last month British police said their investigation was “being led by officers from the Met’s Counter Terrorism Command with support from colleagues from Counter Terrorism Policing West Midlands”.
Some 593 police officers were sacked in the year to April 2024, figures show.
The number of those kicked out and barred from returning to the job was a 50% increase on the 394 officers sacked in the previous 12 months, the College of Policing said.
They were from a workforce of more than 147,000 officers across the 43 police forces in England and Wales.
Several officers have also been punished for sharing deeply offensive WhatsApp messages.
The Police Barred List from the College of Policing also gives the reason for the sacking, with 912 recorded in total because multiple reasons can apply to one case.
The most common reason for being sacked was dishonesty, in 125 cases, followed by sexual offences or misconduct in 74 and discriminatory behaviour in 71.
Some 66 cases recorded unlawful access to or disclosure of information while 18 were for being part of a discriminatory WhatsApp group.
Eighteen officers were sacked for possessing indecent images of children and 33 were fired for abusing their position for a sexual purpose.
Of those who lost their jobs, 519 were constables and 48 were sergeants, followed by 16 inspectors, five chief inspectors, two superintendents, one chief superintendent and two chief officers.
Some 30 specials – volunteer officers – were also added to the Police Barred List in the year up to 31 March 2024, as were 233 police staff.
Of the 623 officers and specials sacked, 79 were from a black or ethnic minority (BAME) background, accounting for 12.7% of the total dismissed – workforce data shows 8% of officers said they are from a BAME background as of March 31 2024.
Meanwhile, 530 were white and ethnicity was not recorded in the remaining 14 cases.
Of the sacked officers and specials, 491 were male, 97 were female, one preferred to self-describe and 34 preferred not to say.
The Metropolitan Police had the highest number of sacked officers, followed by Greater Manchester Police, West Yorkshire, West Midlands and Essex.
‘Hugely disappointing’
Assistant Chief Constable Tom Harding, director of operational standards at the College of Policing, said: “It is of course, hugely disappointing to see the conduct of a number of officers falling far below the standard that we set for policing and which the public rightly expects.
“However, these figures show that we have effective, robust procedures in place to identify and deal with these officers swiftly, and to prevent them from holding future roles within the police.
“These figures show that there is nowhere to hide for people who fail to meet the high standards set across our police forces.
“Their behaviour tarnishes policing and erodes public trust. The service will continue working to ensure we attract the right people into policing, ensuring that those who fail to meet these high standards have no future in policing.”
A prison has been become like an “airport” with drugs being brought in by drones through holes burned in cell windows, an inmate has told inspectors.
A watchdog has warned HMP Garth, in Lancashire, which holds serious offenders, is “facing major security issues” and a “breakdown in safety and security”.
Inspectors found prisoners had been using the elements from their kettles to burn holes in their “inadequately protected” Perspex windows to allow the “entry of drones laden with contraband”, while the “smell of cannabis was rife”.
Some 63% of the men held in the category B jail who were surveyed said it was easy to get hold of drugs with one saying: “This is now an airport.”
Inspectors found prisoners were damaging their windows faster than they could be repaired with 13 cells found with holes, including five which were still occupied, on the first day of the visit.
They also said oversight and searching, including accounting for mops and brooms used to collect drugs from drones, was “weak”.
Chief inspector of prisons Charlie Taylor said: “Garth holds some very serious offenders. Although the governor had a good understanding of the many challenges the prison faced, without better support from the regional team and the prison service it will continue to be a jail of real concern.
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“It is imperative that the prison service finds a way to stem the ingress of drones to reduce the supply of drugs into prisons like Garth, so they can begin to reduce violence and get men out of their cells and into a full day’s work and training.
“Staff attendance and capability will need to improve significantly and without substantial investment from the prison service, drugs will continue to flow into this troubled jail.”
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In January, 400-metre restricted fly zones were introduced around all closed prisons and young offender institutions in England and Wales, while there have been more than 90 drone-related convictions since June 2016.
A 36-year-old man was arrested in the early hours of Monday after staff at HMP Liverpool spotted a drone trying to land in the prison courtyard.
The package was found to contain cannabis resin, tobacco, mobile phones notes, drill bits and SIM cards, Merseyside Police said.
At the time of the HMP Garth inspection, the training prison held 816 prisoners mostly serving long or indeterminate sentences.
The rate of assaults had soared by 45% since the last inspection, with many inmates needing protection because of drug-related debt.
Inspectors found some parts of the prison were dilapidated and new arrivals said they were being forced to pay other prisoners to get missing furniture for their cells.
The report also highlights high levels of staff sickness, insufficient training and an unwillingness to challenge prisoner rule-breaking, as well as poor staff morale.
Chief executive of the social justice charity Nacro, Campbell Robb, said the issues the latest report highlights are “symptomatic of wider crisis” across the prison system.
“HMP Garth is another example of how without significant reform, we risk perpetuating a vicious cycle of violence and hopelessness within our prisons, undermining both public safety and the potential for rehabilitation in the long-term,” he said.
A Ministry of Justice spokesperson said: “The new government inherited a prison system in crisis and reports like these demonstrate the need for robust action to get the situation back under control.
“We have zero tolerance towards violence and drugs and our security measures, such as X-ray body scanners and anti-drone no-fly zones, detect and stop drugs from entering our prisons.”