25/02/2026
Weight Loss Medication
Over the past couple of days we have received queries from patients about weight loss injections. There has been some confusion following a recent BBC article referring to GPs receiving a “£3,000 bonus” for prescribing these medications, and we would like to clarify a few points.
Firstly, this is not a bonus payment. It would be payment for a commissioned NHS service that falls outside of the core general practice contract. This is the same model used when practices are paid to deliver seasonal flu vaccinations or other optional services that practices can choose whether to provide. The sum quoted in the article is described as an average amount available, with the actual payment dependent on the size of the practice. It is not a payment per injection. The figure has been calculated as an average to cover all patients who may be eligible under the service.
The headline also gives a misleading impression because it does not explain that strict eligibility criteria are in place under current NHS guidance. There has been no change to the clinical criteria for treatments that can be delivered in general practice.
It is disappointing that the tone of the article suggests GPs would prescribe based on income rather than clinical need and patient safety. Prescribing decisions are always based on national guidance and what is appropriate for the individual patient.
For clarity, we do not currently prescribe these medications for weight loss. Norfolk and Waveney ICB, working with Suffolk ICB, will commission a service to deliver these treatments in line with strict NHS guidance from April 2026. We are not offering these medications outside of that guidance.
For further information, please see the Norfolk and Waveney ICB page here:
https://improvinglivesnw.org.uk/our-work/healthier-communities/medicines/tirzepatide-frequently-asked-questions/
We hope that clears things up a little.
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