Weight loss drugs a distant chimera in this £15 million NHS weight management service for Sussex.
Started More Life's 12 week course (plus 8 months) five weeks ago. It covers Sussex, a large county and Brighton & Hove. Sarah Rix the NHS commissioner is based at Hove Town Hall, I wonder how much she knows ? So far the Tier 3 service has delivered no weight loss drugs. Drugs that is, like Semaglutide (0zempic) in the form of Wegovy, Mounjaro or Saxenda, which is what I was told I would not only need to reduce risk of death on the operating table, but that I would finally get on NHS Tier 3. Now, it does not look like many of us on the course will get it for a very long time. We have therefore been misled by the service and the GP has been given misinformation as has the Health Secretary, who I shall contact. This information was given to GPs by commissioners within the NHS. We have been led up the garden path and back again for 2 years. So upsetting. So depressing. I am now obsessing about food so much I am putting on weight because the focus in every part of the More Life newly contracted course is about food. More Life is owned by a slim, fit, Professor of Sport and 'obesity'. Theoretically he knows about wellness/fitness but is not fat and has not been. He is connected to Leeds Metropolitan university wellness centre. He does not seem to know obese people get to the point where their brains are hardwired and crave after years of dieting. To get onto a Tier 3 service, which in this county of Sussex was delayed for roll-out by two years, starting only in Aug 2024, requires high level tick box criteria in terms of illness and conditions, BMI and weight to qualify. Waiting lists are very long. The contract for £15million to More Life is over 5 years and Sussex is a big county and demand is high. But beforehand,
people are told they will get the drug they need on Tier 3 as they proved eligibility. Not true. Proportionately, only 150 injecting places over two years are going to be available in Sussex for what will be thousands of clients. The attrition rate is likely to be high because of disappointment which is probably what they are counting on. Now I very much doubt the NHS will get any more money for weight loss drugs because big pharma exploits, and we are facing a crisis with defence spending of huge proportions. Basically this is a £15 million contract to deliver dietary advice in Sussex as a cover for being unable to supply Wegovy and Mounjaro. Diet is the worse thing for the severely obese who are ill and have already been dieting for years and have been on nutrition courses. It just increases food noise. This is precisely why the drugs are a game changer - for they change the chemistry in the brain. It is that chemistry that has been changed over time with dieting. Dieting triggers cravings. Sussex Commissioners based in Hove may think that £15 million will be cheaper than supplying drugs, as demand will always outpace supply even for sick people, as obesity is a major health problem. Smoke and mirrors PR trick. So the NHS in Sussex is really not delivering the NICE approved weight loss drug to the very people who desperately need it. Instead they are regurgitating the nutritional/psychological behavioural information already delivered on Tier 2 by One Life in Sussex, and it is not anywhere near as good a delivery as that was. I went on the Tier 2, lost 2 stone and put it all back on within 6 months of ending the 12 week course. I am beginning to realise deeply how the NHS really does not understand obesity treatment and people who talk about and deliver it are often and quite insultingly, usually slender people who do not have the problem and never had it. Some medical professionals know the damage it does but do not know how to treat it. Stigma about fat is all around and exists within the medical profession. Empathy is rare. Talking about food over and over in Tier 3 repetitions of Tier 2 nutrition information and saying count calories and write a food diary, is just dieting in my book -the very thing that caused the obese state I am in after years of yo yo dieting. Shocking stuff and far more serious than Channel 4 Dispatches has exposed with their discursive and documentary on skinny jabs (TX on 4th March) being given out without proper checks by private 'chancers' on the make. They skimmed over the subject with poor-prescribing stories which was click bait and avoided educating people. Therefore there was very little learning and a major missed opportunity. Food is an addiction to obese people just like alcohol is to alcoholics, but with food you have to eat to live- a trigger. All previous appetite suppressing drugs were dangerous and highly addictive. Semaglutide suppresses while not creating an addiction to the weight loss drug. Again this TV missed opportunity is down to stigma, and probably because non-obese people researched, produced and presented it.
5 maart 2025
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