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AIBU?

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AIBU to question GP incentives for prescribing weight-loss drugs?

80 replies

NinaNinComPoop · 19/04/2026 07:25

And to ask what other prescribed medication awards GPs with financial incentives?

Beginning in April 2026, GPs in England will receive financial incentives, averaging £3,000 a year, to increase the prescription of weight-loss drugs, specifically Mounjaro (tirzepatide), to eligible patients. This move is part of a government initiative to accelerate the NHS rollout of these treatments to manage obesity, with up to £25 million in ring-fenced funding.
BBC +2
Key Aspects of the New Initiative:

  • Targeted Incentives: The bonus is intended to encourage GP practices to prescribe Mounjaro to those with the greatest clinical need, rather than just those who can afford private prescriptions.
  • Eligibility Restrictions: Despite the push, access remains restricted to specific groups. Initially, this includes patients with a BMI of 40 or higher (or 37.5 for certain ethnic groups) who also have at least four weight-related conditions. The eligibility threshold is expected to drop in 2026/27.
  • Concerns over Implementation: While aimed at improving access, some GP leaders and experts have voiced concerns that the incentives may not overcome the "stark divide" in access and could strain GP workloads.
  • Alternative Care Models: Amidst the focus on medication, some GPs are also expanding "social prescribing" to improve mental and physical health through non-clinical activities like community projects, which can in some cases reduce the need for medication.
  • BBC +5
The move follows a broader push to make weight-loss treatments "to the many, not the few," aiming to reduce the long-term health burdens on the NHS.
OP posts:
Clockinginat2pm · 19/04/2026 07:44

Are you suggesting that GPs are PERSONALLY incentivised to prescribe?
So bribery?

If so, what a load of rubbish. They are not.

If you are not suggesting this then you need to be much clearer in your OP because that is what it sounds like.

EyeLevelStick · 19/04/2026 07:38

You’ve literally copied and pasted an AI search there.

What exactly are you objecting to, in your own words?

WhynotJanet · 19/04/2026 07:37

There have always been additional payments for gp practices when the NHS has determined there is a clinical need to incentivise. These initiatives mean already cash strapped practices, need more manpower/resouces and more staff time to deliver. How would you suggest they do this? Ask people to work extra hours for free?

WutheringTights · 19/04/2026 07:31

Prescribing WLIs require GPs to do more work, eg additional appointments, monitoring etc. So under the current funding model they need to be paid for the additional resources required. Otherwise they would need to cut other services to free up resource.

VillageMilton · 19/04/2026 07:27

This is literally how Primary Care funding works, OP. All of it.