Someone close to me has finally been prescribed Ozempic/Wegovy on the NHS, after several years on the Tier 3 weight loss service at the local large hospital. She should have been timed out from that, but appealed to their good nature with various reasons and was kept on.
When she started well pre-Covid said there was a drug coming soon which they would be able to prescribe, but the date kept being put off and off. She lost 20lbs through calorie-counting and their support, but put it all back after developing long Covid.
The last stage, after NHS approval, was the hospital pharmacy saying they would be unable to supply it for workload reasons, so they organised an arrangement with an online pharmacy.
She speaks to someone from the Weight Management Service every month, then the consultant reviews what has been said and prescribes the next month’s supply. Because of one continuing side-effect (constipation) and another which has resolved she’s still on the original dose after 3 months, with almost no appetite suppression. The full dose is 2.4mg, the original is 0.25mg. After some time at the full dose reviews will be less frequent but will still continue.
She is being properly supervised, in my opinion, at considerable cost to the NHS, so
the idea that people can just go to their GP and ask to be prescribed it doesn’t seem sensible to me.
BTW, she spoke to the consultant about what happens when the two years are up. He said he thought people should be allowed to continue on it, to avoid putting all the weight back on.