A recent report by the Association of the British Pharmaceutical Industry (ABPI) highlights significant disparities in the prescribing rates of weight loss drugs across Scotland’s health boards. The NHS Western Isles has been identified as prescribing these medications at almost three times the rate of any other health board in the region. This report, which examines data from September 2020 to August 2025, particularly focuses on the use of GLP-1 medications, traditionally used for type 2 diabetes but approved for weight management in 2023. The findings underscore substantial geographic variation in access to these drugs within Scotland’s healthcare system.
The report also outlines that NHS Western Isles prescribed a three-month average of 1,086.54 doses per head from June to August 2025, compared to NHS Greater Glasgow and Clyde’s 392.97 and NHS Shetland’s 100.31. Despite the limitations of the data, such as the small island populations skewing results, NHS Western Isles attributes its high prescribing rates to early implementation of structured pathways for GLP-1 medications. The Scottish government is reviewing these findings amidst ongoing health board reforms aimed at reducing inequalities and bureaucratic barriers.
Prescription disparities across health boards
The ABPI report reveals that the NHS Western Isles is leading in the prescription of GLP-1 medications, which are noted for their dual use in diabetes treatment and weight management. The report indicates that only less than half of Scotland’s 14 territorial health boards are currently prescribing these medications specifically for weight loss. So far, fewer than 800 Scots have received these treatments for weight management. The Royal College of Physicians has criticized the limited access to these medications, describing it as discriminatory against those suffering from obesity.
NHS Western Isles’ high prescription rates are attributed to its proactive approach, having established a structured access pathway for these drugs earlier than other boards. The board emphasizes that its high prescription figures reflect clinical needs and early implementation rather than participation in any pilot scheme. The medications are part of a broader program designed to support long-term lifestyle changes, with patients reportedly experiencing significant clinical benefits.
What this means for newcomers
For those new to the UK, particularly in Scotland, understanding the prescription landscape is key. While prescription charges do not apply in Scotland, unlike in England where each item costs £9.90, access to certain medications can vary significantly by region. This disparity can affect how you manage conditions like obesity or diabetes, especially if you are residing in a region with lower prescription rates.
Registering with a GP is an essential step for newcomers to access the NHS services effectively. Your GP will be your first point of contact for any health-related issues, including referrals for specialist medications like GLP-1. Make sure to register soon after you arrive to avoid any delays in accessing necessary treatment. For a full guide on dealing with the NHS, visit our NHS guide for newcomers.
What you should do
- Register with a GP: This is your first step in accessing NHS services. It’s free and can be done without any documentation. Register early to ensure you can get timely referrals and prescriptions when needed.
- Understand prescription charges: While prescriptions are free in Scotland, knowing the process and access issues can prepare you for any regional differences you might encounter, especially if you move within the UK.
- Stay informed about NHS services: Familiarize yourself with the services offered by the NHS, how to access them, and any regional variations. This knowledge will help you navigate the system more effectively and ensure you receive the care you need.
Frequently asked questions
Can I use the NHS immediately upon arrival in the UK?
Yes, as long as you’ve paid the Immigration Health Surcharge with your visa, you can access NHS services. It’s important to register with a GP as soon as you arrive to facilitate this access.
Are prescriptions free everywhere in the UK?
Prescriptions are free in Scotland, Wales, and Northern Ireland. In England, there is a charge of £9.90 per item, which is why understanding the system in your region is essential.
Do I need ID to register with a GP?
No, you do not need ID, proof of address, or proof of immigration status to register with a GP in the UK. If a surgery refuses you, they must provide a valid reason in writing within 14 days.
How do GLP-1 medications work?
GLP-1 medications are primarily used to manage type 2 diabetes but have been approved for weight management. They work by aiding with insulin regulation and appetite control, which can help with weight loss.
Source: BBC UK: read the original
