Weight Management Advice
Your Health Notts
NHS Nottinghamshire Eligibility for tirzepatide (Mounjaro)
From the end of June 2025, for one year, the people below may be eligible to receive tirzepatide (Mounjaro) on the NHS. This is to ensure patients at greatest risk become eligible first:
BMI of at least 40 (BMI to be adjusted for ethnicity*)
AND at least 4 of the following 5 health conditions
- type 2 diabetes mellitus
- high blood pressure
- heart disease
- obstructive sleep apnoea (when your breathing stops and starts while you sleep)
- abnormal blood fats (dyslipidaemia)
If you are prescribed weight-loss injections on the NHS, you must participate in a specifically designed ‘wrap-around’ care service, as stipulated under National Institute for Health and Care Excellence (NICE) guidance. This focuses on diet, nutrition and increasing physical activity. You cannot be prescribed weight-loss injections if you do not wish to get the wrap-around care support.
Find out more at https://notts.icb.nhs.uk/your-health/stay-well/healthy-living/healthy-weight/weight-loss-injections/
If you are unhappy about being ineligible for weight loss injections, you should feedback to NHS Nottingham & Nottinghamshire directly.
*Due to an increased risk of heath conditions at lower BMI thresholds in the following populations, the BMI used to assess eligibility for tirzepatide will be 2.5 kg/m2 lower for people from South Asian, Chinese, other Asian, Middle Eastern, Black African or African-Caribbean ethnic backgrounds.
You can calculate your BMI to see if you may be eligible but a full assessment will be done through the weight management service.

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Page created: 13 July 2020