We have received a lot of requests for weight loss injections in the last few months, these drugs cannot be prescribed by clinicians working in general practice. There are other ways to seek support for weight loss - via City of York Council, the NHS programme (see below) or we can refer to Healthwise or Tier 3 weight management services where appropriate. The NHS Digital Weight Management Programme supports adults living with obesity who also have a diagnosis of diabetes, hypertension or both, to manage their weight and improve their health. It is a 12-week online behavioural and lifestyle programme that people can access via a smartphone or computer with internet access https://www.england.nhs.uk/digital-weight-management/
Gender Identity Services
Leeds Gender Identity Clinic
Leeds Gender Identity Service accept referrals for patients aged 17+ from our practice and they also accept self-referrals. Referrals can be made using the form found on their website.
PMG will not take on any new requests for shared care agreements (SCA) for Gender Identity Disorder medications. As a local system, we have raised concerns about patient safety in the absence of a funded, formal shared care agreement process with NHSE, as unmonitored hormone prescribing can cause serious complications to a patient's health.
Patients already on hormone therapy for GID will continue to be reviewed, but should complications or concerns arise- the medication may need to be stopped or reduced and re-referral back to the Leeds Specialist Clinic- as there is no current SCA support for Prescribers.