MPs call NHS obesity care an "indefensible failure" and say private providers should help fix it.
A week of big calls on weight loss, new trial data for women, a prostate screening debate in Parliament and fresh money for at-home hormone testing.

The Commons Health and Social Care Committee told the government its plans for weight-loss medicines on the NHS are unambitious, and said online pharmacies and digital providers should be part of the answer. Novo Nordisk published new figures showing women lost a quarter of their body weight on its next injection, CagriSema. MPs debate prostate cancer screening today after a petition passed 100,000 signatures. And a startup built on University of Glasgow research raised £2.5m for a saliva hormone test you can use at home. The thread running through the week is that people are already paying privately for care the NHS struggles to offer, and policymakers are starting to say so out loud.
MPs say NHS weight-loss services are failing and the Mounjaro rollout is too slow
In a report published this week, the Health and Social Care Committee called the lack of adequate weight management services an "indefensible failure" of people living with obesity. It found a "significant postcode lottery" and an "emerging two-tier system" that depends on whether people can pay privately. Obesity costs the UK at least £74.3bn a year, and more than two-thirds of the population is overweight or obese.
The committee said the NHS plan to roll out Mounjaro reaches "a woefully small number of people" and asked the government to urgently reassess its pace, including how digital providers could help. Because far more GLP-1s are prescribed privately than on the NHS, MPs said the health service could learn from the private sector. They also want regulated online pharmacies to have secure access to relevant GP records, and to be able to record that a patient is on a GLP-1.
Other recommendations include roughly doubling bariatric surgery to around 13,000 operations a year, wraparound nutrition and mental health support with every treatment, and a review of the MHRA's capacity to tackle illegal weight-loss jabs. The MHRA's Andy Morling told the committee "we cannot arrest our way out of this."
Nothing changes on the NHS straight away, as the government now has to respond. If you are paying privately, the report is a reminder to use a regulated UK pharmacy, and to tell your GP you are on a weight-loss medicine so your records stay accurate.
Women lost a quarter of their body weight on CagriSema
Novo Nordisk said on 20 October that women in its REDEFINE 1 trial lost an average of 25% of their body weight over 68 weeks on the 2.4mg dose of CagriSema, compared with 3% on placebo. Split by menopause stage, the average loss was 26.7% before menopause, 24.8% during perimenopause and 23.1% after menopause.
These figures come from a later analysis of the trial rather than its main goal, and Novo itself called them hypothesis-generating. CagriSema combines semaglutide, the medicine in Wegovy, with a second drug called cagrilintide. It is not licensed in the UK, and a US decision is expected before the end of the year.
You cannot get CagriSema in the UK yet. The useful finding for women now is that weight loss on these medicines held up well across menopause stages, which is worth raising with your prescriber if you are perimenopausal or postmenopausal.
MPs debate prostate cancer screening for high-risk men today
A petition asking the government to screen all men at high risk of prostate cancer gathered 101,931 signatures, and MPs debate it in Westminster Hall at 4.30pm today. The petition argues that the UK National Screening Committee's approach is too narrow.
The committee's final recommendation in May 2026 was to offer a PSA test every two years only to men aged 45 to 61 with a confirmed BRCA2 gene change and a family history of breast, ovarian, pancreatic or prostate cancer. The government accepted it. Black men, who face a higher risk, are being invited into the TRANSFORM trial instead, backed by up to £18 million in extra funding. Debates in Westminster Hall do not change policy on their own, but they put ministers on the record.
If you are worried about prostate cancer, especially if it runs in your family or you are a Black man over 45, you can ask your GP about a PSA test now. You do not need to wait for a national screening programme.
Unravel Health raises £2.5m for an at-home saliva hormone test
London-based Unravel Health has raised about £2.5 million in seed funding to develop its Micro Lab, a device that reads hormone levels from saliva at home. The round was led by Conduit EIS Impact Fund and Wrightwood. The technology comes out of research at the University of Glasgow.
Testing focuses on female hormones for now, with plans to add men's health markers. The company will spend the money on equivalency studies and regulatory work, and plans early-access devices in 2027.
Most at-home hormone checks today use a finger-prick blood sample sent to a lab. Saliva testing could make regular tracking easier, but it is at least a year away and still has to prove it matches blood results.
Weight loss
- MHRA and West Midlands Police seized more than 12,000 counterfeit weight-loss pens worth around £2m from a Birmingham industrial unit, including fake tirzepatide and retatrutide, which is not authorised in the UK. The raid was reported on 16 October.
Regulation and the NHS
- GPhC, the pharmacy regulator, welcomed the committee's recommendations on illegal GLP-1 supply and on giving online pharmacies secure access to patient records.
- Pharmacy bodies said they are ready to help. The National Pharmacy Association said community pharmacy can support a wider rollout, and the Company Chemists' Association called for a national pharmacy-led pathway alongside private services.
Women's health
- HRT patches remain short. FemSeven Conti is out of stock until late November, and shortage protocols for Estradot run to 8 January 2027.
We found no new UK stories on hair loss or erectile dysfunction from the past seven days, so those areas are skipped this week.
Medical disclaimer
This article is for general information only and is not medical advice. Speak to a qualified clinician before starting or changing any treatment.
Sources
- Chemist+Druggist: Weight loss management services must be overhauled, say MPs (22 October 2026)
- GPhC: response to the Health and Social Care Committee report on food and weight management
- pharmaphorum: CagriSema helps women lose 25% of their weight (21 October 2026)
- CNBC: Novo's next-generation obesity drug shows 25% weight loss in women (20 October 2026)
- UK Parliament petitions: Introduce a screening programme for prostate cancer, starting with high-risk men
- House of Commons Library: Prostate cancer screening (20 October 2026)
- Cancer Research UK: UK NSC recommends prostate cancer screening for men with a BRCA2 gene change
- FemTech Insider: Unravel Health raises £2.5m to launch at-home saliva hormone test (16 October 2026)
- Nursing in Practice: Counterfeit weight loss jabs worth £2m seized in Birmingham raid (16 October 2026)
- Mediwatch: HRT shortage tracker

