Behavioural Support for Obesity Prescribing (BSOP)
BSOP is a national NHS programme that provides mandatory behavioural and lifestyle support alongside obesity medications, specifically tirzepatide (Mounjaro®) prescribed in primary care.
It is part of NHS England’s approach to treating obesity as a chronic condition combining medication with structured support rather than medication alone.
Who it’s for: Adults prescribed tirzepatide for weight management via NHS primary care
What it provides: Behavioural, nutritional, physical activity and psychological support to help patients make sustainable lifestyle changes
Programme length: Typically 9 months
Referral route: Referral is made by the prescribing clinician (usually the GP practice) as part of the obesity medication pathway.
BSOP Pilot
NHS England is currently undertaking a pilot with practices and providers to make efficiencies to the referral process and to improve data quality and flow.
To find out if you are a participating site please see:
For organisations participating in the pilot, the referral form is available only via the ML CSU DQ - National Resources organisation group. If you’ve not yet joined this open access group, please see this guide
The form is available in SystmOne as shown below:
