MOBILISATION: ICB will provide data and statistics to estimate referral volumes and population access; offer links to primary, secondary and community provider leads via the ICB Diabetes Network; support mobilisation plans and connect to wider local care system infrastructure. ICB has experience deploying NDPP and Type 2 Path to Remission and is willing to share strategies and methodologies.

TIRZEPATIDE PATHWAY: HIOW has commissioned a Locally Commissioned Service (LCS) with general practice to implement NICE TA1026 in line with NHSE interim guidance. Patients prescribed tirzepatide are referred to BSOP. VENUES: Where the provider cannot locate a venue, the ICB will support working with local partners to identify suitable buildings; support is part of the agreed mobilisation plan and based on dates, times and referral patterns. Similar arrangements apply to elements of digital infrastructure. GOVERNANCE: Regular meetings with the provider, establishment of a local implementation/delivery group, and connection to the weight management LCS and Local Authority Tier 2 weight management services. Communication and engagement support from the ICB team. UNDERPERFORMANCE: Where referral rates fluctuate against trajectories, ICB will support communications and action to target lower referring practices, share links to existing services where uptake has been lower (with strategies for learning) and provide links to support primary care/practices. INCENTIVES: No specific incentive schemes planned currently - being considered as part of overall ICB strategy for long-term conditions.

ETHNICITY: 15.2% from ethnic minority background (11.3% lower than England). White English/Welsh/Scottish/NI/British 85.5%; White Other 5.0%; Asian Indian 1.4%; Other Asian 1.2%; African 1.0%; Chinese 0.7%; White Irish 0.6%; Bangladeshi 0.5%; Mixed groups ~2.0% combined; Pakistani 0.4%; Caribbean 0.3%; Arab 0.2%; Gypsy/Irish Traveller 0.1%; Roma 0.1%. Note: data excludes Hart and Rushmoor (joining April 2026).

KEY LANGUAGES: Linguistic diversity across Hampshire Place, Portsmouth, Southampton and Isle of Wight - top non-English languages vary by place. Rushmoor has a large and distinctive NEPALESE community (significant compared with rest of UK).

COASTAL HEALTH INEQUALITIES: Coastal communities experience disproportionately high burden of heart disease, diabetes, cancer, COPD and mental health conditions; higher hospital admissions vs non-coastal. Hampshire male life expectancy in coastal areas 80.5 years vs 82+ inland; healthy life expectancy substantially lower. Geographical barriers to healthcare access. VETERANS: Gosport has the highest percentage of veterans in the country; Fareham, Portsmouth and Rushmoor also have high proportions. Many served in Afghanistan/Iraq with potentially distinct health needs. INCLUSION HEALTH PLUS GROUPS (Core20PLUS5): ADULTS - people experiencing homelessness; refugees, asylum seekers and unaccompanied minors; ethnic minority groups most affected by Covid-19; people with serious mental illness; people with a learning disability. CHILDREN - looked-after children and care leavers; children in Gypsy and Traveller communities; children of adults in HIOW Plus groups. DEPRIVATION: 9.5% live in 20% most deprived (10.7% lower than England). Higher deprivation areas: Isle of Wight (Kingstone Copse, Newport, Ryde, Elmfield, Brading, Yaverland, Sandown, Lake, Shanklin, Wroxall, Ventnor, Colwell, Locksley); Havant (West Leigh, Westfield); Portsmouth (Paulsgrove, Somers Town, Landport); Gosport (Seafield, Gosport); Southampton (Lordshill, Midanbury, Thornhill, Sholing, Weston, Merry Oak, Shirley); Rushmoor (Aldershot). Provider must consider Core20PLUS5 primary and secondary prevention elements as part of service delivery.