It does but it doesn’t mean you get any treatment available. They carefully make decisions on what treatments they can/should provide. This may be offered eventually but at the moment it’s a case of be very fat and get offered gastric sleeve or just be overweight and no treatments are offered other than advice about losing weight
Semaglutide is available on the NHS but I wouldn't currently qualify. It'd only be prescribed if I met certain criteria such as having type 2 diabetes.
It's a case of either paying for a private prescription now, or waiting until it's made more accessible on the NHS.