It’s nearly impossible to get them on the nhs. It’s diabetes when all other diabetes meds have failed, or very signficant obesity with it or it’s bmi 40 and a min of 4 weight related health conditions.
the nhs started prescribing in June last year and they are saying by the end of 3 years, ie mid 2028, 220 thousand people will have it on the NHS,
compare that to 7 million currently buying privately in the uk , and over 30 million eligible. So of the 30 million who are eligible to get it on the nhs, by 2028 they will have given it to 220 thousand.
the nhs is simply not offering it but to the very few with significant reason to need it, it’s due to cost.
Not sure how tight your budget is but there is the wegovy pill now, which at the lowest dose is just over 3 pounds a day, obvs the lowest dose may not work for you. But if you can afford it maybe worth a try for a month,
but bin the patches, it’s a scam.