NHS rehab V private rehab
Are you weighing up NHS rehab V private rehab? Call and speak, directly, with an experienced addiction clinician who has worked in both sectors and who can give you all the information you need, for free and in confidence, so you can make an informed choice.
Are you thinking about the NHS rehab V private rehab?
We are addiction clinicians.
Our advice is free and confidential.
We have worked in both sectors and can signpost you, whichever route you decide to go down.
In order to make an informed choice it is necessary to have all the right information.
Making a decision on addiction treatment is a bold and significant move.
Only when you all the right information can you make an informed decision.
Rushing into a decision can be costly: Not only financially but also on your longterm sobriety and abstinence.
We never charge for advice or referrals.
If you want to bypass the NHS you can go into rehab for as little as £1,795 for a week or £6,950 for 28 days.
For those who are suitable for treatment at home, costs start from around £1,800 a week.
Get The Help You Need Today with NHS V private rehab
Find Me a Rehab exists to provide free clinician advice to those seeking home treatment and admission to drug and alcohol rehabilitation centres in the UK, and abroad from an experienced addictions clinician.
Contact UsWhat is NHS V private rehab?
In essence, there is no such thing as NHS rehab for addiction.
All local authorities in the United Kingdom provide free to use addiction treatment for anyone living in the area.
Local authorities are free to contract in whomever they choose to run their service.
Some contract in charities. Others use private company or 3rd sector providers and others buy in services from the NHS.
Ultimately, the local authority decides and pays, for your treatment.
Whether or not your local authority service will pay for you to go into a residential rehab/detox centre depends entirely on whether your local authority is prepared to pay for it.
Any application for funding by your local service has to be discussed with the service commissioners at the local authority.
Substitute prescribing for opioid/heroin dependent clients is always available (if appropriate) and many offer a community home alcohol detox if you need one, though the criteria is very rigid for reasons of safety.
Traditionally, substitute prescribing has been aimed at stabiliation and long term maintainence.
The only criteria to be accepted by your local authority run service is that you are able to show evidence that you reside in the area.
You will need to be registered with an NHS GP and be willing to share those details.
Local authority services are completely free to use.
If you are given a prescription, regardless of who provides the service, it will be an NHS prescription and the usual rules as to the amount you pay and exemptions from prescriptions fees, remain.
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Find Out MoreWhat rehab can I get on the NHS?
Your local authority funded community addiction treatment service may nominate you for residential treatment but the process is a formal one.
When you sign up with your local service, you will be assigned a keyworker.
They will meet with you on a regular basis and draw up a treatment plan which will include keywork sessions as well as groups and sessions.
If you need substitute prescribing because of heroin and opioid addiction they will arrange an appointment with a prescribing clinician at the service and attend with you.
Should you need help with cocaine addiction, they will provide support as there is no detox for cocaine.
Your keyworker can also signpost you should you need help with benefits, housing, mental health support, domestic violence support, etc.
If you are alcohol dependent and require a detox, the service may be able to offer you an "at home" alcohol detox providing that:
* You drink less than 30 units a day
* Have not had a detox within the last six months
* No history of alcohol withdrawal related seizures
* Free of significant drug use
* Be in good general health
* Absence of certain prescribed medications (usually Pregabalin, Gabapentin, Benzodiazepines, cyclopyrrolones)
* Have an adult able to supervise you 24/7 for the first few days.
These always commence on a Monday.
With regards to residential treatment it is important to remember that budgets are very, very constrained.
Only those with the highest clinical need will be put forward to a funding panel where your key worker will make the case for funding.
The service commissioners from the local authority have the final say.
What will the NHS provide in rehab?
If the local authority funding panel agrees to fund you it wil be at a centre which offers preferable rates.
Usually, the local authority negotiates reduced rates for a certain number of bed days a year.
Once the budget is spent: It is spent.
Because they are very limited in what they can provide they sometimes only offer a detox.
The centre they provide may be a long distance from where you live and your admission date will be at the convieniance of the centre so as to minimise empty bed days.
If the centre provides a detox only, you may be able to have period in a rehab centre.
Sometimes those who are funded for rehab are able to be admitted on the day they complete detox.
Sadly, this isn't always possible and there may be a gap.
This, in itself, can be very problematic.
Most people turn to drink and drugs to blot out difficult memories, psychological trauma, anxiety, stress, depression, etc.
Very soon after you start your detox, the thoughts you were trying to block will come to the fore.
The anxiety and depression you were self medicating will flare up: Quickly.
If you aren't able to deal with these underlying issues, you will, naturally, go back to the one thing your brain tells you will quell them: Drink and/or drugs.
What are the advantages of NHS V private rehab?
Private rehab and home treatment gives you more control over where you get treatment, what treatment you recieve and when.
All private rehab centres provide detox and rehab: Combined.
No private centre offers detox as a standalone treatment.
Providing a bed is available and you have been accepted for treatment, you may be able to be admitted the same day or the next.
While there is no difference in outcome if you choose a centre that operates a 12 step model or a non 12 step model you get to make that choice if you pay for treatment.
While, as clinicians, we always advise you to inform your GP when considering addiction treatment, it may be possible to seek treatment, privately, without doing so.
Some health insurance policies cover drug and alcohol addiction rehab (and/or your employee cover may do.)
What is the lowest cost for private rehab?
Seven day residiential programmes start from £1,975 for a fully inclusive treatment plan.
The costs increase in-line with the amount of days you spend in rehab:
10 days: £2,800
14 days: £3,850
21 days: £5,575
28 days: £6,950
5 weeks: £8,600
6 weeks: £10,300
8 weeks: £13,500
9 weeks: £15,100
10 weeks: £16,700
12 weeks: £20,000
What is the costs in different parts of the UK?
In the UK there are centres that are independently run and those that are part of a chain.
Independently run centres tend to be less expensive that chain run centres.
As most centres offer a minimum of a 2 week stay (if appropriate) we have listed some 28 day options, around the country as a comparator:
Wales: £7,950
Midlands: £6,950
Oxfordshire: £15,750
Guildford £15,750
East Sussex £11,495
Bedfordshire £10,495
Cheshire £18,000
Halton £8,795
Bradford £9,995
Yorkshire £10,995
Why do Find Me a Rehab want me to book a low cost centre?
We are clinicians and not sales people.
Our concern is that you get the most effective treatment, not the most expensive.
Unlike other referral agencies, our primary concern is not how much you spend but rather that you spend wisely and achieve the best care for the lowest cost.
Sure, if you want to access a high end centre we can certainly signpost and refer you to one.
Other referral companies are solely interested in maximising their commission which is why they want to upsell things you really don't need.
It just wouldn't sit right for us to try and get you to part with money you don't need to.
I
Wouldn't I be better off in a well known chain of private mental health hospitals for addiction treatment?
One of our clinicians undertook advanced prescribing training at the Priory Roehampton with the worlds leading expert in addiction medicine.
The cost of a month at the Priory is over £28,000
While you would have a consultant psychiatrist in charge of your care, the treatment plan and process is exactly the same as any other rehab centre:
* Detox
* Group therapy
* Relapse prevention
* Aftercare
The only difference is that you would be seen by the consultant in ward round once a week.
In a private hospital the same rules apply:
You must atttend all groups and meetings, on time. The medication you would recieve, if applicable, would be exactly the same and the nursing/support worker care would also be identical. Being in a private hospital doesn't mean any difference in the treatment process.
You are paying for a brand. If you opt for a lower cost centre the same treatment plan can be accessed for £6,950.
Still Have Questions on NHS V private rehab?
Call UsHow long do I need in rehab to recover from addiction?
The amount of time you will need in rehab determines the cost.
Unlike booking a holiday, the time you can book for, as a minimum, depends entirely on your clinical need.
For an example, if you are heavily dependent on alcohol and need a medication assisted detox, this will take an absolute minimum of seven to ten days.
Again, it depends on a number of factors but, usually, can not be negotiated.
Your safety is the absolute priority.
Clients who are opioid dependent, for example, will require a longer admission. Rapid detoxing is unsafe and no reputable centre would offer one.
A rapid detox puts you at very significant risk as you would leave rehab in withdrawal with no tolerance to opioids. The risk is that you would try and relieve your withdrawals with an amount of opioids you feel will settle you.
Invariably, this amount would lead to overdose.
The same applies to benzodiazpeines and a number of other substances.
Do some people need more than 28 days?
The therapy programme in recovery is a revolving process.
It doesn't mattter if you get admitted on a Monday or a Sunday.
Those who stay more than a week usually recieve a weekly session of individual therapy.
Nearly a hundred years of rehab research shows that group therapy is the most effective treatment approach.
If you think you are not the kind of person that would benefit from group therapy then you absoultely are the kind of person that will!
The reason that some people need more than 28 days is because some drug dependencies can take more than 28 days to detox from. A good example being benzodiazepines.
However, if you work with your GP/consultant, you can taper down at home and then enter into residential treatment for the final furlong.
Michael Imonirhua
Michael has been a qualifed substbance misuse practitoner since 2007.
He overcame his own addiction and thrives in recovery by using is lived experience to enhance his work with clients.
He is extremely passionate about person centred care having experienced the drawbacks of traditional community service provision.
Michael holds diplomas in:
* Counselling
* Conflict management
* Group work
* Cognitive behavioural therapy
* Advanced group facilitation
Michael maintains a busy caseload of clients who are overcoming addiction as well as those seeking treatment for PTSD, tramua and other mental health conditions.
In addition Michael is a skilled and experience educator and trainer aside from his role as clinical director of a private treatment service in London.
NHS V Private Rehab:Frequently Asked Questions on Alcohol addiction treatment
Unsurprisingly, we get asked a lot of questions, to make things easier for you, we have included some of the most common one below.
Can I get an Alcohol detox on the NHS?
Yes and no.
The NHS is not funded, directly, by the Government to provide addiction treatment.
Your local authority (who you pay your council tax to) is responsible for addiction treatment.
They might provide the service directly, contract in a private company, pay a charity to run the service or buy in NHS services.
If you sign up to your local free to use service, you can not be considered for free rehab unless you attend every meeting with your keyworker and are on time for groups and workshops.
Your keyworker will have to apply for funding, from the local authority. You will not get any choice of where it is, when it is or how long you are going for.
What happens if I go to A+E for an alcohol detox?
NHS accident and emergency units are not funded to provide alcohol detox treatment.
The duty of care of NHS A+E staff is to provide care that is reasonable in the circumstances.
If you attend A+E seeking an alcohol detox they are under no obligation to treat you.
The only exception to this is if you are acutely unwell.
In this case, they will treat you only until the time that you are fit to leave.
This could be monitoring and giving you a leaflet or giving you just enough medication so you will not deteriorate, before sending you home.
Only in absolute extreme circumstances will you be admitted due to alcohol and only then because it is secondary to another medical problem.
How much choice do I get with an NHS detox?
Very little: If any.
Local authorities, who pay the NHS to provide free detox’s (or private/charity run rehabs) have extremely limited budgets.
They may only be able to provide a medical detox without therapy.
Usually, they have contract beds so they can reduce the cost. This means that you have no choice as to where you go and when.
Can I get Buvidal on the NHS?
Possibly.
Buvidal is a new way of taking an existing medication for opioid and heroin addiction: Buprenorphine (also known as Espranor and Subutex).
It was originally designed for those who live in remote areas and stable on Buprenorphine tablets.
However, it can be used for people starting off on treatment for opioids and heroin. The problem is that it is very costly to prescribe.
It depends, entirely, if your local authority has agreed to fund Buvidal at the service it runs or commissions in your area.
Can I get the NHS to pay for a private rehab?
Yes and no.
The NHS may be commissioned, by your local authority, to provide free to use services in your area.
Unlike mainstream NHS services, you have to prove you live in the area to use the service your local authority provides or contracts in.
In doesn’t matter if you do not pay council tax but you do have to evidence residency in the area. You can be homeless and still use the service.
The NHS, if they are commissioned, or whomever runs the service, has a very limited budget for residential treatment.
In order to keep the costs down, local authority funded services negotiate very favourable rates with low cost rehab centres.
Some have arrangements with NHS detox units which are only available through these contracts. You can not book direct.
Where you go, when and for how long will be a decision for the local authority funding your stay.
Can my GP get the NHS to pay for a detox?
No.
Your GP can not override the commissioning process.
In any event, your local authority run service has it’s own clinicians who make decisions as to your suitability and need for treatment.
Can I get the NHS to give me a home alcohol detox?
Possibly.
It depends on several factors.
Firstly, if your local authority funded service, which could be provided by the NHS, a charity or private company, will only provide one if it is in the contract to provide them.
You need to be drinking less than 30 units a day, not had a detox in the last six months and not have had any history of alcohol related withdrawal seizures.
There are certain medications that would be excluded and you must have an adult, over the age of 18, to supervise you, 24/7, for the first few days.
There is virtually no wriggle room in the criteria.
These always start on a Monday.
A home detox comes after a long period of assessment and engagement with services.
Will private rehab treatment abroad be cheaper than the UK?
No.
It is not any cheaper to go abroad.
In any event, if you are drug and alcohol dependent a long flight is going to be extremely problematic: if not impossible.
Secondly, in the UK you have the safety net of the centre being registered with the Care Quality Commission (or the regulator for Wales/Scotland/N.Ireland) with the staff also having regulators.
Overseas? you are on your own. The staff may not speak English and your travel insurance will not cover you for medical treatment without heavy uplifts in cost for coverage.
Can I go to my local hospital accident and emergency department for an alcohol detox?
No.
The duty of care of NHS staff in A+E only extends to what is reasonable in the circumstances.
A+E are not funded to treat you.
They will observe you, if necessary. You might get some medication, but only to get you to a point where it is safe enough to send you home.
The staff will give you a leaflet on safe drinking and refer you, with your consent, to the local authority funded addiction service.
Are there any charities that can help me with an alcohol detox for free?
Yes.
Some centres have, what is known as a charity bed.
This means they will provide care, for free.
There are also some charities that have centres. Not all are faith based.
Call us and we will give you a list.
Contact Support for NHS V private rehab
if you find yourself in need of assistance at any hour, we're here to support you around the clock.
Whether it's the dead of night or the crack of dawn, our team is available 24 hours a day, 7 days a week, ready to lend a helping hand whenever you require it.
So, if you ever find yourself in a pinch or simply need someone to talk to, don't hesitate to reach out.
We're committed to being there for you whenever you need us, no matter the time.
We only signpost to legally registered services.