Where to Turn For Help With Addictions in the UK: Your Options Explained

August 8, 2025

1:21 pm

Where to Turn For Help With Addictions in the UK: Your Options Explained

Knowing where to turn for help with addictions in the UK can be confusing, but it doesn’t need to be. In short: The NHS is not funded for addiction services. Well, not directly! It can be a little complicated so let us explain:

All drug and alcohol services in England and Wales are funded through local authorities. In essence, whoever you pay your council tax to provides your services.

The first thing statutory services will ask you is: What is your postcode? In short, if you do not live in the catchment area they won’t be able to assist you as they won’t be paid for doing so.

Treatment Options for Addiction Treatment

Statutory service provision are free to engage private companies, 3rd sector providers, charities or the NHS: It is there choice. This means there is a vast disparity between what you can expect as a client. Budgets are tight: There is not getting away from that.

Whatever shape you are in, a statutory service is not going to put you in a rehab centre overnight. Some statutory services have more funding than others.

Some will provide residential detox and rehab, some a detox only and others will try and manage you in the community. Whichever service provider you come under, they have to apply for funding for you if they are able to consider residential treatment.

Commissioning for community drug and alcohol services is complicated, but some things are simple: All will offer substitute prescribing for opioid dependent patients (heroin) and support for cocaine/crack as there is no detox needed. For alcohol, most will, where clinically appropriate, offer a community detox. For those having treatment in the community, it is imperative that their family and others supporting them know how to provide boundaried and appropriate help and not enable their addiction.

Treatment Options for Addiction Treatment

Some people think they can circumvent community service provision by getting themselves admitted to their local accident and emergency service: Don’t bother as it won’t work. The NHS is not funded for addiction services.

Their duty of care is only to what is reasonable in the circumstances. In other words, if they have to admit you they will, literally, discharge you the minute it is safe to do so.

This means, for example, for alcohol if you are admitted they will medicate you to the point where you are safe to leave when they will give you advice on how to keep drinking to maintain safety.

For those who are in need of medical attention, aside from their dependency, treatment will be given solely to manage symptoms. For opioid patients, many NHS Trusts will only provide medication (usually Methadone) to manage symptoms and not to provide a detox.

For alcohol patients, when someone is admitted to hospital, the NHS will provide medication for a detox solely because of the risks if they do not. The fundamental flaw is that this does not allow for any therapeutic input. A relapse is, almost, guaranteed.

Statutory community services are not commissioned to provide treatment for benzodiazepines, Pregabalin, Gabapentin, Ketamine, GHB, GBL, Methamphetamine or any other drugs.

They might be able to give advice but they don’t get paid for providing detoxes for these items and neither would it be safe to do so.

Your GP may well be able to give advice, and help taper down prescriptions for Benzodiazepines, Pregabalin, Gabapentin and pain killers. Indeed, many GP’s are now under pressure from clinical commissioning groups to do so.

When someone engages with community services they will usually be invited in for an initial assessment with a keyworker (usually someone who has been in recovery themselves for some years) and , if appropriate, be given an appointment with a clinician if they require a prescription for Methadone/Subutex/Buvidal or a community alcohol detox.

If you are fortunate enough to be provided with residential treatment by a statutory service you may be given a short residential detox only. This is useful (and in some cases life saving) but without the therapeutic input it will fail: Quickly.

Some services are able to provide a short period of residential rehab, as well, but due to funding issues this second element of treatment may be in a different location and not, necessarily, be immediately after detox. This can be catastrophic as any gap between the two elements can lead to immediate relapse.

Detox can lead to cravings and release difficult emotions and feelings that were being numbed by drink and drugs. You will only be considered for residential treatment by a community service provider if you engage. This means attending meetings, keywork sessions and groups.

Treatment Options for Addiction Treatment

Due to severe funding restrictions, community services have to use the most economical services available. Commissioners (those who hold the funds for the local council) negotiate very preferable rates with residential treatment centres.

While all centres are safe, clean and effective, the ones they use , if you use a parallel of a hotel, are more of a budget Travelodge than a Hilton.

For some clients, they are able to use their private health insurance. It is important to check your policy to ensure it has a component for addiction treatment as most do not. Where you are covered it is important to check with a centre to see if they do accept insurance cases.

A lot don’t because of the very heavily discounted rates the insurance companies pay and the length of time it takes them to pay the centre. Referral agents always try and avoid such cases as the centres pay significantly reduced commissions. When someone does have insurance they may have to travel a lot further than they had intended to.

If you have the means, private residential treatment and community services are available: sometimes the same day. Some centres will accept clients seven days a week and, if early enough in the day and if clinically appropriate, admission can be arranged within hours.

All private centres provide combined detox and rehab: To provide detox only in counter intuitive. There is no such thing as a “quick detox”. Anyone who is in need of treatment did not get to that point overnight. Sometimes, there are those who have, sadly, relapsed and think they can recover without any therapeutic input. Unfortunately, this is not the case.

Treatment Options for Addiction Treatment

Some centres use a 12 step model, some use a SMART approach and others something else. At the end of the day it really doesn’t matter. What is important is that the person is in a safe, reputable centre where they can be medically managed and receive the therapy they need.

One essential element that private centres provide is aftercare. All centres provide, at least, a 12 month open invitation to a weekly support session as telephone support. Where appropriate, clients (for an additional fee) can access the same therapist they saw at the center as well as continue with family therapy. Knowing how to support a loved one while they are in rehab will make a substantial contribution to their chances of long term abstinence.

Our experienced addictions clinicians are not tied to any centre, though they have worked in most of them! Their advice is free, impartial and wholly confidential. They can advise you on all options, from low cost to high end luxury provision.