Can You Get Rehab on the NHS?

We’ve all heard someone say you can “get it on the NHS.” In the UK, that phrase usually covers everything from mental health support to surgery to guidance before going private. But when it comes to addiction recovery, far fewer people realise the NHS does offer free help for drug and alcohol issues, and it can be a vital lifeline for many.

We break down exactly how NHS addiction support works, what it can and can’t offer, and what you should realistically expect from the process. No fluff, no false promises, just a clear understanding of the pathway so you can decide whether it’s the right step for you or someone you care about.

What are the first steps to NHS addiction recovery?

If you’re worried about your drinking or drug use, the NHS treats this in the same way as any other health concern. This means that a safe and reliable starting point is speaking openly with your GP. They can talk through what’s been happening and guide you toward a local addiction service that specialises in support for substance use.

If speaking to a GP feels difficult for you at this moment in time, then you can contact your local drug treatment services yourself. You can contact them directly and ask about what help is available in your area.

NHS drug addiction treatment

NHS addiction teams and partnered charities provide the majority of treatment, meaning you don’t pay unless you choose a private option. At your first appointment, the staff will ask about your substance use, how much you usually take, your health and your current circumstances. You’re then paired with a keyworker who becomes your main point of contact throughout your treatment plan.

Plans vary from person to person, but usually include:

Most people receive this kind of treatment while living at home and attending appointments at a local service, known as outpatient care. In some cases, daily visits or a short hospital stay may be arranged during detox if necessary, but when addiction is particularly severe or complex, a referral for residential rehabilitation may be considered. It’s worth noting, though, that this is less common and usually follows a detailed assessment.

NHS alcohol addiction treatment

Support for alcohol dependence follows a similar structure to drug addiction treatment. Your GP or alcohol service will assess your drinking and help you access community-based support. This may include therapy, local peer groups and guidance on cutting down safely.

Many people complete detox at home with daily contact from a service, though some require a short hospital admission or a stay in a detox unit.

When alcohol dependence is more severe, the NHS may recommend a rehabilitation programme. This could involve structured day treatment or, in some cases, an NHS-funded residential rehab placement after an assessment by the local authority.

NHS support for behavioural addictions

The NHS also provides help for conditions that don’t involve drugs or alcohol. Gambling addiction, for example, can be treated through specialist NHS clinics staffed by clinicians who understand the patterns and emotional challenges behind compulsive gambling. These services also guide family members who need support.

You can self-refer to a gambling clinic or ask your GP to make the connection. For emerging behavioural addictions like gaming, your GP or local mental health service can still be a point of contact for advice and referrals.

Does the NHS provide inpatient detox and residential rehab?

Most NHS addiction treatment is outpatient, but the NHS does have inpatient and residential options when clinically needed. These may include:

Cost and eligibility

If you are eligible for NHS care, treatment for drug or alcohol addiction is free, and local councils fund many of the services that sit alongside NHS provision, such as counselling and day programmes. You don’t need insurance, and you won’t be charged unless you choose a private clinic. Children and young people can also receive support through dedicated youth services.

What happens after I finish NHS addiction recovery?

Recovery continues long after detox or initial therapy, and NHS teams help you plan the next stage so you don’t feel as though you’re stepping into the unknown. They may link you with local meetings, ongoing counselling or charities that specialise in long-term recovery support.

If you feel yourself slipping or worrying about relapse, you can return to your service at any point, provided there is space for you.

Are there any other rehab options?

The upside is that NHS care is delivered to a high medical standard, with professionals who genuinely care about the people they support. The drawback is that waiting lists can stretch for a while and during that wait, life keeps moving. When you’re already feeling unsteady, that delay can feel heavier than it sounds.

If you find yourself in a spot like this, there are private rehab options available to consider. Reach out to us today to find out more information.