Addictions: Health Services
The question
To ask the Secretary of State for Health and Social Care, what plans he has to address a) low pay, b) a lack of formal training and development pathways, and c) job insecurity and organisational changes, highlighted in the May 2025 Ipsos Drug and Alcohol treatment and recovery workforce survey as key reasons why 54% of those surveyed were either leaving or considering leaving the sector within the next two years.
Answered by Department of Health and Social Care
The Department and NHS England have been working on a drug and alcohol treatment and recovery workforce transformation programme since 2022. The 10-year strategic plan for the drug and alcohol treatment and recovery workforce, published in 2024, sets out actions for the Government, commissioners, and employers between 2024 and 2034.
This work is informed by three national workforce censuses and an Ipsos staff survey to identify where national and local action is most needed. The latest workforce census showed the workforce increased from 11,270 in 2022 to 13,103 in 2024.
Relevant initiatives have been implemented, including to improve the skills mix, and strengthen clinical supervision and governance, enabling training for currently unregulated roles, and increasing access to regulated professional training.
In March 2025, the Department and NHS England published the Capability framework for the drug and alcohol treatment and recovery workforce, which sets out the skills, knowledge and behaviours required for 15 core roles in the local authority-funded drug and alcohol treatment and recovery sector.
The programme is also supporting workforce planning and pipeline development for regulated professions. This includes work to support psychology training placements in drug and alcohol services, including through a toolkit developed to support Doctorate in Clinical Psychology placements in drug and alcohol services, and the development of an addiction psychiatry credential with the Royal College of Psychiatrists to help increase specialist addiction psychiatry capacity.
The Department has also funded the development of three national training curricula for drug and alcohol workers, children and young people’s drug and alcohol workers, and peer support workers.
The Department has commissioned a detailed scoping exercise, including engaging with relevant stakeholders, to establish if a national Centre for Addiction would be viable and if so, how it could be established and what its remit could be. This work is considering workforce needs, possible functions, delivery models, and risks. The findings will inform a future decision on whether and how to establish a centre.
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