Refer yourself to NHS drug and alcohol support services
Revisione paritaria di Dr Doug McKechnie, MRCGPUltimo aggiornamento di Dr Toni Hazell, MRCGPUltimo aggiornamento 17 Nov 2023
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In questa serie:Auto-rinvio Autoreferisciti per l'assistenza prenatale del NHSRefer yourself to NHS stop smoking services Rivolgiti ai servizi di salute sessuale del NHSTerapie del dialogo del NHS - auto-riferimentoPrenota una consulenza online con Pharmacy First
Self-referral can be used to access free NHS drug and alcohol support services without needing an appointment with your GP. This leaflet explains which services you can access.
At a glance
This article is about getting help for drug and alcohol problems.
The recommended weekly alcohol limit is 14 units, spread over several days.
You may have a drinking problem if alcohol causes issues or others are concerned.
You can seek help if you are worried about your drug use, including prescription medicines.
Your GP can offer confidential advice and support for drug and alcohol problems.
You can also self-refer to local drug and alcohol support services.
In questo articolo:
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Are you worried about your drinking?
Are you worried about your relationship with alcol? Acknowledging you have a problem with drinking is the first step to getting help.
The UK Chief Medical Officer advises not to drink more than 14 units of alcohol a week (spread over several days and with at least a couple of alcohol-free days a week) on a regular basis, to keep health risks to a low level.
One unit means 10 ml of pure alcohol. But alcoholic drinks come in a variety of strengths and sizes, so it's not always easy to work out how many units you're drinking. A good guide is 14 units is equivalent to six pints of average strength beer, or six medium (175 ml) glasses of average strength wine a week.
A lot of people don't know how much they're drinking, if it's within the recommended limits and whether they should take action. DrinkAware has a self-assessment tool that may give you an idea of your drinking habits and what to do next.
Your drinking may be a problem if:
You find yourself 'needing' an alcoholic drink.
You get into trouble because of your drinking.
Other people are concerned about your drinking.
You think alcohol is causing you problems.
If one or more of these bullets apply to you, it's a good idea to visit your GP. They'll be able to suggest the different types of assessment and alcohol support options available to you.
Speaking with your doctor is especially important if you have become physically dependent on alcohol because stopping overnight could be harmful. You may need farmaci to do this safely.
If this doesn't apply to you, or you don't want to make an appointment with your GP, there may be alcohol support services in your local area you can access without being referred. Check the links below.
Are drugs causing problems for you?
Torna ai contenutiPerhaps you've realised that you're not in full control of your drug use, and it's causing problems in your life? If you have a problem with drug addiction, remember, you're not on your own. You're entitled to NHS care just like everybody else, and there are lots of support services to help you.
It's not just recreational drugs that can cause trouble; prescription or over-the-counter tablets can also lead to dependency issues too. If you find you've been hiding the number of pills you're taking or lying about your symptoms to obtain more medication, you need support.
Your GP is a good place to start if you're unsure how to get help. They can discuss your problems with you confidentially and find a treatment to get you drug-free.
But if you're not comfortable talking with your doctor, you can approach your local drug treatment service yourself, without a referral. You can use the links below if you know which city or Integrated Care Board (ICB) your GP is in.
If you are not sure which ICB you live in, you can find out by entering your postcode in this tool.
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Self-referral for drug and alcohol addiction services in England
Torna ai contenutiAshford, Kent | |
Barking e Dagenham | |
Barnet | |
Barnsley | |
Basildon and Brentwood | |
Bassetlaw | |
Bath e North East Somerset | |
Bedfordshire | |
Berkshire West | |
Bexley | |
Birmingham and Solihull | |
Blackburn con Darwen | |
Blackpool | |
Bolton | |
Bradford City | |
Bradford Districts | |
Brent | |
Brighton e Hove | |
Bristol, North Somerset and South Gloucestershire | |
Bromley | |
Buckinghamshire | |
Bury | |
Calderdale | |
Cambridgeshire and Peterborough | |
Camden | |
Cannock Chase | |
Canterbury | |
Castle Point and Rochford | |
Central London (Westminster) | |
Chorley and South Ribble | |
City and Hackney | |
Coastal West Sussex | |
Corby | |
Coventry and Rugby | |
Crawley | |
Croydon | |
Darlington | |
Dartford, Gravesham and Swanley | |
Derby and Derbyshire | |
Devon | |
Doncaster | |
Dorset | |
Dudley | |
Durham Dales, Easington and Sedgefield | |
Ealing | |
East and North Hertfordshire | |
East Berkshire | |
East Kent | |
East Lancashire | |
East Leicestershire and Rutland | |
East Riding dello Yorkshire | |
East Staffordshire | |
East Surrey | |
Eastbourne, Hailsham and Seaford | |
Eastern Cheshire | |
Enfield | |
Erewash | |
Fareham and Gosport | |
Fylde and Wyre | |
Gloucestershire | |
Great Yarmouth and Waveney | |
Greater Huddersfield | |
Greater Preston | |
Greenwich | |
Guildford and Waverley | |
Halton | |
Hambleton, Richmondshire and Whitby | |
Hammersmith e Fulham | |
Hardwick | |
Haringey | |
Harrogate and Rural District | |
Harrow | |
Hartlepool and Stockton-on-Tees | |
Hastings and Rother | |
Havering | |
Herefordshire | |
Herts Valleys | |
Heywood, Middleton and Rochdale | |
High Weald Lewes Havens | |
Hillingdon | |
Horsham and Mid Sussex | |
Hounslow | |
Hull | |
Ipswich and East Suffolk | |
Isola di Wight | |
Islington | |
Kernow | |
Kingston | |
Knowsley | |
Lambeth | |
Leeds | |
Leicester City | |
Lewisham | |
Lincolnshire East | |
Lincolnshire West | |
Liverpool | |
Luton | |
Manchester | |
Mansfield and Ashfield | |
Medway | |
Merton | |
Mid Essex | |
Milton Keynes | |
Morecambe Bay | |
Nene | |
Newark and Sherwood | |
Newcastle Gateshead | |
Newham | |
North Cumbria | |
North Derbyshire | |
North Durham | |
North East Essex | |
North East Hampshire and Farnham | |
North East Lincolnshire | |
North Hampshire | |
North Kirklees | |
North Lincolnshire | |
North Norfolk | |
North Staffordshire | |
North Tyneside | |
North West Surrey | |
Northern, Eastern and Western Devon | |
Northumberland | |
Norwich | |
Nottingham City | |
Nottingham North and East | |
Nottingham West | |
Oldham | |
Oxfordshire | |
Portsmouth | |
Redbridge | |
Redditch and Bromsgrove | |
Richmond | |
Rotherham | |
Rushcliffe | |
Salford | |
Sandwell and West Birmingham | |
Scarborough and Ryedale | |
Sheffield | |
Shropshire | |
Somerset | |
South Cheshire | |
South Devon and Torbay | |
South East Staffordshire and Seisdon Peninsula | |
South Eastern Hampshire | |
South Kent Coast | |
South Lincolnshire | |
South Norfolk | |
South Sefton | |
South Tees | |
South Tyneside | |
South Warwickshire | |
South West Lincolnshire | |
South Worcestershire | |
Southampton | |
Southend Alcohol | |
Southend Drugs | |
Southern Derbyshire | |
Southport and Formby | |
Southwark | |
St Helens | |
Stafford and Surrounds | |
Stockport | |
Stoke on Trent | |
Sunderland | |
Surrey Downs | |
Surrey Heath | |
Sutton | |
Swale | |
Swindon | |
Tameside and Glossop | |
Telford e Wrekin | |
Thanet | |
Thurrock | |
Tower Hamlets | |
Trafford | |
Vale of York | |
Vale Royal | |
Wakefield | |
Walsall | |
Waltham Forest | |
Wandsworth | |
Warrington | |
Warwickshire North | |
West Cheshire | |
West Essex | |
West Hampshire | |
West Kent | |
West Lancashire | |
West Leicestershire | |
West London (K&C & Qpp) | Kensington and Chelsea - Turning Point |
West Norfolk | |
West Suffolk | |
Wigan Borough | |
Wiltshire | |
Wirral | |
Wolverhampton | |
Wyre Forest |
Self-referral for drug and alcohol problems in Isle of Man
Torna ai contenutiMotiv8 is a charity which provides services for people seeking help for drug and alcohol problems on the Isle of Man.
Continua a leggere sotto
Self-referral for alcohol problems in Jersey
Torna ai contenutiJersey (alcohol)
Jersey (alcohol and drugs)
Self-referral for drug and alcohol problems in Scotland
Torna ai contenutiFife does currently offer self-referral for drug and alcohol problems. They have a website page which explains what services are available and how you can access them. Your first port of call would usually be your GP.
Orkney
Shetland
Self referral for drug and alcohol problems in Northern Ireland
Torna ai contenutiNIDirect gives details of different services available across Northern Ireland, including how you can access them.
Belfast Trust services
Northern Trust services
South Eastern Trust services
Southern Trust services
Western Trust services
There are also services available if you're being affected by someone else's alcohol or drug taking.
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Domande frequenti
What is considered a low-risk amount of alcohol to drink per week?
To keep health risks low, the UK Chief Medical Officer advises not to drink more than 14 units of alcohol a week. This amount should be spread over several days, and you should aim for at least a couple of alcohol-free days each week.
How can I tell if my drinking habits are becoming a problem?
Your relationship with alcohol might be a concern if you feel you 'need' a drink, or if your drinking leads to problems for you or worries for others. Also, if you think alcohol is negatively affecting your life, it's worth considering whether you have a problem.
If I'm concerned about my drinking, what should be my first step?
If you're worried about your drinking, acknowledging it is the first step. You can use self-assessment tools, such as the one offered by DrinkAware, to get an idea of your drinking habits. If you feel your drinking is problematic, or if concerns listed in the article apply to you, visiting your GP is a good idea. They can discuss assessment and support options.
Can prescribed or over-the-counter medications also cause addiction issues?
Yes, it's not just recreational drugs that can lead to problems. Prescription or over-the-counter tablets can also cause dependency. If you find yourself hiding the amount of medication you're taking or lying to get more, you may need support.
What if I'm physically dependent on alcohol and want to stop?
If you have become physically dependent on alcohol, speaking with your doctor is especially important. Stopping alcohol suddenly in this situation can be harmful, and you may require medication to withdraw safely under medical supervision.
Where can I find support for drug or alcohol issues without seeing my GP first?
If you prefer not to see your GP, or if physical dependency isn't an issue, you can often approach local drug and alcohol treatment services directly without a referral. Many areas in England, Scotland, Northern Ireland, Jersey, and the Isle of Man have self-referral options available, and you can find these services through the links provided in the article for your specific region.
Ulteriori letture e riferimenti
- Drinkaware
- Recreational drugs, alcohol and addiction; MENTE
About the authorView full bio

Dr Toni Hazell, MRCGP
MBBS, BSc, MRCGP, DFSRH, Dip GU med, DRCOG, DCH (London, UK, 2000)
Dr. Toni Hazell qualified from St. Mary’s Hospital Medical School and did her VTS at Northwick Park Hospital.
About the reviewerView full bio

Dr Doug McKechnie, MRCGP
Medical Writer
MA, MBBS, MSc, DRCOG, MRCP(UK), MRCGP(2021), FHEA
Dr Doug McKechnie is an NHS GP working in London. He works full-time clinically and is also the Deputy Lead for the Clinical and Professional Practice module at University College London Medical School.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Next review due: 15 Nov 2028
17 Nov 2023 | Ultima versione

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