Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential merits of investing in mental health services to help tackle substance abuse.

The Government recognises the need for evidenced-based, high-quality drug and alcohol services, and will ensure that anyone with a substance use problem can access the help and support they need. To achieve this, we also recognise the vital need for high-quality integrated care for those with co-occurring mental health and substance use conditions.

Local authorities are responsible for assessing the local need for alcohol and drug prevention and treatment in their area, and for commissioning services to meet these needs, whilst most mental health services in England are funded and commissioned by integrated care boards. There are currently no plans to change this arrangement, but we are working to promote more cohesive and joined up care between mental health and substance use services. In addition to the Public Health Grant, in 2025/26, the Department is providing a total of £310 million in additional targeted grants to improve drug and alcohol services and recovery support, which includes housing and employment. Alongside this, for 2025/26, mental health spending is forecast to amount to £15.6 billion. This represents a significant uplift in real terms spending on mental health compared to the previous financial year. Integrated care boards are forecast to meet the Mental Health Investment Standard over the 2025/26 financial year, meaning that local health services will invest a greater share of their budgets into frontline mental health services.

In addition to continued investment, we intend to soon publish the Co-occurring Mental Health and Substance Use Action Plan, which has been co-produced between the Department and NHS England. The action plan provides national commitments and calls to the sector on how the health system can improve delivery of joined-up, person-centred care across drug and alcohol treatment and mental health services.

Furthermore, the Office of Health Improvement and Disparities has published a Commissioning Quality Standard in 2022 which provides guidance for drug and alcohol treatment commissioners on improving services for people with co-occurring mental health and alcohol or drug conditions. This standard sets out that local services need to work together so that people can access the help they need for both their mental health and their alcohol or drug use.