Book at our Chiswick clinic
Acupuncture
Acupuncture is available on the NHS, but far less often than many people expect. Whether you can get it depends on your condition, what national guidance says about it, and what your local services actually provide.
This guide explains where NICE guidance supports acupuncture, where it no longer does, how NHS access works in practice, and what to consider if you decide to go private.
NHS acupuncture in brief
You can sometimes get acupuncture on the NHS. NHS 111 Wales says it is most often available from GP surgeries or physiotherapists, but access is limited. NICE guidance supports considering it for chronic primary pain and for preventing migraine and tension-type headaches. NICE has not recommended it for low back pain since its updated back pain guideline was published in 2016. Availability varies widely by area, and waiting lists are common.
Who qualifies for acupuncture on the NHS?
There is no automatic right to acupuncture on the NHS. You are most likely to be offered it if:
- You have chronic primary pain, such as long-term widespread pain, and are under a local pain or musculoskeletal service
- You have chronic tension-type headaches, or migraines where preventive medicines have not worked or are not suitable
- Your local physiotherapy or pain service includes clinicians trained in acupuncture
Even then, it depends on what your local NHS services provide. Acupuncture for low back pain on its own, fertility support or general wellbeing is rarely available.
What NICE guidance says
Chronic primary pain
NICE guidance on chronic pain (NG193, 2021), as quoted by GPnotebook, says a single course of acupuncture or dry needling can be considered for people aged 16 and over with chronic primary pain, meaning long-term pain that is not better explained by another condition. The course should be delivered in a community setting by a healthcare professional with appropriate training, using no more than 5 hours of healthcare professional time, or in another setting at the same or lower cost.
Migraine and tension-type headache
NICE guidance on headaches (CG150), as summarised by NIHR Evidence, says a course of up to ten sessions over five to eight weeks can be considered to prevent migraine when the usual preventive medicines, topiramate and propranolol, are unsuitable or ineffective. NIHR Evidence also reports that NICE recommends up to ten sessions to prevent tension-type headache. NHS Birmingham and Solihull's local policy, for example, says people who meet these criteria may be offered a course of up to 10 sessions lasting up to eight weeks.
Low back pain
NICE's updated low back pain and sciatica guideline (NG59), published in 2016, no longer recommends acupuncture, so NHS services rarely offer it for back pain alone. NHS Birmingham and Solihull's policy, for example, says it should not be used for back pain or spinal pain. That does not mean it never helps individuals, but it does mean the NHS is unlikely to fund it.
For a wider look at the research, see does acupuncture work?
How NHS acupuncture works in practice
- Physiotherapy services. Some NHS physiotherapists are trained in acupuncture and use it within musculoskeletal treatment.
- Pain clinics. Hospital pain services sometimes include acupuncture in a wider pain management plan.
- GP practices. NHS 111 Wales lists GP surgeries among the most common places to get NHS acupuncture, although access is limited.
- Hospices and cancer services. Some use acupuncture for symptom support, such as nausea or pain.
To ask about it, speak to your GP or physiotherapist and ask whether acupuncture is part of the local musculoskeletal or pain service. Expect a limited number of sessions if it is offered.
Why many people go private
- NHS availability is patchy and often has waiting lists
- NHS courses tend to be short, while some conditions need more sessions
- Many uses, such as back pain or fertility acupuncture, are not NHS funded
- Private treatment allows longer appointments and choice of practitioner
What private acupuncture costs
NHS 111 Wales notes that most people who have acupuncture pay privately, and that the cost varies widely between practitioners. At Omnia in Chiswick a 60-minute session is £80, and cupping can be included where it helps. See how much acupuncture costs for a full breakdown. Some private health insurance policies and health cash plans contribute to the cost; check your policy terms. At Omnia we provide itemised receipts for Aviva, AXA Health, Vitality, WPA and Simplyhealth.
Choosing a practitioner
Look for a practitioner who belongs to a recognised professional body, uses sterile single-use needles, takes a full health history and explains what a realistic course looks like. The NHS advises that practitioners who are not legally regulated should belong to a professional body accredited by the Professional Standards Authority. Traditional acupuncture and Western medical acupuncture differ in approach. Our acupuncturists include Dr Jialin Zhu, a member of the British Acupuncture Council (BAcC), and Dr Youzhong Wu and Dr Shu Fen Zhang, members of the Association of Traditional Chinese Medicine (ATCM).
Your NHS acupuncture questions answered
Can my GP refer me for acupuncture?
Your GP can refer you to a musculoskeletal or pain service that may include acupuncture, but whether it is offered depends on local provision.
Is acupuncture free on the NHS?
If an NHS service provides it as part of your treatment, yes. It is not available on demand.
Does the NHS offer acupuncture for back pain?
Rarely. NICE stopped recommending it for low back pain in its 2016 guideline.
How many sessions does the NHS usually offer?
Usually a short course. For chronic primary pain, NICE suggests a single course using no more than 5 hours of healthcare professional time. For headache prevention, NICE suggests up to ten sessions.
Is acupuncture safe?
With a trained practitioner using single-use needles, serious side effects are very rare, according to NHS 111 Wales. Minor bruising or brief soreness can occur. See is acupuncture safe? for more detail.
If you would rather not wait
Private acupuncture at Omnia needs no GP referral, and a 60-minute session is £80. You can book an appointment online or ring 020 4515 0000, and the clinic is at 8 to 9 Bedford Corner, The Avenue, Chiswick W4 1LZ.
Sources
- GPnotebook: NICE guidance, acupuncture for chronic primary pain
- Chartered Society of Physiotherapy: NICE recommends exercise, psychological therapies and acupuncture for chronic pain
- NIHR Evidence: Acupuncture shows promise for preventing episodic migraines
- NIHR Evidence: Acupuncture shown to have benefits for treatment of some chronic pain
- NHS Birmingham and Solihull: Head, neck and neurological policies
- Federation of Holistic Therapists: NICE publishes updated guidelines on low back pain
- NHS 111 Wales: Acupuncture
- NHS: Herbal medicines and complementary therapies
This article is general information, not medical advice. NHS services and guidance change; check with your GP for what is available locally.
Ready to book?
Acupuncture






.jpg)
.jpg)

.jpg)
