Alcohol harm is a huge problem, affecting not only millions of people but also bringing significant costs for society. For those in deepest need alcohol treatment services offer real hope. However, despite the alarming increase in alcohol-related deaths over the past 20 years and sharp rises since 2019, the number of people receiving treatment for alcohol dependency has generally been falling. A staggering 82 per cent of the 600,000 dependent drinkers in England are not in treatment. This is despite success rates of around 60 per cent and evidence that, on average, every £1 spent on treatment immediately delivers £3 of benefit and significantly more in the longer term. In this report the committee calls for the Department of Health and Social Care to address the key issues of funding uncertainty for local authorities, barriers to accessing treatment, local variations in outcomes, and severe and worsening workforce shortages.