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UK Drug Trends Intelligence Reports

Independent, evidence-led reporting on the changing UK drug market, emerging substances, patterns of drug use and associated harms.

Published annually by TD Research Lab, these reports bring together national statistics, emerging intelligence and practical implications for public health, commissioners, drug and alcohol services and other professionals working across the UK.

Published annually | Next edition: October 2027Planned publication

Cover of UK Drug Trends Intelligence, October 2026, First Edition, by Tony D’Agostino, published by TD Research Lab / TD Consultancy
Published · Free access

October 2026 — First Edition

What is changing in the UK drug market and what services need to know

Publisher
TD Research Lab / TD Consultancy
Author
Tony D’Agostino
Format
PDF report, available through TD Consultancy
Access
Free
Read report and download PDF → (opens in a new tab)The report and PDF download are hosted on the TD Consultancy website.

About this edition

The October 2026 first edition brings together a national picture at a fixed publication cut-off. The online platform remains an evolving companion between annual editions and may have different review dates. Explore the UK drug trends dashboard.

What the report covers

Changes in the UK drug market, emerging substances and mixtures, prevalence, serious harms, treatment implications and practical responses. It also considers prices and supply, wastewater intelligence, young people, safeguarding, prisons, housing and sexual health settings.

Who the report is for

Public health teams, commissioners, drug and alcohol services, healthcare, safeguarding, policing, criminal justice and training organisations, and interested members of the public.

Evidence and limitations

Statistics and intelligence describe particular sources, populations and reporting periods. Different national definitions and indicators require careful interpretation. Selected drug-testing samples do not establish market prevalence, and recorded involvement does not establish sole causation. Check the underlying sources before making operational decisions. Read the platform’s sources and methods.

From this edition

Report highlights

Summarised from the executive summary, pages 4–6. These are the report’s bounded assessments, rather than a new statistical update.

Cocaine harms

The report identifies increased recorded cocaine involvement in mortality, alongside household prevalence that does not show a significant annual increase. Death statistics do not separate powder cocaine from crack or establish sole causation.

Ketamine and clinical pathways

Wastewater and treatment signals warrant attention, while household surveys do not show a significant annual prevalence increase in either reported age group. The report calls for links between drug treatment and assessment of urinary and hepatobiliary harms.

Unexpected ingredients

UK submissions identify emerging sedatives and opioids, and substitutions in tablets and vapes. These findings concern selected samples and cannot be treated as national prevalence estimates.

Different indicators, different directions

The report shows that a trend depends on the indicator being measured. Wastewater results show opposing substance trends; source coverage, definitions and reporting periods constrain comparisons.

Read the report for its sources and full qualifications ↗

Annual publication archive

Editions and publication status
  • October 2027 — Second Edition

    The next annual edition is planned for October 2027.

    Planned · Expected October 2027
  • October 2026 — First Edition ↗

    What is changing in the UK drug market and what services need to know

    Published