Complementary health associate professionals

SOC 2020 3214

Complementary health associate professionals use non-mainstream treatments in support of conventional medical treatments.

Also calledHealth play specialistHospital play specialistAromatherapistHorticultural therapistHypnotherapistMassage therapistand 36 more titles
Typical full-time pay£27,9002025 Provisional
People in the job27,000across the UK
Demand for workersNot high
New adverts a month370↑ 2.5%on last year · 290th of 412

Pay

ONS · ASHE 2025
What full-time complementary health associate professionals earn, 2025
Spread of full-time pay for complementary health associate professionals
£27,900 typicaln/ptop 10%
n/p: top 10% not published by ONS
Show as table
Lowest 10% earn less thanNot published
Lowest 20% earn less thanNot published
25%Not published
Median£27,900
75%Not published
Top 20% earn more thanNot published
Top 10% earn more thanNot published
More than half (72%) of complementary health associate professionals work for themselves. These pay figures only cover employees, so they may not reflect what self-employed complementary health associate professionals earn.
Typical pay by regionUK median £27,900
Typical full-time pay for complementary health associate professionals by region
North EastNot published by ONS–
North WestNot published by ONS–
Yorkshire and The HumberNot published by ONS–
East MidlandsNot published by ONS–
West MidlandsNot published by ONS–
East of EnglandNot published by ONS–
LondonNot published by ONS–
South EastNot published by ONS–
South WestNot published by ONS–
ScotlandNot published by ONS–
WalesNot published by ONS–
Show as table
UK median, £27,900
North EastNot published by ONS
North WestNot published by ONS
Yorkshire and The HumberNot published by ONS
East MidlandsNot published by ONS
West MidlandsNot published by ONS
East of EnglandNot published by ONS
LondonNot published by ONS
South EastNot published by ONS
South WestNot published by ONS
ScotlandNot published by ONS
WalesNot published by ONS
Typical pay over 3 years
  • 2023 £21,000
  • 2024 £29,200
  • 2025 Provisional£27,900
↑ 33% since 2023Provisional figures are revised when ONS publishes the next year’s survey.

Jobs and demand

ONS · Textkernel adverts · DfE

About 370 jobs for complementary health associate professionals are advertised each month. The Department for Education rates demand for workers as not high.

New job adverts a month, Jan 2017 to Aug 2026
New online job adverts for complementary health associate professionals each month
New advertsMonth not published by ONS (1 in all)
Show as table
Aug 2026361
Jul 2026331
Jun 2026427
May 2026379
Apr 2026318
Mar 2026Not published
Feb 2026393
Jan 2026381
Dec 2025237
Nov 2025408
Oct 2025424
Sept 2025410
Aug 2025337
Jul 2025433
Jun 2025449
May 2025449
Apr 2025366
Mar 2025384
Feb 2025372
Jan 2025330
Dec 2024164
Nov 2024321
Oct 2024378
Sept 2024369
Aug 2024415
Jul 2024397
Jun 2024415
May 2024415
Apr 2024432
Mar 2024291
Feb 2024292
Jan 2024360
Dec 2023229
Nov 2023283
Oct 2023240
Sept 2023283
Aug 2023295
Jul 2023322
Jun 2023440
May 2023470
Apr 2023362
Mar 2023336
Feb 2023330
Jan 2023389
Dec 2022344
Nov 2022352
Oct 2022412
Sept 2022378
Aug 2022495
Jul 2022429
Jun 2022479
May 2022507
Apr 2022395
Mar 2022489
Feb 2022354
Jan 2022425
Dec 2021293
Nov 2021378
Oct 2021453
Sept 2021408
Aug 2021379
Jul 2021544
Jun 2021491
May 2021470
Apr 2021439
Mar 2021571
Feb 2021321
Jan 2021325
Dec 2020316
Nov 2020336
Oct 2020389
Sept 2020395
Aug 2020330
Jul 2020325
Jun 2020270
May 2020208
Apr 2020295
Mar 2020296
Feb 2020396
Jan 2020377
Dec 2019379
Nov 2019645
Oct 2019454
Sept 2019404
Aug 2019309
Jul 2019385
Jun 2019375
May 2019405
Apr 2019268
Mar 2019367
Feb 2019312
Jan 2019363
Dec 2018296
Nov 2018347
Oct 2018456
Sept 2018445
Aug 2018361
Jul 2018292
Jun 2018308
May 2018293
Apr 2018268
Mar 2018274
Feb 2018299
Jan 2018301
Dec 2017211
Nov 2017318
Oct 2017308
Sept 2017374
Aug 2017310
Jul 2017404
Jun 2017679
May 2017533
Apr 2017622
Mar 2017568
Feb 2017486
Jan 2017500
Is there a shortage of complementary health associate professionals?
Not high

The Department for Education rates demand as not high, elevated or critical, using five indicators. This is its 2025 assessment.

  • Visas grantedUsual
  • Online job advertsUsual
  • Wage growthAbove usual
  • Pay against similar jobsUsual
  • Hours workedAbove usual
Note: uncertain in multiple indicators: change in hourly wage, visa density, hours and earnings due to proportion of self employed workers.
Vacancies hard to fill because of skills
52%against 27% for all jobs
Broader groupFigure for health and social care associate professionals, which includes complementary health associate professionals. DfE Employer Skills Survey 2024.
Where the most jobs are advertisedadverts a quarter
Local areas with the most adverts for complementary health associate professionals
London is published as one area. Averages leave out quarters ONS withheld.
Where complementary health associate professionals are most concentratedShare of local job adverts, compared with the UK.

Recruitment from abroad. Fewer than 10 sponsored work visas were granted for this job from July 2025 to June 2026. Home Office

Who does it

ONS · Annual Population Survey · April 2025 to March 2026
Age of complementary health associate professionals
Age profile of complementary health associate professionals
n/p
17%!
16%!
29%!
22%!
17%!
!Small sample: treat with cautionn/p: too few in the survey to publish
Show as table
16–24Not published
25–3417% (small sample)
35–4416% (small sample)
45–5429% (small sample)
55–6422% (small sample)
65+17% (small sample)
Highest qualification
Highest qualification held by complementary health associate professionals
Degree or equivalent39%
Higher education below degree!21%
A levels or equivalent!17%
GCSEs or equivalent!19%
Other qualifications!7.9%
No qualifications–
Not published
!Small sample: treat with caution
Show as table
Degree or equivalent39%
Higher education below degree21% (small sample)
A levels or equivalent17% (small sample)
GCSEs or equivalent19% (small sample)
Other qualifications7.9% (small sample)
No qualificationsNot published

Main employers: physical well-being activities (28%), other human health activities (24%), hairdressing and other beauty treatment (16%), regulation of the activities of providing health care, education, cultural services and other social services, excluding social security (5.9%).

How to get in

Hold a degree
39%
as their highest qualification
Apprenticeships
2
from level 3
Apprenticeships take
20 months to 2 years
typically
Self-employed
72%
of people in the job

Routes in

Health play specialist

You can get into this job through:

University

You can do a healthcare play specialism foundation degree, which you'll need to register with the Society of Health Play Specialists.

To get onto the course, you usually need:

  • a childcare qualification at level 3 or above
  • GCSEs or equivalent in English and maths
  • at least 2 years' experience of working with children – paid or voluntary

This is a 2-year, day-release course. It combines academic study with work placements.

If you're not already working in a healthcare setting, you'll need to arrange a placement during the course. You will need to complete at least 200 hours of work placements for each year.

Entry requirements

You'll usually need:

  • GCSEs at grades 9 to 4 (A* to C), or equivalent, including English and maths
  • at least 1 A level, or equivalent, for a foundation degree

Apprenticeship

You may be able to apply for the Health Play Specialist Level 5 Higher Apprenticeship, if you have at least 2 years' experience of working with children. You should also be employed in a healthcare setting, for example a hospital or clinic.

You can find vacancies through NHS Jobs.

Entry requirements

You'll usually need:

  • 4 or 5 GCSEs at grades 9 to 4 (A* to C) and A levels, or equivalent, for a higher or degree apprenticeship

Volunteering

Volunteering in the NHS is a good way to get work experience in healthcare. This can be helpful when you apply for jobs or training.

You can also find opportunities through The National Council for Voluntary Organisations (NCVO) and Do it.

What you’ll need

  • pass enhanced background checks as you may work with children and vulnerable adults

You will need to find an experienced health play specialist, who is registered with the Society of Health Play Specialists, to act as your mentor during workplace training.

Registration and professional bodies

Registration
  • you'll need to register with the Society of Health Play Specialists
Career tips

You would be expected to have an understanding of how the NHS values would apply in your work.

Further information

You can find out more about becoming a health play specialist from the Society of Health Play Specialists and Health Careers.

Routes in are from the National Careers Service job profile for health play specialist. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

Aromatherapist

You can get into this job through:

College

You could take a college course like:

  • aromatherapy
  • complementary therapies

Courses like these may help you to get a trainee position, for example with a professional aromatherapist or business offering spa services.

Entry requirements

There are no set entry requirements for this route.

Apprenticeship

You could apply to do a Wellbeing and Holistic Therapist Level 3 Advanced Apprenticeship.

This typically takes up to 2 years and is a mix of workplace learning and off-the-job study.

Entry requirements

To get onto an apprenticeship, you'll find it useful to have:

  • 5 GCSEs at grades 9 to 4 (A* to C), or equivalent, including English and maths, for an advanced apprenticeship

Other routes

You could take a training course offered by a private training organisation or professional body, like the International Federation of Aromatherapists.

It's important to check courses carefully to make sure what's being offered is right for you.

What you’ll need

  • have insurance
  • pass enhanced background checks

Registration and professional bodies

Professional and industry bodies

You could register with an accredited organisation for professional recognition and networking opportunities.

Organisations include the:

  • International Federation of Aromatherapists
  • Complementary and Natural Healthcare Council
  • Federation of Holistic Therapists
Further information

You can find out more about working in aromatherapy from the International Federation of Aromatherapists.

Routes in are from the National Careers Service job profile for aromatherapist. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

Horticultural therapist

You can get into this job through:

University

You could do a foundation degree, higher national diploma or degree course, then take further training in social and therapeutic horticulture.

Subjects include:

  • horticulture
  • health and wellbeing
  • occupational therapy
  • mental health or learning disability nursing

Some universities offer horticulture courses that include modules on social and therapeutic horticulture.

Entry requirements

You'll usually need:

  • 1 or 2 A levels, or equivalent, for a foundation degree or higher national diploma
  • 2 to 3 A levels, or equivalent, for a degree

College

You could take a college course to get some of the skills needed for this job, which may help you when looking for work.

Courses include:

  • horticulture
  • garden design
  • practical horticulture skills
Entry requirements

Entry requirements for these courses vary.

Apprenticeship

You may be able to work towards this role by doing an apprenticeship before taking further training in therapeutic horticulture.

Apprenticeships include:

  • Horticulture Level 2 Intermediate Apprenticeship
  • Horticulture or Landscaping Supervisor Level 3 Advanced Apprenticeship
  • Community Health and Wellbeing Worker Level 3 Advanced Apprenticeship
Entry requirements

To get onto an apprenticeship, you'll find it useful to have:

  • some GCSEs, usually including English and maths, or equivalent, for an intermediate apprenticeship
  • 5 GCSEs at grades 9 to 4 (A* to C), or equivalent, including English and maths, for an advanced apprenticeship

Other ways in

Volunteering

It can be really useful to get experience by volunteering as a support worker on a horticulture project. You'll get a better understanding of the role, and make contacts who could help when looking for work.

Thrive offer volunteering opportunities, if you live within travelling distance of their gardens in Battersea (South London), Birmingham or Reading. They also have details of other horticulture projects around the UK.

You can find other local volunteering schemes from Do IT and NCVO.

Other routes

You can do training courses with Thrive, a national charity working in horticultural therapy. Thrive offer courses from introductory level to more advanced, like the Diploma in Social and Therapeutic Horticulture.

What you’ll need

  • pass enhanced background checks as you may work with children and vulnerable adults

Registration and professional bodies

Career tips

You may have an advantage if you are moving into this career from another area of horticulture or gardening, or a job such as social care, occupational therapy, mental health nursing, counselling or teaching.

Further information

You can find out more about becoming a horticultural therapist from Thrive and the Chartered Institute of Horticulture.

Routes in are from the National Careers Service job profile for horticultural therapist. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

Hypnotherapist

You can get into this job through a specialist course run by a professional body.

Other routes

You could do a course recognised by a professional bodies related to hypnotherapy, including:

  • National Council for Hypnotherapy
  • The National Hypnotherapy Society
  • British Society of Clinical Hypnosis
  • General Hypnotherapy Standards Council and General Hypnotherapy Register

Courses usually involve practical workshops, self-study and written assignments. You might have an advantage when applying for courses if you have a background in healthcare or counselling.

Some hypnotherapy courses are aimed at qualified psychologists or healthcare professionals. You'll need a relevant degree or professional qualification for these.

What you’ll need

  • pass enhanced background checks

Registration and professional bodies

Career tips

Most hypnotherapists are self-employed so it will help if you have some experience of running a business.

Professional and industry bodies

You could join an accredited register for professional development and to make industry contacts.

Further information

You can find out more about careers in hypnotherapy from the British Society of Clinical Hypnosis.

Routes in are from the National Careers Service job profile for hypnotherapist. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

Massage therapist

You can get into this job through:

College

You could take a course at college to learn some of the skills and knowledge you need for a trainee position.

Courses include:

  • massage
  • sports massage therapy
  • beauty therapy massage
  • complementary therapies
Entry requirements

Entry requirements for these courses vary.

Apprenticeship

You could apply to a health spa or wellness clinic to do an advanced apprenticeship like:

  • Holistic Wellbeing Practitioner Level 3
  • Advanced Beauty Therapist Level 3
Entry requirements

You'll usually need:

  • 5 GCSEs at grades 9 to 4 (A* to C), or equivalent, including English and maths, for an advanced apprenticeship

Registration and professional bodies

Career tips

You can specialise in a particular form of massage like:

  • baby and infant massage
  • Swedish massage
  • deep tissue massage
  • sports massage
  • Indian head massage

You can take extra training to build up these specialist skills.

Professional and industry bodies

You could join the voluntary register of the Complementary and Natural Healthcare Council or the Federation of Holistic Therapists.

The General Council for Manual Therapies is the governing body for massage therapy. It sets the standards for the profession and can give advice on the minimum standard you'll need to practise massage therapy safely and competently.

Routes in are from the National Careers Service job profile for massage therapist. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

Naturopath

You can get into this job through:

University

You'll need to get a qualification that is recognised by one of the professional organisations for naturopathy.

The General Council and Register of Naturopaths (GCRN) is a professional body for naturopathy and recommends that courses should last at least 3 years, should involve attendance and not be done by distance learning alone.

You should also check the course content covers all of the competencies you will need to meet voluntary registration as a naturopath and that it includes enough practical work experience.

Entry requirements

You'll usually need:

  • 3 A levels, or equivalent, including at least 1 science

What you’ll need

  • have insurance
  • pass enhanced background checks

Registration and professional bodies

Registration
  • you could join an accredited register managed by the Complementary and Natural Healthcare Council (CNHC) or the Federation of Holistic Therapists
Professional and industry bodies

You could join the General Council and Register of Naturopaths and Association of Naturopathic Practitioners, for professional development and training opportunities.

Further information

You can find out more about becoming a naturopath from the General Naturopathic Council and General Council and Register of Naturopaths.

Routes in are from the National Careers Service job profile for naturopath. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

Reflexologist

You can get into this job through:

University

You could take a foundation degree or diploma in higher education in complementary healthcare.

A course in complementary healthcare can include a number of different therapies, so you would need to check how much of it covers reflexology.

Entry requirements

You'll usually need:

  • 1 or 2 A levels, or equivalent, for a foundation degree or higher national diploma

College

You could do a college course that will give you some of the skills and knowledge required for this role.

Courses include:

  • reflexology
  • complementary therapies
  • holistic health and complimentary therapies
  • practitioner reflexology
Entry requirements

Entry requirements for these courses vary.

Apprenticeship

You may be able to start in this career by doing a Wellbeing and Holistic Therapist Level 3 Advanced Apprenticeship.

This can take up to 2 years to complete and is a mix of workplace learning and off-the-job study.

Entry requirements

Employers will set their own entry requirements.

What you’ll need

  • have insurance
  • pass enhanced background checks

Registration and professional bodies

Registration
  • you could join an accredited register managed by the Complementary and Natural Healthcare Council (CNHC) or the Federation of Holistic Therapists
Career tips

You may find it useful to have experience in healthcare, massage, beauty therapy or counselling.

Further information

You can find out more about becoming a reflexologist from the Association of Reflexologists and The British Reflexology Association.

Routes in are from the National Careers Service job profile for reflexologist. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

Reiki healer

You can get into this job through:

College

You could start with an introductory course at a college or community learning centre, then take further training in Reiki healing.

Entry requirements

There are no set entry requirements for this route.

Volunteering

Before you begin a training course, you could get personal experience of Reiki treatments, so that you have an understanding of the practice and the methods used.

Other routes

You can train with a Reiki master to become a practitioner by going through a series of 'attunements' or initiations.

These are procedures performed by the Reiki master to 'attune' or connect you to energy so you can receive it and pass it on to others.

It can take up to 3 years of training to become a full Reiki master and to teach. You'll be expected to practise Reiki regularly on yourself and others during this time.

Your training should include the Reiki core curriculum, which is needed to register with the Complementary and Natural Healthcare Council (CNHC).

Registration and professional bodies

Career tips

You may find it helpful to have experience or qualifications in anatomy, physiology or other complementary therapies. Experience of working in a caring profession can also be useful.

Professional and industry bodies

You can join the Complementary and Natural Healthcare Council, which has a voluntary register of Reiki healers.

You can also apply to join the General Regulatory Council for Complementary Therapies.

Further information

You can find out more about Reiki, training courses and registration from:

  • the UK Reiki Federation
  • The Reiki Council
  • The Reiki Association

Routes in are from the National Careers Service job profile for reiki healer. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

Apprenticeships

2 for this job
Level 5About 2 years

Health play specialist

You gain
Foundation Degree in Health Play Specialist approved by the Society of Health Play…
Leads to
Society of Health Play Specialists (SoHPS)
Employers may ask for
Entry requirements will be determined by the employer and the provider, and typically require a level 3 qualification in childcare, education or a relevant…
Details on Skills England

© Skills England 2025. This information is licensed under the Open Government Licence https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

Other qualifications

QualificationTypeLevel
FD in Health Play Specialism (Level 5)Higher technical5
FdSc Healthcare Play SpecialistHigher technical5

The work

ONS · ESCO · O*NET

Typical tasks

  • advises and prescribes in areas of complementary and alternative medicine
  • prescribes and prepares homeopathic remedies
  • manipulates and massages patient to discover the cause of pain, relieve discomfort, restore function and mobility and to correct irregularities in body structure
  • uses colour therapy to help with people’s mental and physical problems
  • administers aromatic herbs and oils and massages body to relieve pain and restore health
  • massages reflex points in the hands and feet to relieve pain and promote healing in other parts of the body
  • uses hypnotherapy to relieve or treat health conditions and to change habits

Skills

  • advise on mental health
  • apply a holistic approach in care
  • apply aromatherapy
  • apply context specific clinical competences
  • collect healthcare user's general data
  • communicate effectively in healthcare
  • develop a collaborative therapeutic relationship
  • develop therapeutic relationships
  • empathise with the healthcare user
  • ensure safety of healthcare users
  • follow-up on healthcare users' treatment
  • identify customer's needs
  • interact with healthcare users
  • listen actively

Knowledge

  • acupuncture methods
  • characteristics of plants
  • human anatomy
  • human physiology
  • phytotherapy
  • types of aromatherapy treatments
  • biology
  • chemistry

Suits people who like

  • Helping and caring for people
  • Working with ideas and solving problems

Outlook

DfE · Skills Imperative 2035
Broader groupThese projections are for health and social care associate professionals, a group of 13 jobs that includes complementary health associate professionals.
Change in jobs, 2020 to 2035↑ 12%about 82,000 more jobs
Workers needed by 2035492,000including people replacing those who retire or leave

Sources

Pay
ONS, Annual Survey of Hours and Earnings, 2025 provisional
People in the job, who does it
ONS, Annual Population Survey, April 2025 to March 2026
Job adverts
ONS, online job adverts (Textkernel), to Aug 2026
Demand, skill shortages
Department for Education and Skills England, Occupations in demand and the Employer Skills Survey
Outlook
The Skills Imperative 2035 (2024), NFER/Nuffield/DfE/IER/CE
Routes in
National Careers Service job profiles
Apprenticeships, qualifications
Skills England occupational maps
Skills, interests
ESCO classification of the European Commission; O*NET data, U.S. Department of Labor (CC BY 4.0, modified)
Visas
Home Office, immigration system statistics

Figures as of 10 October 2026.

Contains public sector information licensed under the Open Government Licence v3.0. Source: Office for National Statistics licensed under the Open Government Licence v3.0. Occupations in demand and the Employer Skills Survey: Department for Education and Skills England. Immigration system statistics: Home Office. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.

© Skills England 2025. This information is licensed under the Open Government Licence https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/

Source: The Skills Imperative 2035 (2024), NFER/Nuffield/DfE/IER/CE.

This service uses the ESCO classification of the European Commission.

This service includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. This service has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications. CC BY 4.0 licence.

jobfacts is independent. It is not part of, affiliated with or endorsed by the Office for National Statistics, the Department for Education, Skills England, the National Careers Service, the Home Office, the European Commission or the U.S. Department of Labor.