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 ONSShow as table
Lowest 10% earn less than
Not published
Lowest 20% earn less than
Not published
25%
Not published
Median
£27,900
75%
Not published
Top 20% earn more than
Not published
Top 10% earn more than
Not 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 East
Not published by ONS
North West
Not published by ONS
Yorkshire and The Humber
Not published by ONS
East Midlands
Not published by ONS
West Midlands
Not published by ONS
East of England
Not published by ONS
London
Not published by ONS
South East
Not published by ONS
South West
Not published by ONS
Scotland
Not published by ONS
Wales
Not 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
0200400600800
20172019202120232025
New advertsMonth not published by ONS (1 in all)Show as table
Aug 2026
361
Jul 2026
331
Jun 2026
427
May 2026
379
Apr 2026
318
Mar 2026
Not published
Feb 2026
393
Jan 2026
381
Dec 2025
237
Nov 2025
408
Oct 2025
424
Sept 2025
410
Aug 2025
337
Jul 2025
433
Jun 2025
449
May 2025
449
Apr 2025
366
Mar 2025
384
Feb 2025
372
Jan 2025
330
Dec 2024
164
Nov 2024
321
Oct 2024
378
Sept 2024
369
Aug 2024
415
Jul 2024
397
Jun 2024
415
May 2024
415
Apr 2024
432
Mar 2024
291
Feb 2024
292
Jan 2024
360
Dec 2023
229
Nov 2023
283
Oct 2023
240
Sept 2023
283
Aug 2023
295
Jul 2023
322
Jun 2023
440
May 2023
470
Apr 2023
362
Mar 2023
336
Feb 2023
330
Jan 2023
389
Dec 2022
344
Nov 2022
352
Oct 2022
412
Sept 2022
378
Aug 2022
495
Jul 2022
429
Jun 2022
479
May 2022
507
Apr 2022
395
Mar 2022
489
Feb 2022
354
Jan 2022
425
Dec 2021
293
Nov 2021
378
Oct 2021
453
Sept 2021
408
Aug 2021
379
Jul 2021
544
Jun 2021
491
May 2021
470
Apr 2021
439
Mar 2021
571
Feb 2021
321
Jan 2021
325
Dec 2020
316
Nov 2020
336
Oct 2020
389
Sept 2020
395
Aug 2020
330
Jul 2020
325
Jun 2020
270
May 2020
208
Apr 2020
295
Mar 2020
296
Feb 2020
396
Jan 2020
377
Dec 2019
379
Nov 2019
645
Oct 2019
454
Sept 2019
404
Aug 2019
309
Jul 2019
385
Jun 2019
375
May 2019
405
Apr 2019
268
Mar 2019
367
Feb 2019
312
Jan 2019
363
Dec 2018
296
Nov 2018
347
Oct 2018
456
Sept 2018
445
Aug 2018
361
Jul 2018
292
Jun 2018
308
May 2018
293
Apr 2018
268
Mar 2018
274
Feb 2018
299
Jan 2018
301
Dec 2017
211
Nov 2017
318
Oct 2017
308
Sept 2017
374
Aug 2017
310
Jul 2017
404
Jun 2017
679
May 2017
533
Apr 2017
622
Mar 2017
568
Feb 2017
486
Jan 2017
500
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
This groupAll 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
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
38%aged 55 or over
39%hold a degree
72%self-employed
91%women
Age of complementary health associate professionals
Age profile of complementary health associate professionals
n/p
17%!
16%!
29%!
22%!
17%!
16–2425–3435–4445–5455–6465+
!Small sample: treat with cautionn/p: too few in the survey to publishShow as table
16–24
Not published
25–34
17% (small sample)
35–44
16% (small sample)
45–54
29% (small sample)
55–64
22% (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 cautionShow as table
Degree or equivalent
39%
Higher education below degree
21% (small sample)
A levels or equivalent
17% (small sample)
GCSEs or equivalent
19% (small sample)
Other qualifications
7.9% (small sample)
No qualifications
Not 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…
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
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.
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.
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