Services for patients with Alcohol Related Brain Damage (ARBD) are limited and many have unmet care needs. To gain a greater understanding of the current levels of service provision for patients with ARBD, a national survey was circulated, and semi-structured interviews were performed with service representatives from health and social care representatives from across the United Kingdom. Service understanding and confidence to support patients with ARBD was poor. Barriers to delivering services included limited centralized financial support, a lack of dedicated training, and an absence of effective cross-sector transdisciplinary referral pathways. Initiatives to improve care provision are discussed.