Learn why 600+ businesses support employee mental health with Spill
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The market for employee health and wellbeing services is full of options: around the world, there are over 839 EAP providers. If you’re thinking about changing your Employee Assistance Programme or introducing one into your company, it’s important to consider what the ‘best EAP provider’ really means for your team.
Our guide to the best Employee Assistance Programmes in the UK starts by looking at the top 5 UK EAPs by employee rating, ultimately the most important metric. We then look at different reasons you may be shopping for an EAP and some watch outs when buying in each circumstance. The best EAP for your team will depend on your reason for buying, so it’s worth reading the section that most applies to you before finishing by filtering on the long list of EAPs at the end of the page.
What makes the best EAP Service?
There are multiple interpretations for what ‘best EAP provider’ means. There is no ‘perfect’ EAP provider that will suit every company: it all depends on the services your employees will need, use, and benefit from.
However, we can all agree that whether or not employees like it (and use it) is one of the most important factors. That’s why we have used employee ratings to put together a list of the top 5 EAP providers.
To get accurate data, we used publicly available review pages from Trustpilot and Google to get employee ratings. We then looked at information provided by each provider on their own website regarding the services they offer and any exclusions to understand the pros and cons of each.
The top 5 UK EAPs
Based on employee reviews:
- Spill
- Perkbox
- Bupa
- Vitality
- Sonder
For each provider, we've put together an overview of the services and plans provided and pulled out some useful user reviews below.
1. Spill

Overview
Spill is a modern EAP providing the tools you need to help your team through any challenge, personal or professional. Next day therapy, manager training, and neurodiversity support all in one platform.
This isn’t rigged, we genuinely don’t have a single negative Trustpilot review out of all the users who’ve shared their experience of using Spill.
Trustpilot rating: 4.9 / 5
EAP type: Modern EAP
Number of clients: 600 clients
HQ: London, UK
Services:
On-demand counselling
Next day sessions
Neurodivergence support
Integrations
Confidentiality prioritised
Plan options:
Trial available
Flexible pricing options
No exit fees
Reviews
Life changing experience
“I love Spill and couldn't be more thankful. My therapist has helped me so much in such a short amount of time. I'll continue to work with the tools that you've given me and adopt this everyday.”
Link to reviewThe best employee benefit I’ve ever received
“The platform is really easy to use and you can easily change between therapists if you don’t click. I found a really amazing counsellor and I’ve had a couple of courses of therapy. It’s been such a safe space, I’ve found it really helpful and reassuring. A great service, definitely recommended.”
Link to review2. Perkbox

Overview
In terms of mental health support, Perkbox is known for its huge bank of resources rather than on-demand counselling services. This means it provides content for every situation that employees can browse, including resources written for neurodivergent staff.
However, based on Trustpilot, the main thing driving Perkbox’s popularity and 4.5/5 rating is not the mental health support but vouchers and discounts. This is still a compelling employee offering but provides a different service to a traditional EAP.
Trustpilot rating: 4.5 / 5
EAP type: Perks platform
Number of clients: 1,000-5,000
HQ: UK and Australia
Services:
On-demand counselling
Next day sessions
Neurodivergence support
Integrations
Confidentiality prioritised
Plan options:
Trial available
Flexible pricing
No exit fees
Review highlights
Incredible set of discounts
“Incredible set of discounts on offer with incredible user friendliness. The ease of purchasing vouchers allows for great discounts. I would say access to this employee scheme is the single highlight of working for my company. Could be improved on the refund front though.”
Link to reviewExcellent rewards program
“Excellent rewards program. I particularly enjoyed the Cinema vouchers I got through Flexi points. For any questions I had, Sofie was a great help. She went beyond and above to ensure my experience was a positive one.”
Link to review3. Bupa UK EAP
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Overview
Bupa offers an EAP as an optional add on to their corporate health insurance plans. This includes a 24/7 helpline with access to clinically-led support both for physical and mental health, online self-help resources, and a triage system which can help employees access counselling sessions.
Trustpilot reviews are generally positive although employees must be triaged first by Bupa and then a medical professional before accessing counselling which can delay care. Pre-existing conditions are also not supported on all plans.
Trustpilot rating: 4.4 / 5
EAP type: Add on
Number of clients: 2.3m members
HQ: London, UK
Services:
On-demand counselling
Next day sessions
Neurodivergence support
Integrations
Confidentiality prioritised
Plan options:
Trial available
Flexible pricing options
No exit fees
Review highlights
Good and fast experience
“I got a referral from the GP and within a day of receiving it I had been sent over local specialists in my area and managed to get an appointment within a week of receiving my referral. Really great and fast process.”
Link to reviewVery helpful and understanding staff
“Very helpful and understanding staff. Look after mental wellbeing as well as physical. Got appointment with online GP easily and referrals were quickly done.”
Link to review4. Vitality EAP

Overview
The Vitality EAP can be added onto an overall insurance package for employees. On-demand counselling can be included as part of this package but employees must be triaged by a Vitality employee before booking and the majority of negative reviews are from employees who were denied care after being triaged by Vitality.
Employees must also submit claims after being treated which draws out the treatment process and can be an admin burden.
Trustpilot rating: 4.4 / 5
EAP type: Add on
Number of clients: 1.8m members
HQ: London, UK
Services:
On-demand counselling
Next day sessions
Neurodivergence support
Integrations
Confidentiality prioritised
Plan options:
Trial available
Flexible pricing options
No exit fees
Review highlights
Good and fast experience
“Really helpful on the phone, was simple to get approval for my treatment”
Link to reviewVery helpful and understanding staff
“The customer service team explains how the claims work much better than any information on the app. Thanks”
Link to review5. Sonder
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Overview
Sonder primarily operates a 24/7 helpline and online wellbeing portal containing breathing exercises, recipes, workouts and activity trackers.
Google reviews are generally positive but there are employee complaints around confidentiality on the platform. This may be an isolated incident but is worth asking about if you are considering this service.
Google rating: 4.1 / 5
EAP type: Helpline
Number of clients: 200 customers
HQ: Australia
Services:
On-demand counselling
Next day sessions
Neurodivergence support
Integrations
Confidentiality prioritised
Plan options:
Trial available
Flexible pricing options
No exit fees
Review highlights
Review
“Extremely dodgy, masquerades as a confidential service to help employees, all information swiftly given to your employer to use against you. Will also offer advice like it's best to resign if you have mental health issues.”
Link to reviewHow to find the best EAP for your team
While employee rating is important, the reason you are looking an EAP will also depend on your team’s situation. Maybe you are looking to upgrade an existing EAP service and want to make sure your team gets a great deal. Or maybe there’s an employee on the team who’s struggling and needs support as soon as possible. In each case, what you prioritise will be different and so will the best EAP for your team. Knowing what to look out for will help you pick the best service.
Why are you looking for a new EAP?
We have spoken to hundreds of people looking to buy an EAP over the years at Spill and they always fit into one of two categories: companies that already have an EAP and companies with nothing in place.
It’s an important distinction. If you already have an EAP and you are looking for other options then it’s likely that your EAP is not performing. Perhaps no one is using it or team members are being denied support. The majority of buyers have experienced one or both of these problems. An important minority, however, are satisfied with their EAP but want to make sure there’s not a better deal out there.
Then we have companies who have nothing in place yet. Surprisingly often, companies in this group are looking because someone on the team is struggling right now and needs professional support. Alternatively, a company may have reached a size to build out its employee benefits for the first time. Finally in this group there are companies who need to fulfil a duty of care to their employees.
Whichever group you belong to, we have watch outs and tips for buying an EAP below to make sure you find the best fit for your team.
Below we'll cover:
We have an EAP but nobody is using it
If you are disappointed by usage on your EAP then you are not alone. A 2024 survey of UK business owners found that usage of their EAP was as low as just 3-5% of their employee base each year. Over a quarter of employees surveyed were unaware that their EAP even existed. This can be galling – especially when EAP contracts can last for up to five years.
However it is important to acknowledge what reasonable usage is for an EAP. If you are paying around £10 per employee per year for access to therapy, it is impossible for the EAP to provide even 25% of the team with access to therapy. Let’s look at the maths:
We know from a 2007 NHS study that 1 in 4 people experience a mental health problem of some kind in a given year and most EAPs promise at least 8 counselling sessions for any employee that needs it.If we assume 25% of our 40-person company want to speak to a counsellor that’s 10 employees:
Even the best EAP couldn’t make this maths work. Through a combination of low employee engagement and directing employees who contact them away from counselling (more on this below), EAPs can promise plenty of support while providing very little.
It is acceptable for EAPs to provide limited support for a low price. Many businesses must prioritise cost and some support is always better than nothing. Indeed Eugene Farrell, chair of EAPA, said that EAPs should “acknowledge that they have their limits”. But it is important that you know what those limits are when buying and that EAPs are transparent.
Here’s some questions to ask during the buying process to make sure you don't get caught out paying for something that goes unused:
Q: What is the “per session” price for counselling?
Lots of EAPs will give you a “per employee” price which makes it hard to know whether the support they are offering is realistic. If the price of a counselling session is £5, you will know they are assuming low usage.
Q: What is average session use for a business of our size?
This will help you understand how many sessions your team is likely to use and therefore whether the price is good value. It’s worth also asking if you can pay-as-you-go for the first few months until you know how many sessions the team needs.
Q: How will you remind my team about the EAP?
A key reason your team might not use the EAP is because they were told about it once via email and then never again. Some modern EAPs (like Spill!) offer integrations with Teams and Slack to stay top of mind for employees. Ask EAPs what they doing to remind your team they exist.
Q: What’s the minimum contract length?
Do everything you can to avoid getting locked into a 5-year contract with an unused EAP. Be clear on contract lengths upfront and ideally make sure that there are no exit fees if the team ends up never using the service and you want to cancel.
If you are comparing the best EAPs because your team is not using your current service, you can search our longer list of the best EAPs below and look for EAPs that have pay-as-you-go pricing, offer integrations and don't have exit fees.
We have an EAP but team members are being denied support on it
If an EAP is going to work, your team must be able to book in for counselling sessions. Surprisingly this is an issue with some EAP providers who claim to offer counselling. A study by Unmind estimated that while only 5% of employees phoned their EAP’s call centre, 42% of those callers were rejected for therapy due to limited sessions and low-quality therapy services.
If you are reading this section, it is likely that you have had this experience already with your EAP and are looking for a better alternative. Perhaps a team member that you signposted towards your EAP has been rejected for support and is now worse off than before.
Here are a few things you can do to avoid this happening a second time:
1. Check Trustpilot
Trustpilot reviews can be a good way to sense check how often employees are turned away from their EAP. If there is a high proportion of one-star reviews with complaints about being unable to access therapy services, this is a red flag. The best EAP providers make it as quick and easy as possible for people to get the support they need.
2. Ensure you can exit your EAP contract
Some EAPs will impose an exit fee if you try to stop paying for it early, even if you are exiting because your team cannot access the counselling service you are paying for. In some cases, exit fees can be more than the value of the contract itself. Make sure that you do not have an exit fee when you negotiate your contract. The level of resistance to dropping the exit fee will also be a good indicator for how good the service is.
3. Ask for pay-as-you-go pricing
If you cannot avoid an exit fee, ask for pay-as-you-go pricing. That means only paying when the service is used. The best EAPs and modern EAP alternatives will allow you to only pay for sessions that take place which will incentivise them not to turn your employees away.
4. Check the EAP covers neurodivergence
Some EAPs will not cover forms of neurodivergence and will turn away employees for support with their condition. As diagnoses for autism and ADHD in particular are increasing rapidly year-on-year (see below) checking that this support is included can be important.
If you are comparing the best EAPs because your team is not using your current service, you can search our longer list of the best EAPs below and look for EAPs that have good ratings, no exit fees, flexible pricing and neurodivergence support.
We have an EAP but we're just browsing options
With 78% of UK businesses offering their staff an EAP it is likely that you already have an EAP in place. It may also be providing the support that your team needs. However as lots of EAPs come with a 5-year contract, you might have last looked at what’s on the market around 5 years ago and a lot has changed since then.
Here are some new trends around employee mental health to be aware of when making sure your team has the best EAP:
Demand for counselling has never been higher
According to a report by the BACP, nearly a third of UK adults sought help from a counsellor or psychotherapist between 2023 and 2024. That’s a huge proportion of the working population and the main reason behind wait times of up to 153 days to speak to a counsellor in some parts of the country. With this void in support, employers are increasingly providing access to counselling for their employees.
Significant increase in ADHD and autism diagnoses
In the past 4 years, there has been an unprecedented rise in the number of people being diagnosed with ADHD and autism. A recent study by UKIM put the increase in diagnoses at 600% in just 2.5 years. Often neurodivergent employees are among the most productive members of the team which has led many employers to prioritise EAP services that offer specialised support for these conditions.
Confidentiality is crucial to employees
Confidentiality of mental health services has always been a requirement, both ethically and legally. However, in 2024 this jumped up the priority list for employees as one EAP provider was accused of allowing strangers to eavesdrop on employee therapy sessions, as reported by the BBC. The best EAP providers should prioritise confidentiality, this is crucial if you want your team to use it.
Getting good value has become non-negotiable
In November 2024, the government announced that businesses would have to increase their National Insurance contributions from April 2025. This is the latest in several developments that have made it harder for businesses in the UK to keep any budget aside for supporting their staff. As a result, making every pound count has become essential. Spending money on a service that isn’t providing value is no longer an option.
If you are comparing the best EAPs because you want to see what's new on the market, you can search our longer list of the best EAPs below and look for EAPs that have good ratings, no exit fees, flexible pricing and neurodivergence support.
We don't have an EAP in place and someone on the team needs help right now
Sometimes you will have a team member who unexpectedly needs professional support. Perhaps they have experienced a bereavement or have started having panic attacks in the office. In these cases, you need high quality mental health support as soon as possible.
When looking for support, prioritise EAP providers that can guarantee your team member will speak to an excellent counsellor. There are plenty of horror stories on Trustpilot of employees being connected to someone who was unable to help them or even made matters worse. You want to have full trust in the EAP service you are connecting a vulnerable team member to so prioritise checking this during the buying process.
Here’s some questions that can be helpful to ask when looking for the best EAP service for your team:
Q: What happens when a therapist gets a bad review?
This will help you understand what quality checks the prospective EAP has in place. Some EAP services do not collect feedback while others collect it but do not act on it. This means bad counsellors could continue to practise on their platforms. It’s worth scanning Trustpilot reviews to get a sense of what the counsellors are like. The best EAPs will have extremely high standards when it comes to therapist hiring, training and ongoing supervision.
Q: When is the earliest my team member could speak to a professional?
The length of time it takes to onboard an EAP can vary radically. The best EAP providers are able to offer your team member a next-day session, others will take you through a weeks-long buying process. Ask this question to avoid surprises.
Q: How much would it cost just to support one individual?
This is a quick way to find out whether you can support just one employee instead of the whole team. Because many EAPs structure their business model around employees not being able to access therapy, many of them will not want to provide a service to just one employee who needs help. The best EAP services will have flexible pricing options allowing you to support any number of employees and will let you start with pay-as-you-go.
If you are comparing EAP providers because a member of the team needs support right now, make sure you filter on having on-demand counselling and next-day sessions.
We don't have an EAP in place and we want to build out our employee benefits
You may be looking to get something in place because the business has matured to a certain level or it’s in a good financial position. If you are not under time pressure, this is a great chance to get familiar with the different EAP options.
There are lots of different services that EAPs offer:
- On-demand counselling
- Telephone helpline
- Mental health training
- Self-help resources
At one end of the scale, basic EAP providers offer a 24/7 telephone helpline for employees to speak with an advisor who will assess their level of ‘need’ and refer them on for further support if required. More sophisticated services also provide self-help content and training workshops. And modern EAP alternatives (like Spill) do away with the helpline altogether and allow employees to book counselling sessions on-demand using an online booking system.
If you are not sure which EAP services you should prioritise, start by surveying your employees. They will have experienced services at other companies and will have opinions on what they liked. This will help you to focus spend on services that employees perceive as valuable.
Finally, trialling the service is not widespread for employee mental health platforms, but that is changing. Some modern EAP services (like Spill) offer the chance for you to trial their platform including some therapy sessions for you to give to the team. This will help give you confidence that the service you are providing to your team is the right one.
If you are comparing EAP providers because a member of the team needs support right now, make sure you filter on employee ratings, flexible pricing and the ability to trial the platform.
We don't have an EAP in place and we need to fulfil a duty of care
In 2002, Lady Justice Hale judged that ‘an employer who offers a confidential advice service, with referral to appropriate counselling or treatment services, is unlikely to be found in breach of duty.’ This judgement did not make it a legal necessity to provide employees with mental health support, but it did mean that doing so gave additional legal protection.
If you are looking to fulfil a duty of care, it is a good idea to get an EAP service in place. Just make sure that it is confidential. The 2024 BBC investigation into EAP providers did highlight that at least one service was not as confidential as they advertised. So far, the fallout has been with the EAP which had its accreditation suspended in 2024 by the British Association for Counselling and Psychotherapy (BACP).
However if employers are found to have been negligent in the procurement of their chosen EAP service, this could change. The employer also could no longer be protected by the ruling referenced above because the EAP service they provided was not confidential.
If you are comparing EAP providers because you want to fulfil your duty of care, make sure you filter on confidentiality prioritised.
Filter our list of the UK’s best EAPs
Based on why you are looking for a new EAP service, you can now use the best filters to sort the list:
Filter and sort
Trustpilot rating
Sonder

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Optima Health

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Spill

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
MCL Medics
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EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Optum Health

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Mind Matters (Workday)

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
AXA Health EAP

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Virgin Pulse

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Plumm

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Health Hero

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
ComPsych

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Spectrum.Life
EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Perkbox

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Vitality EAP

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Education Support

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
PAM Wellbeing

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Unmind EAP
EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Self Space

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Vita Health Group

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Care First

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
TELUS (LifeWorks)
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EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
Bupa EAP

EAP type:
Services:
On-demand counselling
Self-help resources
Mental health training
Telephone helpline
No results with these filters
The best EAP providers will go above and beyond to prioritise the best care possible for your employees, and we believe that means including a few key features:
- A tailored approach: Look out for providers that are happy to tailor their services to meet the individual needs of your team (e.g. offering therapy in multiple languages, or offering specialised services that address specific challenges).
- Proactive support: The best EAPs will proactively support your team by detecting and action on early signs or poor mental health, rather than waiting for people to reach crisis mode and look for support themselves.
- Open and honest communication: A good EAP provider will support you with building a clear and effective communication strategy to help promote its services to employees, and will share your team’s (anonymous) mental health insights with your business.
You can check out customer reviews for each of the top EAP providers via Trustpilot here:
- Spill reviews (4.9 stars on Trustpilot, rated excellent)
- Health Assured reviews (4.4 stars on Trustpilot)
- Axa health reviews (4 stars on Trustpilot)
- Lifeworks reviews (1.4 stars on Trustpilot)