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Heroin and coc aine addicts on the government's treatment programme are being given drugs as a reward for clean urine samples, the BBC has learned.
The National Treatment Agency (NTA), which runs the £500m a year scheme, admits the practice is "unethical".
A third of clinics in the survey said users who produced a drug-free urine sample may be offered increased doses of heroin substitute as a reward
A quarter admit that clients can choose the type of substitute drugs they want.