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Pest Control · 31 min read · Updated 1 November 2026

How to Get Rid of Bed Bugs in the UK: What Actually Works

To get rid of bed bugs, book a professional treatment with at least two visits, prepare the room properly and keep sleeping in your own bed. Hot washing and freezing help, but sprays, foggers and moving rooms usually make things worse.

By the Bestone pest control team · Contact us

Illustration of a bed bug and small white eggs sitting along the stitched seam of a mattress

Key takeaways

  • The NHS says DIY methods are unlikely to clear bed bugs completely. Book your council or a pest control service, then use home steps to support that treatment.
  • Plan for at least two visits. Eggs hatch in 10 to 20 days, so a second treatment catches what the first could not reach. Lambeth Council treats three weeks apart.
  • Do not spray, fog or sleep elsewhere before the first visit. Foggers failed in testing, shop sprays can leave survivors, and moving rooms can spread the problem.
  • Keep your mattress until you have advice. Sound mattresses can usually be treated and then encased. Divans are the hard case: Bedford Borough Council says they may need destroying.
  • Our bed bug treatment starts from £149 for one room, plus £45 per extra room and £79 per follow-up visit. The price is confirmed in writing before work is booked.
On this page

How to get rid of bed bugs: the short answer

If you want to know how to get rid of bed bugs in a UK home, the method that works is professional bed bug treatment from your council or a pest control service, with at least two visits, supported by hot laundry and careful preparation at home. The NHS is plain about this: self-help steps are unlikely to clear them completely, because bed bugs are hard to find and may resist some insecticides.

If you are not yet sure what is biting you, read our guide to bed bugs vs fleas first, because fleas need a different plan. This guide starts from the point where you have found the insects, or the dark spots and shed skins they leave, and you want them gone.

Here is what to do today. Stay in your own bed, because moving to the sofa can take bed bugs to a second room. Leave furniture where it is. Photograph what you have found, and note which rooms are affected and when the bites began. If you rent, tell your landlord in writing. Then book treatment before you buy any spray, because the first visit works best on a room nobody has already disturbed.

The rest of this guide takes each decision in turn: which treatment, how many visits, how to prepare, what to do with the mattress, who pays and how to stop them coming back.

What actually works on bed bugs, and what does not

Most advice online mixes methods that kill bed bugs with methods that only make you feel busy. The real test is whether a method reaches the insects where they hide, and whether it deals with the eggs. Lambeth Council lists hiding places that include mattress seams, under carpets, behind loose wallpaper and pictures, behind door frames and in the arm joints of sofas. A spray on the mattress top reaches none of them.

One point deserves a warning of its own. Ohio State University researchers tested three shop-bought foggers on five bed bug populations and found little, if any, effect. The mist did not reach the protected spots where the insects sit. The authors recommended against using foggers at all, saying they waste money and delay treatment that works. Rutgers University and Ohio State's own fact sheet say the same. Our recommendation is simple: do not buy one. If you have already used one, tell your provider which product and when.

Do not try to cook them out by turning up the heating either. Oxford City Council says central heating can increase bed bug numbers. And never use outdoor, agricultural or unlabelled chemicals indoors, or more of a product than its label allows. Doubling a dose around a bed adds risk to the people sleeping there and does not fix the reach problem.

Bed bug treatment UK options compared

Bed bug treatment UK options compared
MethodVerdictWhy
Professional insecticide, 2 or more visitsWorks, and is the usual council methodTargets hiding places and leaves treated surfaces between visits
Professional heat treatmentWorks where the property suits itKills all stages if heat truly reaches the hiding places
Washing at 60°C and hot tumble dryingWorks on what fits in the machineClears clothes and bedding, not the room
Freezing in a sealed bagWorks on small itemsNeeds time and a cold freezer; see the laundry section
VacuumingHelps before treatmentRemoves some insects, misses eggs; do not vacuum soon after treatment
Zipped mattress encasementHelps after treatmentTraps bugs inside and removes hiding places on the bed
Interceptor traps under bed legsHelps you monitorShow whether bugs are still active; they do not clear an infestation
Shop-bought spraysWeak on their ownRutgers says they work only when applied directly to bed bugs
Diatomaceous earth powderDo not rely on it aloneRutgers rates it above sprays, but it must touch the bugs in cracks
Steam cleaning a mattress yourselfNot recommendedOhio State warns of damp, mould and dust mites; Rutgers does list steam for furniture
Foggers and bug bombsDo not useLittle or no effect in Ohio State testing
Turning the heating upDo not useOxford says central heating can increase numbers
Sleeping in another roomDo not do itThey can follow you and you add a second room to treat

Based on the NHS, Oxford and Lambeth councils, Rutgers University and Ohio State University. Where the two universities differ on steam, we take the more cautious view for mattresses.

Why bed bugs are so hard to kill: resistance explained

Resistance means some bed bugs survive an insecticide that once killed them. The NHS warns that bed bugs may resist some insecticides, and that is one of its reasons for advising against DIY treatment.

The best evidence on how this works is from the United States. A University of Kentucky team, writing in Scientific Reports in 2013, looked at 21 populations collected from US cities. Every one showed at least two resistance mechanisms, and 18 carried what are known as kdr mutations, which change the nerve target that pyrethroid insecticides act on. The team found resistance genes active in the outer body layer, which may slow an insecticide before it does any damage. They also noted that resistance to pyrethroids often brings resistance to other insecticides as well.

We did not find a published UK-wide resistance survey, so we cannot give you a figure for London. It would be wrong to assume that British bed bugs are any easier. The practical lessons hold anywhere: pyrethroids are a common ingredient in insect sprays, and a light dose from a can may kill the weakest insects and leave the toughest to breed. Ohio State researchers warn that ineffective fogger use may add to resistance.

So keep the packaging of anything you have already used, and tell your provider. Ask what active ingredient they plan to use, and what they will change if the first round does not work. A good answer names a different approach for the second round where it is needed, such as another product type or heat. A vague answer about stronger spray is a reason to ask someone else.

Heat treatment vs insecticide: which should you choose?

For most London flats, we recommend insecticide treatment over two or more visits as the starting point. It is what councils such as Lambeth and Bedford use, it suits rooms full of possessions, and it leaves treated surfaces in place while eggs hatch. Choose bed bug heat treatment instead if you want to avoid chemical treatment, if insecticide has already failed in that room, and if the property can take the equipment.

Heat has a sound scientific basis, but the numbers show why it must be done properly. A University of Minnesota study published in 2011 found that at 45°C adults died in about 95 minutes, while eggs survived seven hours. Eggs needed about 72 minutes at 48°C. The lethal temperature that killed 99% of test insects was 48.3°C for adults and 54.8°C for eggs. Those are laboratory figures, and they are a guide to the science rather than a treatment specification.

The catch is that bed bugs do not sit in the open air of a room. They sit inside seams, sofa joints and cracks in skirting, and those places warm up more slowly than the air around them. So ask any heat provider three things before you book: what temperature they aim for, where they measure it, and how long they hold it. Sensors in the middle of the room tell you little. You want readings from inside the hiding places.

Heat also has limits. It stops when the equipment is switched off, so nothing is left behind to catch a bug that walks in from the flat next door. That is why heat alone is a weaker choice in a block with a neighbouring infestation, unless that neighbouring home is dealt with too.

Heat vs insecticide at a glance

Heat vs insecticide at a glance
QuestionInsecticideHeat
How it worksTargeted treatment of hiding places, plus contact with treated surfacesRaises the room and its contents to a lethal temperature
Effect on eggsMay survive, which is why a second visit followsCan kill eggs, but they need more heat than adults
After the visitTreated surfaces keep working if left unvacuumedNothing left behind
Time away from the roomLambeth says 3 hours, then air for 1 hourConfirmed by the provider for your room
Main preparationEmpty drawers, clear floors, bag and wash fabricsSame idea, plus removing heat-sensitive items
Property limitsFew; children and pets must be out during treatmentRoom size, furnishings, access and power supply
Best forMost homes, flats and shared housesAvoiding chemical treatment, or after insecticide has failed
Weak spotResistance, poor preparation, early vacuumingCold spots and new bugs arriving afterwards

Lab temperatures from Kells and Goblirsch, Insects, 2011. Treatment details from Lambeth and Bedford councils and our service pages.

How hot is hot enough for bed bugs and their eggsA temperature scale from 40 to 60 degrees Celsius. At 45 degrees adults die in about 95 minutes but eggs survive 7 hours. At 48 degrees eggs die in about 72 minutes. At 54.8 degrees 99 percent of eggs die. 60 degrees is the NHS wash setting. Below, a short bar shows heat working only during the visit, and a longer bar shows insecticide staying on surfaces for weeks.How hot is hot enough?Lab results, not a treatment specification. Eggs need more heat than adults.40°C45°C50°C55°C60°CAt 45°Cadults die in 95 min,eggs survive 7 hoursAt 48°Ceggs die in 72 minAt 54.8°C99% of eggs die60°C: the NHS wash settingHeatWorks during the visit, then stopsInsecticideStays on surfaces, so hatchlings cross it for weeks1234
  1. 1. 45°C kills adults in about 95 minutes; eggs survived 7 hours
  2. 2. 48°C kills eggs in about 72 minutes
  3. 3. 54.8°C is the point that killed 99% of eggs
  4. 4. Heat stops with the visit; insecticide stays on treated surfaces
Our drawing, using lab results from Kells and Goblirsch (2011) and the NHS wash temperature.

Is fumigation for bed bugs a real option?

When people search for fumigation for bed bugs, they usually mean any professional treatment that fills a room. In the trade, the word has a narrow meaning. HSE describes fumigation as pest control using special gases that poison pests or cause suffocation. Used wrongly, HSE says, these gases can cause serious harm or death, and fumigators must be trained and hold a certificate of competence.

This is not something you or a general handyman should attempt. None of the council treatments we read uses gas fumigation for a home. They describe insecticide applied around the bed and the room. Brighton & Hove says its contractors may add a fine mist to the rest of the room, but that is a supplement to targeted treatment, and it is not fumigation in the HSE sense.

Our advice: if a quote says fumigation, ask exactly what product will be used and how it will reach the seams and cracks. A mist in the air is not the same as treating hiding places, which is also why our general fogging service is not a substitute for a bed bug plan. If the answer involves sealing your flat with gas, ask for the competence certificate and the risk assessment, and speak to your landlord or managing agent first.

Why does bed bug treatment need two visits?

A single visit works on the insects that are out and exposed, and it cannot be relied on to finish the eggs. Oxford City Council says eggs hatch in 10 to 20 days. Bedford Borough Council warns that you may keep seeing bed bugs for several days after treatment, because eggs are hatching and the young die when they meet the treated surfaces.

The timing of the second visit is the part that matters. Lambeth Council treats twice, three weeks apart. Redbridge Council allows two or three visits, 21 to 28 days apart. That spacing lets the eggs hatch, while the young are still too immature to breed. Oxford says bed bugs take about nine weeks to reach adulthood, and Lambeth says the nymphs moult five times on the way, so there is a comfortable gap.

This also explains why a cheap single visit is usually false economy. If a provider offers one visit with no follow-up, ask how the eggs will be dealt with. Every female lays about 150 eggs, says Oxford, so survivors soon rebuild the numbers. For a large or long-running infestation, or a room with a lot of furniture, we recommend budgeting for a third visit from the start.

Between visits, keep the rules simple. Sleep in the bed as normal. Leave treated rooms unvacuumed: Lambeth says at least two weeks, while Bedford and Brighton & Hove say three. We recommend three, unless your sheet says otherwise, since the sheet is written for the product used in your home. Do not wipe skirtings or polish furniture in that time. Wash the bedding again before the second visit, as Lambeth asks.

Why one visit cannot finish the jobA nine-week timeline starting at the first visit. Eggs may survive and hatch between days 10 and 20. The second visit falls between days 21 and 28. Young bugs need about nine weeks and five moults to become adults, so the second visit arrives long before they can breed.Why one visit cannot finish the jobDays after the first visit. Typical timings; your own plan comes first.Day 071421283542495663First visitEggs may surviveHatchingSecond visit, day 21 to 28Any young bugs feed and moult five timesAdult at about nine weeksEach female lays about 150 eggs, says Oxford City Council.1234
  1. 1. First visit: eggs already laid may survive it
  2. 2. Eggs hatch at 10 to 20 days
  3. 3. Second visit, usually day 21 to 28
  4. 4. Adults take about nine weeks, so the young are caught before they breed
Our timeline, using figures from Oxford City Council, Lambeth Council and Redbridge Council. Your own plan may differ.

How to prepare for bed bug treatment, room by room

Preparation is not a formality. Bedford Borough Council says that if you have not completed the steps, the appointment will be cancelled and a call-out fee charged. Your provider's own sheet always comes first, and the list below brings together what Lambeth, Bedford and Brighton & Hove ask for. Start a day or two before the visit. It is a lot of work for one person, so ask for help if you have mobility or health problems, and tell your provider when you book.

Plan for an adult to be home for the visit, since Lambeth requires one throughout. Children and pets must be out of the room during treatment, and Bedford asks you to remove or cover fish tanks and to cover or remove open food. Afterwards, Lambeth asks you to stay out for three hours, then open windows for an hour. Bedford simply says to stay out until the insecticide has dried.

  • Bedroom, the bed: strip it, take off the headboard and, where you can, dismantle metal or wooden frames. Pull the bed away from the wall.
  • Bedroom, furniture: empty wardrobes, drawers and bed storage. Clear everything from under the bed and off the floor. Pull furniture away from the walls.
  • Bedroom, walls and floor: take down pictures, posters and mirrors. Lift carpet edges and leave them loose, as Lambeth asks.
  • Bedroom, books and electricals: open and shake out books and papers. Unplug anything non-essential.
  • Bagging: put clothes into plastic bags inside the room where bed bugs are active, before you carry them anywhere. Seal them tightly, using thick bin liners for anything that cannot be washed.
  • Living room: if anyone naps there, vacuum the sofa and chairs, including joints and under cushions, and clear the floor. Pull the sofa out from the wall.
  • Children's rooms: wash soft toys and blankets on the hottest setting the labels allow, as Brighton & Hove advises. Tell your provider about cots, bunk beds and any item a child sleeps with.
  • Hallway and landing: keep these clear for access. Carry nothing through without bagging it first.
  • Bathroom and kitchen: these are rarely the main problem. Ask whether they need treating, and put away open food if they do.
  • Vacuum last, before treatment. Put the contents in two sealed plastic bags and take them straight to an outside bin.
  • Leave everything else in the room. Lambeth says not to move anything out, except rubbish and clothing for washing.
A bedroom ready for treatment, seen from aboveA bedroom seen from above. The stripped bed stands clear of the walls with a gap on each side. The wardrobe and drawers are emptied, and their contents sit in sealed bags inside the room. An arrow towards the door is crossed out: only rubbish and bagged washing leave the room.Get the room ready without spreading themA bedroom seen from above. Your treatment sheet comes first.Bed stripped,clear underneathGapEmptiedEmptiedThe door ruleOnly rubbish andbagged washingleave the room.12345
  1. 1. Bed and furniture pulled clear of the walls, headboard off
  2. 2. Bed stripped, nothing stored under it
  3. 3. Wardrobes, drawers and bed storage emptied
  4. 4. Contents bagged here, before they are carried anywhere
  5. 5. Only rubbish and bagged washing leave the room
Our drawing, based on preparation sheets from Lambeth Council and Bedford Borough Council.

Washing, drying and freezing: what really kills bed bugs

The NHS gives the benchmark: wash affected bedding and clothing at 60°C, then tumble dry on a hot setting for at least 30 minutes. Other sources vary, and the table below shows where. For thick items such as duvets and heavy coats, we recommend the longer one-hour dry that Bedford gives, because heat takes longer to reach the middle.

Freezing is the one place where the sources differ widely. Lambeth accepts at least three days in a deep freeze, Rutgers says four days, and the NHS says two to three weeks in a sealed bag. Laboratory work reported by the Entomological Society of America found that all life stages died after 80 hours at minus 16°C, after 3.5 days below minus 15°C, or after 48 hours below minus 20°C. It also found that eggs survived short spells at minus 25°C, so a quick chill will not do.

Our recommendation is to follow the NHS and allow two to three weeks. It costs you nothing, it allows for a freezer that runs warmer than its dial suggests, and it gives bulky items time to freeze through. Bag items tightly, do not overload the freezer, and check it with a thermometer if you are unsure.

Use a laundrette if you must, but carry everything sealed and tip it straight into the machine. Throw the bag into an outside bin, and bring clean things home in a fresh bag. Keep clean clothes sealed until the final visit is done, otherwise you can carry bugs straight back into them. This matters most in house shares, where one laundry bag in a shared hallway can start a second infestation.

Laundry and freezing: what each source says

Laundry and freezing: what each source says
MethodNHSLambeth CouncilBedford Borough CouncilOur advice
Washing60°C60°C minimumHottest the fabric allows60°C where the label allows
Tumble dryingHot, 30 minutes or more60°C, 30 minutes or moreHigh heat, at least 1 hour30 minutes for thin items, 1 hour for thick ones
Freezing2 to 3 weeks, sealed bag3 days or moreNot covered2 to 3 weeks
DelicatesFreeze if unwashableDry clean, or bag and sealCheck maker's guidanceDry clean; tell the cleaner why

Rutgers University gives four days for freezing. Lab results come from a Journal of Economic Entomology paper, as reported by the Entomological Society of America.

Do I need to throw my mattress or divan away?

Usually not the mattress, and not yet. Lambeth Council says not to buy a new bed until the infestation has cleared, because a new bed in an infested room is simply a new hiding place. Brighton & Hove adds that most items can be treated and that throwing things out can spread bed bugs. Carrying a mattress down a shared stairwell is one of the easiest ways to spread them through a building.

A divan is different. Bedford Borough Council says divan beds may need to be destroyed because they cannot be effectively treated. The hollow base, fabric lining and storage drawers offer far more hiding space than a slatted frame. Sources do not all go that far, so ask your provider to look at it first. If it has to go, replace it with a simple metal or slatted frame that has few joints, which is far easier to inspect and treat.

If anything does have to go, do it properly. Check first with your provider, and with your landlord if the item is theirs. Ohio State University says to treat a mattress before discarding it, wrap it in plastic before it leaves the building, and deface it so that nobody takes it home. Do not leave it in a communal area, and do not donate it. Brighton & Hove is clear on both.

Once treatment is complete, a zipped bed bug mattress protection encasement is worthwhile. Ohio State says it traps remaining bugs as long as it stays closed and undamaged. It gives six months or more as the survival time without a meal, while Oxford City Council says over a year. We go with Oxford and suggest leaving it on for at least a year.

Keep it or bin it? Mattress and bed decisions

Keep it or bin it? Mattress and bed decisions
What you haveWhat to doWhy
Sound mattress, spots on seams onlyKeep, treat, then encaseSeams can be treated, and an encasement traps what is left
Mattress torn, or seams split openAsk your provider, and plan to replace after treatmentTears offer hiding places an encasement may not seal
Mattress heavily soiled with droppings and bloodReplace after treatment, sealed for removalRutgers advises disposing of heavily infested items
Divan baseHave it inspected first; expect it may have to goBedford says divans cannot always be effectively treated
Metal or wooden frameKeep; dismantle before treatmentBedford asks for this so the joints can be reached
Upholstered headboardTake off for treatment; ask if it can stayLambeth asks for headboards to be removed
Landlord's furnitureReport it; do not dispose of it yourselfIt belongs to them, and they may need to replace it

Do not buy a new bed until your provider confirms that the infestation has cleared.

Bed bugs in flats, HMOs and shared houses

In a shared building, treating one room may not be enough. Ohio State University notes that bed bugs can spread between units, and Brighton & Hove says that quick treatment lowers the risk of them moving to nearby rooms or other homes. Rutgers University tells people in apartments to contact their landlord as soon as they see a bed bug. Reporting early does not get anyone into trouble, and it is the cheapest way to deal with the problem for everyone in the building.

In a flat, we recommend checking the homes on each side and above and below if yours is a serious or repeated case. You cannot enter a neighbour's home without their agreement, so go through the landlord, managing agent or freeholder. Tower Hamlets Council says you can ask a neighbour to deal with pests from their home, and contact their landlord if they rent. If neither acts, environmental health can order action, or arrange the work and charge the neighbour or their landlord.

In an HMO, treat it as one job and put one person in charge, normally the landlord or manager. Bed bugs travel on people and their belongings, so rooms that share a landing and a sofa share a risk. The Management of Houses in Multiple Occupation (England) Regulations 2006 require a manager to make sure a unit, and any furniture supplied with it, is clean when a new occupier moves in. Occupiers in turn must let the manager in at suitable times for these duties. If you are a landlord, inspect the adjoining rooms when you treat one, and check shared seating too.

Everyone in the house needs the same instructions at the same time. One housemate who sleeps on the shared sofa, skips the laundry or hauls a mattress to the front garden can undo the work for all the others. Print the sheet, put a date on it and agree who does what. If tenants move out mid-treatment, treat the room before the next person arrives, and keep the record with your property file.

Who pays for bed bug treatment when you rent?

There is no single rule, so start by reporting it. Citizens Advice says landlords usually only have to act once they know about the problem. Tell yours straight away and confirm it in writing, with your photos and the date. Tower Hamlets Council says to explain why you think they are responsible, keep a record of everything and give them reasonable time to act.

Bed bugs are harder than most pests, because the cause is often unclear. Tower Hamlets gives bringing them in on old bedding or clothing as an example of a problem the tenant may have caused. On the other hand, it says a landlord is responsible for pests already there at the start of a furnished tenancy. If bed bugs appear within your first weeks in a furnished flat, say so in your first message. If several flats are affected, that points away from any one tenant.

The law sits behind this. Under section 9A of the Landlord and Tenant Act 1985, added by the Homes (Fitness for Human Habitation) Act 2018, most landlords in England must keep a home fit to live in at the start of a tenancy and throughout. Section 10 lets a court consider any prescribed hazard, and the hazard list in the Housing Health and Safety Rating System (England) Regulations 2005 includes exposure to pests. The landlord is not liable where the problem is wholly or mainly down to the tenant's own breach. This is general information, and Shelter, Citizens Advice or a solicitor can advise on your own case.

Councils have powers as well. Under section 83 of the Public Health Act 1936, a council can serve a notice about verminous premises and do the work itself if it is ignored, recovering its reasonable costs. Citizens Advice says that councils can act under statutory nuisance and housing hazard rules, though you may still be asked to pay for pest control.

If you rent from a council or housing association, Awaab's Law applies. GOV.UK says all emergency hazards have been covered since 27 October 2025, and that domestic hygiene hazards join on 30 November 2026. Its Phase 2 guidance treats a serious pest infestation posing an immediate threat to health as an emergency, which means investigating and making the home safe within 24 hours. Ongoing pest presence linked to building defects or poor refuse storage is treated as significant where it threatens health: investigate within 10 working days, then complete safety work within 5 more. The examples use rats and mice and do not mention bed bugs, so landlords must judge each case. Mention any health condition or mental health effect when you report, because the guidance tells landlords to take these into account. Some councils cover it in other ways: Brighton & Hove treats free for its tenants and leaseholders.

Moving out? Keep the treatment record for your deposit. Our end of tenancy cleaning checklist covers the final clean, and Tower Hamlets reminds tenants to end a tenancy properly or risk paying rent after leaving.

How much does it cost to get bed bugs removed in London?

Bed bug exterminator prices depend on three things: how many rooms, how many visits and what must happen before treatment. A quote for one visit is not comparable with one for two, so always compare the total for the whole plan. The table shows what we found on council websites on 1 November 2026, next to our own starting rates. Not every council offers the service to everyone, and fees change, so check before you book.

Add up the items you may have to pay for on top: new bedding if it cannot be washed, encasements, laundrette trips, time off work, and possibly a replacement bed. These costs are real, and they grow when a first attempt fails. Paying more for a plan that includes follow-up visits often costs less than buying sprays and then paying for treatment anyway. For a wider view of what affects the bill, see our guide to pest control costs in the UK.

If money is tight, ask your council about reductions. Redbridge, for example, says charges may be cut by 50% for occupiers receiving 85% or more Council Tax benefit. Tell your landlord too, and ask your housing officer if you have one. Do not let cost push you into a single visit without a plan for eggs. A worthwhile quote says how many rooms and visits are covered, what you must do, and what happens if bed bugs are still there afterwards.

Bed bug treatment prices in London

Bed bug treatment prices in London
ProviderPriceCoversExtras
Bestone ServicesFrom £1491 room+£45 per extra room, +£79 per follow-up visit
Lambeth Council£260.40Up to 2 rooms+£108 per extra room; extra visits may cost more
Barking & Dagenham Council£308.293 bedrooms, with 2 follow-up visits£395.48 for 5 bedrooms
Redbridge Council£325Up to 3 rooms+£45 per extra room; repeat visit free within 4 weeks if treatment fails

Council figures include VAT where stated by the council. Barking & Dagenham's prices are for owner-occupiers. Check the current tariff before booking. Our final price is confirmed in writing.

Coping with bed bugs: sleep, worry and getting help

Living with bed bugs can be exhausting, and it is more than an itch. A 2012 study in BMJ Open compared 39 tenants exposed to bed bugs with 52 unexposed tenants in Montreal. Those exposed were more likely to report anxiety symptoms and sleep disturbance. It was a small study and cannot prove cause, but it fits what many people describe: lying awake checking the sheets, and dreading bedtime.

It helps to know that an infestation does not mean your home is dirty. Bed bugs feed only on blood, and the NHS warns about luggage, clothing and second-hand furniture. Anyone can bring them home. You also do not need to tell the world, but telling your landlord and anyone you share with protects you all.

For the bites, the NHS says they usually clear up within about a week. A clean, damp cloth can ease itching, and a pharmacist can advise on a mild steroid cream. Children under 10 and pregnant women should check with a doctor before using one. Antihistamines may help if itching stops you sleeping. See a GP if bites stay very painful, swollen or itchy after pharmacy treatment, or if pain or swelling spreads. A severe allergic reaction is rare, but call 999 if someone's lips, mouth, throat or tongue suddenly swell, or they are struggling to breathe.

For sleep, NHS Every Mind Matters suggests keeping regular bed and wake times, allowing time to wind down, and putting your phone away before bed. Try not to spend the night inspecting the mattress. Choose one short check in the morning, write down what you find for your provider, then leave it. Speak to a GP if changing your habits does not help, or you think you may have insomnia.

If you feel unable to cope, get help early. The NHS says to call 111 and select the mental health option if you need urgent support. Samaritans are on 116 123. Call 999 or go to A&E if someone's life is at risk, or you do not feel able to keep yourself or someone else safe.

How to stop bed bugs coming back

Bed bugs usually arrive as hitchhikers, so prevention comes down to what you carry through the door. The NHS says not to bring second-hand furniture indoors without checking it carefully, or luggage and clothing from a place where bed bugs were present. Here is what that looks like in practice.

  • In a hotel or holiday let: use a torch to check the mattress seams, headboard and bedside furniture before you unpack. Ohio State University says to look for droppings, shed skins and live bugs.
  • If you find them: do not stay in that room. Ask for one that is not next to it, as Ohio State advises, and photograph what you found.
  • While staying: keep your case on a hard luggage rack or in the bath, keep clothes out of wardrobes and off upholstery, and unpack as little as you can.
  • Coming home: unpack in a hard-floored area, not on your bed. Wash clothes at 60°C and tumble dry them hot, as the NHS advises. Check the seams of your case.
  • Second-hand furniture: inspect joints, seams and undersides in daylight, outside your home if you can. Rutgers University says to inspect and clean anything second-hand before it comes in.
  • Street finds: leave them. Ohio State warns that picking up discarded items greatly raises your risk, and a free mattress on a London pavement is not worth it.
  • Around the bed: keep clutter down, as the NHS advises, and vacuum regularly so you spot problems early.
  • Monitoring: put interceptor traps under the bed legs. Rutgers says to check them every one to two weeks. Ohio State rates sticky traps as less reliable.
  • Landlords: check rooms between tenancies, keep furniture simple and record what you find. Encasements on supplied beds make inspection easier.

What we do, and what it costs

Good pest control for bed bugs starts with detail. Tell us the rooms affected, what you have found and when it began, and send photos if you can. We then review the layout and furnishings, and confirm the price, the preparation and whether more than one visit may be needed, all in writing before you book. If you are not yet sure of the extent, start with a pest inspection.

Bed bug treatment starts from £149, covering one room, plus £45 per extra room and £79 per follow-up visit. So, at those published rates, two rooms with one follow-up visit would come to £273, and three rooms with one follow-up to £318, before anything specific to your property. Our prices page has the full list, and our Ilford page sets the Redbridge Council fees alongside ours. Heat treatment and mattress protection are quoted for each property, because they depend on room size, furnishings and access.

Our 2-visit packages carry a 1-month written guarantee, and 3-visit packages a 3-month written guarantee. Packages include a safety report, along with follow-up and proofing advice. We will confirm which applies to your job and how the visits will be spaced. We are based on Clements Road in Ilford, cover London and carry public liability insurance. Phone lines are open Monday to Saturday, 8am to 8pm, or you can contact us online. If it turns out the insects in your home are not bed bugs, look at our guide to carpet beetles or the full list of pest control services.

Common questions

  • What is the fastest way to get rid of bed bugs?

    Book a professional treatment early, prepare the room exactly as instructed, and keep sleeping in your own bed afterwards. Lambeth Council says clearance normally takes at least two weeks and sometimes longer, so be wary of any promise of an overnight fix. Our bed bug treatment page sets out how a booking works.

  • Can you get rid of bed bugs yourself?

    It is unlikely. The NHS says bed bugs are hard to find, may resist some insecticides and are unlikely to be cleared completely by self-help steps. Hot washing, freezing and vacuuming are still useful, so tell us what you have tried when you book.

  • How long does bed bug treatment take to work?

    Expect to see some bugs for days after a visit, because Bedford Borough Council says they can keep appearing as eggs hatch. With a second visit about three weeks later, the whole process often runs for a month or more. Why two visits are needed has the timeline.

  • Can I sleep in my bed after bed bug treatment?

    Yes, once the room has aired and the insecticide has dried, and your treatment sheet comes first. Lambeth, Bedford and Brighton & Hove councils all say to carry on using the room normally, because you draw the bugs across treated surfaces. See the room-by-room preparation steps.

  • Is heat treatment better than spraying for bed bugs?

    Not automatically. Heat suits people who want to avoid chemical treatment in a property that can take the equipment, while insecticide leaves a treated surface that keeps working after the visit. Our heat treatment page explains what we need to know to quote.

  • How much does a bed bug exterminator cost in London?

    Council fees we checked run from £260.40 for two rooms in Lambeth to £325 for three rooms in Redbridge. Our treatment starts from £149 for one room, plus £45 per extra room and £79 per follow-up visit. The prices page has our full list.

  • Does my landlord have to pay for bed bug treatment?

    Sometimes. Citizens Advice says a landlord is likely to be responsible if the tenancy says so, if disrepair caused it or if the home is unsafe, while a tenant who caused the problem may have to deal with it. Report it in writing first, then see who pays when you rent.

  • Can bed bugs live in a mattress protector?

    They can hide around an ordinary protector, which is not the same as a zipped encasement. An encasement rated for bed bugs traps any left inside as long as it stays closed and undamaged, and Ohio State University says to leave it on. See our mattress protection service.

  • How do I know the bed bugs have gone?

    Look for an end to new bites and fresh marks, and use interceptor traps under the bed legs. Rutgers University advises checking interceptors every one to two weeks. If you are unsure, book a pest inspection before you replace anything.

Sources

Figures differ a little between sources, so ranges are given where they do. Sources reviewed on 1 November 2026.

  1. NHS: bedbugsnhs.uk(opens in a new tab)
  2. NHS: insect bites and stingsnhs.uk(opens in a new tab)
  3. NHS Every Mind Matters: sleep problemsnhs.uk(opens in a new tab)
  4. NHS: where to get urgent help for mental healthnhs.uk(opens in a new tab)
  5. Lambeth Council: bed bugslambeth.gov.uk(opens in a new tab)
  6. Lambeth Council: pest control priceslambeth.gov.uk(opens in a new tab)
  7. Oxford City Council: bed bugsoxford.gov.uk(opens in a new tab)
  8. Bedford Borough Council: before bed bug treatmentbedford.gov.uk(opens in a new tab)
  9. Brighton & Hove City Council: bedbugs in council propertiesbrighton-hove.gov.uk(opens in a new tab)
  10. Barking and Dagenham Council: pest control treatments and priceslbbd.gov.uk(opens in a new tab)
  11. Redbridge Council: pest controlredbridge.gov.uk(opens in a new tab)
  12. Tower Hamlets Council: pests and vermin, advice for private tenantstowerhamlets.gov.uk(opens in a new tab)
  13. Citizens Advice: if there are pests or vermin in your rented homecitizensadvice.org.uk(opens in a new tab)
  14. GOV.UK: Awaab's Law in the social rented sectorgov.uk(opens in a new tab)
  15. GOV.UK: Awaab's Law, timeframes for repairsgov.uk(opens in a new tab)
  16. GOV.UK: Awaab's Law Phase 2, guidance to support triaging of hazardsgov.uk(opens in a new tab)
  17. legislation.gov.uk: Homes (Fitness for Human Habitation) Act 2018, section 1legislation.gov.uk(opens in a new tab)
  18. legislation.gov.uk: Landlord and Tenant Act 1985, section 10legislation.gov.uk(opens in a new tab)
  19. legislation.gov.uk: Housing Health and Safety Rating System (England) Regulations 2005, Schedule 1legislation.gov.uk(opens in a new tab)
  20. legislation.gov.uk: Public Health Act 1936, section 83legislation.gov.uk(opens in a new tab)
  21. legislation.gov.uk: HMO Management Regulations 2006, regulation 8legislation.gov.uk(opens in a new tab)
  22. legislation.gov.uk: HMO Management Regulations 2006, regulation 10legislation.gov.uk(opens in a new tab)
  23. HSE: COSHH and fumigationhse.gov.uk(opens in a new tab)
  24. Kells and Goblirsch, Insects, 2011: temperature and time requirements for controlling bed bugsexperts.umn.edu(opens in a new tab)
  25. Zhu and others, Scientific Reports, 2013: bed bugs and pyrethroid resistancepmc.ncbi.nlm.nih.gov(opens in a new tab)
  26. Susser and others, BMJ Open, 2012: mental health effects of bed bug infestationpmc.ncbi.nlm.nih.gov(opens in a new tab)
  27. Entomological Society of America: bed bugs and freezing temperaturesentomologytoday.org(opens in a new tab)
  28. Report on the Ohio State fogger study, Infection Control Todayinfectioncontroltoday.com(opens in a new tab)
  29. Ohio State University Extension: bed bugsohioline.osu.edu(opens in a new tab)
  30. Rutgers University: bed bug information for residents and building managersextension.rutgers.edu(opens in a new tab)

Want it dealt with?

Tell us what you have seen, the rooms and your postcode. You do not need to know which pest it is. We confirm the price in writing before any work is booked.

Services this guide applies to

Illustration of a bed bug on a mattress seam for our bed bug treatment service

Bed bug treatment

From £149 for one room

The service behind this guide

Bed bug treatment

Bed bug treatment for London homes and rental properties, with preparation, visits and aftercare explained before booking.

  • Price, visits and preparation confirmed in writing before booking
  • £149 for one room, +£45 per extra room
  • Follow-up visits at £79 each
  • Advice on what to do before and after treatment
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