diff --git a/Dockerfile b/Dockerfile
index c884331..c567c07 100644
--- a/Dockerfile
+++ b/Dockerfile
@@ -27,6 +27,8 @@ ENV CONTAINER_USER="analyticalplatform" \
     KUBECTL_VERSION="1.29.10" \
     HELM_VERSION="3.16.2" \
     CLOUD_PLATFORM_CLI_VERSION="1.37.12" \
+    MICROSOFT_SQL_ODBC_VERSION="18.4.1.1-1" \
+    MICROSOFT_SQL_TOOLS_VERSION="18.4.1.1-1" \
     CUDA_VERSION="12.6.1" \
     NVIDIA_DISABLE_REQUIRE="true" \
     NVIDIA_CUDA_CUDART_VERSION="12.6.77-1" \
@@ -34,7 +36,7 @@ ENV CONTAINER_USER="analyticalplatform" \
     NVIDIA_VISIBLE_DEVICES="all" \
     NVIDIA_DRIVER_CAPABILITIES="compute,utility" \
     LD_LIBRARY_PATH="/usr/local/nvidia/lib:/usr/local/nvidia/lib64" \
-    PATH="/usr/local/nvidia/bin:/usr/local/cuda/bin:/opt/conda/bin:/home/analyticalplatform/.local/bin:${PATH}"
+    PATH="/usr/local/nvidia/bin:/usr/local/cuda/bin:/opt/conda/bin:/home/analyticalplatform/.local/bin:/opt/mssql-tools18/bin:${PATH}"
 
 SHELL ["/bin/bash", "-e", "-u", "-o", "pipefail", "-c"]
 
@@ -320,5 +322,28 @@ install --owner nobody --group nogroup --mode 0755 cloud-platform /usr/local/bin
 rm --force --recursive cloud-platform LICENSE README.md completions cloud-platform-cli.tar.gz
 EOF
 
+# Microsoft SQL ODBC and Tools
+RUN <<EOF
+curl --location --fail-with-body \
+  "https://packages.microsoft.com/keys/microsoft.asc" \
+  --output microsoft.asc
+
+cat microsoft.asc | gpg --dearmor --output microsoft-prod.gpg
+
+install -D --owner root --group root --mode 644 microsoft-prod.gpg /usr/share/keyrings/microsoft-prod.gpg
+
+echo "deb [arch=amd64,arm64,armhf signed-by=/usr/share/keyrings/microsoft-prod.gpg] https://packages.microsoft.com/ubuntu/24.04/prod noble main" > /etc/apt/sources.list.d/mssql-release.list
+
+apt-get update --yes
+
+ACCEPT_EULA=Y apt-get install --yes \
+  "msodbcsql18=${MICROSOFT_SQL_ODBC_VERSION}" \
+  "mssql-tools18=${MICROSOFT_SQL_TOOLS_VERSION}"
+
+apt-get clean --yes
+
+rm --force --recursive /var/lib/apt/lists/* microsoft.asc microsoft-prod.gpg
+EOF
+
 USER ${CONTAINER_USER}
 WORKDIR /home/${CONTAINER_USER}
diff --git a/README.md b/README.md
index 49d76b2..7b46201 100644
--- a/README.md
+++ b/README.md
@@ -36,6 +36,8 @@ This image is built on Ubuntu 24.04 LTS and includes the following software:
 
 - [Cloud Platform CLI](https://github.com/ministryofjustice/cloud-platform-cli)
 
+- [Microsoft ODBC driver for SQL Server](https://learn.microsoft.com/en-us/sql/connect/odbc/microsoft-odbc-driver-for-sql-server)
+
 ## Running Locally
 
 ### Build
@@ -204,6 +206,34 @@ Releases for Helm are maintained on [GitHub](https://github.com/helm/helm/releas
 
 Releases for Cloud Platform CLI are maintained on [GitHub](https://github.com/ministryofjustice/cloud-platform-cli/releases).
 
+### Microsoft ODBC driver for SQL Server
+
+The latest version of Microsoft ODBC driver for SQL Server can be obtained by running:
+
+```bash
+docker run -it --rm --platform linux/amd64 public.ecr.aws/ubuntu/ubuntu:24.04
+
+apt-get update --yes
+
+apt-get install --yes curl gpg
+
+curl --location --fail-with-body \
+  "https://packages.microsoft.com/keys/microsoft.asc" \
+  --output microsoft.asc
+
+cat microsoft.asc | gpg --dearmor --output microsoft-prod.gpg
+
+install -D --owner root --group root --mode 644 microsoft-prod.gpg /usr/share/keyrings/microsoft-prod.gpg
+
+echo "deb [arch=amd64,arm64,armhf signed-by=/usr/share/keyrings/microsoft-prod.gpg] https://packages.microsoft.com/ubuntu/24.04/prod noble main" > /etc/apt/sources.list.d/mssql-release.list
+
+apt-get update --yes
+
+apt-cache policy msodbcsql18
+
+apt-cache policy mssql-tools18
+```
+
 ## Maintenance
 
 Maintenance of this component is scheduled in this [workflow](https://github.com/ministryofjustice/analytical-platform/blob/main/.github/workflows/schedule-issue-cloud-development-environment-base.yml), which generates a maintenance ticket as per this [example](https://github.com/ministryofjustice/analytical-platform/issues/5905).
diff --git a/test/container-structure-test.yml b/test/container-structure-test.yml
index 6e3c556..c852d48 100644
--- a/test/container-structure-test.yml
+++ b/test/container-structure-test.yml
@@ -114,6 +114,11 @@ commandTests:
     args: ["--version"]
     expectedOutput: ["0.8.0"]
 
+  - name: "sqlcmd"
+    command: "sqlcmd"
+    args: ["-?"]
+    expectedOutput: ["Version 18.4.0001.1 Linux"]
+
 fileExistenceTests:
   - name: "/opt/analytical-platform"
     path: "/opt/analytical-platform"
@@ -188,6 +193,10 @@ fileExistenceTests:
     path: "/usr/local/cuda/lib64/libcudart.so.12"
     shouldExist: true
 
+  - name: "/opt/microsoft/msodbcsql18/lib64/libmsodbcsql-18.4.so.1.1"
+    path: "/opt/microsoft/msodbcsql18/lib64/libmsodbcsql-18.4.so.1.1"
+    shouldExist: true
+
 metadataTest:
   user: "analyticalplatform"