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NICE Recommends Healthcare Professionals Ask People About Gambling at Health Checks and GP Appointments
The National Institute for Health and Care Excellence (NICE) has recommended that general practitioners (GPs) in the UK to ask patients about their gambling habits during health checks and appointments.
The recommendation is included in the first clinical guideline on gambling-related harms: identification, assessment and management.
“Gambling-related harms” is the term used to describe the negative impacts of gambling on the health and wellbeing of individuals, families, communities and society. These harms affect people’s finances, relationships and health (particularly mental health).
The new guideline advises healthcare professionals and social service workers to ask about gambling in various situations. This includes appointments related to depression, anxiety, self-harm, suicidal thoughts or potential addictions such as alcohol or drug dependence. These groups may be at higher risk of gambling-related harm. NICE recommends identifying these risks as early as possible.
People may also be at increased risk of gambling-related harm for several other reasons, including if they are suffering from post-traumatic stress disorder (PTSD), personality disorder or attention deficit hyperactivity disorder (ADHD). Taking medication that may affect impulse control, experiencing safeguarding issues or violence or a family history of gambling that harms could also increase a person’s level of risk.
People should be encouraged to assess the severity of their gambling-related harms by completing a questionnaire available on the NHS website. This is based on the Problem Gambling Severity Index (PGSI), a standardised measure for at-risk behaviour. A score of 8 or above indicates that they should seek support and treatment from a specialist gambling treatment service, while those with lower scores may also benefit from available support.
Healthcare professionals and social care practitioners must recognise and take action to ensure that stigma, shame and fear of disclosure does not prevent people experiencing gambling-related harms from seeking and accessing support and treatment.
It recommends using a tailored approach to meet the needs of each person, which could include providing them with access to vocation-specific services, such as veterans’ groups, or that take account of their ethnic background and religion. Treatments for gambling-related harms should also be provided in separate locations from services for alcohol or substance dependence.
The guidance recommends healthcare professionals consider involving a partner, family member or other person close to the person experiencing gambling-related harms in their treatment, if that is what they both want.
Gambling related harm has a devastating impact on those who experience it, and the people close to them. The useful and usable guideline will help healthcare professionals and others to identify those needing help earlier and ensure they get the treatment and support they need.
National Clinical Director for Primary Care, Dr Claire Fuller, said: “We welcome NICE’s decision as gambling can have a massive impact on people’s lives and the lives of the people that care for them, and as healthcare professionals, we need the right tools to help tackle gambling-related harms.
“Over the past few years, the NHS has made significant progress in expanding treatment for gambling addiction with the rollout of 15 specialist clinics across the country. So, if you’re worried about your gambling, there is support available, and you can directly refer yourself to your local NHS gambling clinic.”
Minister for Gambling Baroness Twycross said: “We welcome this guidance from NICE on identifying, assessing, and managing gambling-related harms, which will support those experiencing harmful gambling to get access to the right support.
“We know that clinical treatment is not necessarily right for everyone, but it is important that there is a full spectrum of support as we strengthen treatment options.
“The Government’s plans to introduce a statutory levy, which will generate £100 million each year, will provide the investment needed to further expand the support and treatment on offer for those in need.”
The Gambling Survey for Great Britain (2023), which collects data from 20,000 respondents each year, reported that 2.5% of the survey population aged 18 years and older living in Great Britain participate in “problem gambling” (defined as a PGSI score of 8 or more), with an additional 12% of the survey population participating in gambling with an elevated risk of harm (PGSI score 1 to 7). Overall, 2.8% of participants who had gambled in the past 12 months reported experiencing at least one severe consequence, such as the breakdown of a relationship. Rates were higher among male participants and were also higher among younger adults (those aged 18 to 34) than older adults (those aged 55 and over).
NHS England has opened 15 gambling clinics across the country since 2019 – seven of which opened in 2024. These clinics are expected to see 3000 people a year. All specialist clinics are fully NHS-commissioned and funded.
As set out in government’s response to the consultation on the structure, distribution and governance of the statutory levy on gambling operators, published in November 2024, the new statutory levy will provide a significant increase in investment for support and treatment services for gambling-related harm.
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Compliance Updates
Why stakeholders must be vocal as part of UKGC consultation on gaming machines
As the UK Gambling Commission announces the launch of its consultation on proposed new rules for gaming machines, Nick Arron, lead partner for the Gambling Team at Poppleston Allen urges stakeholders to ensure they are heard
The UK Gambling Commission this week announced the launch of a 16-week consultation, seeking input on proposed new rules for gaming machines in retail venues.
The consultation focuses on technical standards and related testing strategy and aims to improve consumer protection through a number of proposed changes. The consultation is due to end on May 20.
Nick Arron, lead partner for the Betting and Gambling Team at Poppleston Allen, encouraged stakeholders such as operators and licensees to have their say on what impact these proposed changes will have, including the potential costs.
He said: “Robust stakeholder engagement is an important part of this progress. It’s important that operators have their say so that the regulatory framework balances both consumer safety and industry sustainability.
“Changes will require affected businesses to update their processes and technologies to ensure that any changes are not only implemented by the required date but also properly enforced.
“As this consultation progresses, operators will need to weigh the implications of adopting these new standards, not least the cost. While the intention is to enhance consumer protection, businesses must carefully assess the operational and financial implications of the proposed changes.
“While the Gambling Commission’s initiative is a positive step in prioritising consumer safety, the real challenge will be ensuring that the proposed regulatory adjustments are manageable for businesses already operating under thin margins.”
Tim Miller, Gambling Commission executive director for research and policy, said: “We recognise that regulatory changes that impact the design of machines can come with considerable costs.
“We are encouraging consumers, gambling businesses and other interested groups to share evidence that will assist us in measuring both the likely regulatory impacts of the proposed changes and the likely costs of implementing them.
“This evidence will be invaluable to helping make a robust assessment on whether the benefits to consumers are proportionate to the costs involved.”
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Balkan's
Pateplay’s newest partner in Bosnia and Herzegovina
Pateplay is thrilled to unveil its latest strategic partnership with WWin, a premier online operator in Bosnia and Herzegovina.
Martin Yonovski, BDM & CMO at Pateplay, on the collaboration: “Partnering with WWin is a significant step forward for Pateplay. We’re eager to combine our strengths and expertise, and we’re confident this collaboration will open new doors for growth and huge success for both parties”.
Through this alliance, Pateplay is further accelerating its global expansion efforts, poised to achieve extraordinary milestones and deliver unparalleled experiences to players worldwide.
The post Pateplay’s newest partner in Bosnia and Herzegovina appeared first on European Gaming Industry News.
Compliance Updates
GoldenRace fuels growth in Europe with renewed MGA certification
GoldenRace, leading provider of award-winning Virtual Sports and betting solutions, is thrilled to announce the renewal of its Maltese certification, successfully tested by BMM lab and approved by the Malta Gaming Authority (MGA). This renewed certification keeps unlocking opportunities in Romania, Poland, Serbia and other MGA-regulated territories, giving operators a golden ticket to tap into new revenue streams in highly regulated markets.
In Romania, where 88% of the population has internet access, the online gambling market is thriving, offering significant opportunities for operators to attract a tech-savvy audience. Serbia, ranked 8th in Europe for gambling revenue, continues its rapid expansion with over 2,200 betting shops and a flourishing online gambling sector. Meanwhile, Poland’s well-regulated and mature market is a compelling destination for operators seeking sustainable growth.
Any games that have been approved under its newly recertified license in Malta, are also eligible for inclusion under its Class II license in Romania, upon the successful completion of the ONJN approval process. While this certification eases the path in these markets, local regulators may require additional approvals. Operators are advised to present these certifications to their respective regulatory authorities to ensure seamless compliance.
Markets on the rise demand winning content
Compliance may open the door, but content is what keeps players loyal. GoldenRace is helping operators target new demographics and grow market share by offering an incredible portfolio of certified games.
In markets such as Romania and Serbia, football is the main revenue force. GoldenRace continues to dominate this space with its newly certified football games, including its most new football format and games such as Football League, World Cup, Euro tournaments (Champions League & Euro League), La Libertadores and Single Soccer.
With online sports betting making up 58% of Romania’s gambling market and Serbia’s sports betting sector projected to grow by 4.93% between 2025 and 2029, GoldenRace has certified games such as Penalt2Win, Basketball 3×3, Horse and Greyhound racing, MMA (Single & Tournament) and several thrilling motor racing titles, such as Grand Prix Indianapolis 60, Motorbike and Speedway racing.
Eastern Europe’s enduring love for number-based games creates another profitable avenue for operators. Certified games such as Keno & Keno Deluxe, Spin2Win (Royale & American) and Perfect6 are designed to meet the unique preferences of players in these regions.
Insights show that players in Poland and neighboring regions prioritise financial rewards, with 56% listing it as their top motivator for gambling. For those players seeking big payouts potential, Crash Games are leading the charge. After a stellar debut in GoldenRace’s Crashmas campaign, games like Jet Escape, Boom Ball Juggle, Fire Crash, Bank Run and Meteoroid are now part of the certified portfolio.
The post GoldenRace fuels growth in Europe with renewed MGA certification appeared first on European Gaming Industry News.
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