GPs Advised to Question Patients About Gambling Under New NHS Rules

A 2023 survey found that 2.5% of adults had a gambling problem, with 20,000 people asked to provide information about their habits. Problem gambling is particularly prevalent among men, and the Problem Gambling Severity Index remains available on the NHS website for people to look for signs.

The plan is for a GP or other healthcare professional to ask about the situation in a scenario where they are with a trusted professional and where the patient is comfortable. NICE has also advised those working in social services and mental health to ask about gambling, especially when speaking with people who have depression and anxiety or other addiction issues. These people are deemed particularly susceptible. The new rules relate to regulations set out last year, with the introduction of a slots levy and for the NHS to receive £100 million from the government to help curb problem gambling.

Diagnoses of anxiety, as well as post-traumatic stress disorder (PTSD), personality disorder, or attention deficit hyperactivity disorder (ADHD), can all potentially lead to increased risk, while other medication could lead to some more risky behaviours.

National clinical director for primary care Dr Claire Fuller explained the decision and advice and the healthcare industry’s response:

“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.”