NICE asks GPs to identify potential gambling addicts

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NICE asks GPs to identify potential gambling addicts

Annabel Rackham

Health reporter, BBC News

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Health watchdog NICE is asking doctors and other healthcare professionals to identify patients at risk of gambling addiction

GPs and other healthcare professionals in England should help identify potential problem gambling, in the same way they look for alcohol and smoking addiction, new guidance says.

In its first recommendations on gambling, the National Institute for Health and Care Excellence says they should look for “gambling-related harms”, including to health, finances and people around the patient, such as their family and local community.

In 2023, a survey of 20,000 adults found 2.5% had a gambling problem, with young men most at risk of addiction.

The Problem Gambling Severity Index

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Asking about gambling in an environment where the patient is comfortable, or with a trusted individual, could help breakdown some of the stigma and shame associated with this addiction, it is hoped.

NICE also wants those working in mental health and social services to ask about gambling, especially when speaking to those with depression and anxiety or previous issues with other addictions, self-harm or suicidal thoughts.

Those at increased risk may also have other diagnoses, such as post-traumatic stress disorder (PTSD), personality disorder, or attention deficit hyperactivity disorder (ADHD).

Some medications may also make some people more impulsive, while difficult home environments could also increase their risk.

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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.”

NHS England says it has opened 15 gambling clinics since 2019, most last year.

They are expected to treat about 3,000 people a year, including access to psychologists and psychiatrists and support for family and friends.

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