Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how the (a) commissioning and (b) funding model for gambling harm treatment services is structured across England; and whether he plans to issue a Letter of Comfort to Providers.

At present, NHS England provides ringfenced funding to the integrated care boards for the commissioning of eight regional gambling harms services in England. The majority of other gambling harms treatment services in England, largely provided by the voluntary, community, and social enterprise sector, are commissioned by GambleAware until 31 March 2026.

The new statutory levy on gambling operators came into effect in April 2025. Under the levy, NHS England, and appropriate bodies in Scotland and Wales, are the commissioners for gambling-related harm treatment and support services. They will receive 50% of available levy funding to improve and expand treatment services across Great Britain.

From 1 April 2026, NHS England will be taking on responsibility for the commissioning of the full gambling harms treatment pathway in England, from referral and triage through to aftercare. All services will be funded by the new levy, which will be ringfenced for services to reduce gambling harms. NHS England is currently working at pace to confirm future commissioning arrangements and aims to provide all stakeholders with an update in the autumn.