Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking help improve addiction and mental health treatment.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
We know that people with co-occurring substance use and mental health needs do not receive the integrated, person-centred care they require and deserve. The Department and NHS England have recently published the Co-occurring Mental Health and Substance Use Delivery framework, which is available at the following link:
This framework commits the Department and NHS England to delivering several national actions to improve delivery of integrated, person-centred care across drug and alcohol treatment and mental health services. The framework also includes recommended actions on how the health system can also work together to improve outcomes for those with co-occurring needs.
We also know that gambling can have a wide-ranging negative effect on health and inequalities and is associated with poor mental health and in severe cases suicide, as well as the knock-on impacts from gambling related debt. In April 2025, the statutory gambling levy came into effect to fund the research, prevention, and treatment of gambling-related harm across Great Britain. In its first year, the levy has raised nearly £120 million, with 50% allocated to gambling harms treatment activity across Great Britain.
Lastly, rates of smoking continue to fall in the general population, although inequality remains, with higher rates of smoking in other groups such as people with a mental health condition or people in routine and manual work. Stop Smoking Services are effective in reaching high-prevalence groups. By targeting support in populations with greater need, we want to secure a smoke-free generation together, where no one is left behind.
Asked by: Louie French (Conservative - Old Bexley and Sidcup)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of Local Authorities commissioning gambling harms prevention; and of their capacity to do so.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In April 2025, the statutory gambling levy came into effect to fund the research, prevention, and treatment of gambling-related harm across Great Britain. In its first year, the levy has raised nearly £120 million, with 30% allocated to gambling harms prevention activity.
The Department for Culture, Media and Sport, which is responsible for the implementation and oversight of the gambling levy, remains confident that levy commissioners are best placed to make decisions on the future of their work programmes regarding the research, prevention, and treatment of gambling-related harms.
As prevention commissioners, the Office for Health Improvement and Disparities (OHID) in England and the Scottish and Welsh administrations continue to work collaboratively on the development of their respective work programmes, drawing on expertise from across the system. OHID will employ a ‘test and learn’ approach as they transition to the new levy system, to better-understand what interventions are most effective in preventing gambling harms at a local, regional, and national level.
Local authorities are well placed to play a central role in preventing gambling‑related harms across local communities. An OHID-led stocktake of local authority activity in this space indicated that whilst some activity is already underway, there is appetite within local authorities to do more.
OHID are developing a fund for all upper-tier local authorities across England, which will aim to strengthen local capacity to tackle gambling‑related harm by facilitating improved understanding of local need and supporting the development of effective local and regional networks. This will be delivered alongside the Gambling Harms Prevention: Voluntary, Community and Social Enterprise grant fund which launched in January to fund voluntary, community, and social enterprise organisations to deliver prevention activity across England until March 2028. Further information on the Gambling Harms Prevention: Voluntary, Community and Social Enterprise grant fund is avaiable at the following link:
Asked by: Beccy Cooper (Labour - Worthing West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how his Department plans to work with the NHS and other public health bodies to improve support and treatment for those affected by gambling harm.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In April 2025, the statutory levy on gambling operators came into effect to fund the research, prevention, and treatment of gambling-related harm across Great Britain. In its first year, the levy has raised nearly £120 million, with 50% allocated to gambling harms treatment and support services, and 30% allocated to gambling harms prevention activity.
Commissioners under the levy, including NHS England, the Office for Health Improvement and Disparities (OHID) within the Department, and appropriate bodies in Scotland and Wales, are working collaboratively on the development of their treatment and prevention programmes, drawing on expertise from across the system.
NHS England continues to work at pace to take on commissioning responsibility for the full treatment pathway in England, from referral and triage through to aftercare, from 1 April 2026. NHS England intends to launch a grant scheme for voluntary, community, and social enterprise (VCSE) treatment and support services to access 2026/27 funding in February, ensuring that those affected by gambling-related harms can continue to access services whilst integrated care boards look to implement longer-term commissioning arrangements. The shift to a shared commissioner for National Health Service and VCSE-led services will allow for improved service integration, data sharing, and patient outcomes.
OHID will employ a ‘test and learn’ approach during the transition to the new levy system, to better-understand what interventions are most effective in preventing gambling harms at a local, regional, and national level.
Asked by: Mohammad Yasin (Labour - Bedford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department recognises problem debt as a public health issue; and what support the NHS and social care services provide to people with problem debt.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
Research shows that there is a link between health and financial health with a large amount of people who experience mental health problems also struggling with their finances.
NHS Talking Therapies has recently collaborated with the Money and Pensions Service to promote the Money Guiders programme that helps equip mental health practitioners to have money conversations with their patients. In addition, each NHS Talking Therapies service has embedded employment advisors who provide a non-clinical support service to help patients using Talking Therapies to address work-related issues, offering practical support and solutions for any work barriers which can include unemployment and returning to work.
The Individual Placement and Support is a well‑evidenced, National Institute for Health and Care Excellence‑approved employment programme, funded by NHS England, that offers intensive, individually tailored support to get people into work, with ongoing support for the employer and employee to help ensure the person keeps their job.
Individuals may also be able to access the Breathing Space Scheme, which was set up to encourage more people in problem debt to access professional debt advice. A standard breathing space provides a 60-day period of protection by pausing creditor enforcement action and most interest, fees, and charges. Given the link between problem debt and mental health difficulties, the Mental Health Crisis Breathing Space was also established for individuals who are receiving mental health crisis treatment.
Where debt is the result of gambling addiction, individuals can access their local National Health Service gambling service via self- or professional referral.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how is she ensuring funding into services for people with gambling and gaming dependencies.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In April 2025, the statutory levy on gambling operators came into effect to fund the research, prevention, and treatment of gambling-related harm. In its first year, the levy has raised just under £120 million, 50% of which is allocated to NHS England and appropriate bodies in Scotland and Wales to deliver treatment and support services, with 30% allocated to the Office for Health Improvement and Disparities and appropriate bodies in Scotland and Wales to commission prevention activity across Great Britain.
NHS England and the Office for Health Improvement and Disparities are working collaboratively on the development of their respective gambling treatment and prevention programmes during this period of transition to the new levy system. NHS England continues to work at pace to take on commissioning responsibility for the full treatment pathway in England, from referral and triage through to aftercare from 1 April 2026.
NHS England currently funds a National Centre for Gaming Disorders, offering help and support for people in England aged 13 years old and over, who have difficulty controlling their gaming and the impact it has on their lives. NHS England is currently considering the future approach to gaming services.
Asked by: Grahame Morris (Labour - Easington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of changes to the funding for statutory gambling levy harms-related programme from April 2026 on treatment providers; and what specific steps his Department is taking to (a) support those providers with workforce retention, (b) help reduce the potential impact of the time taken to implement that programme and (c) help ensure the quality of treatment.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In April 2025, the new statutory levy on gambling operators came into effect to fund the research, prevention, and treatment of gambling-related harm. NHS England and the Office for Health Improvement and Disparities (OHID) are working collaboratively on the development of their respective gambling treatment and prevention programmes in England during this transition period.
To maintain continuity, commissioners are working with GambleAware on a managed transition, which includes the extension of GambleAware’s system stabilisation funding until March 2026, ensuring existing charities can continue to support people seeking help.
National Health Service regional gambling services currently receive over 1,000 referrals each quarter, with plans to extend capacity.
NHS England is working at pace to develop a grant funding scheme for voluntary, community, and social enterprise (VCSE) treatment and support services. This will ensure that that those affected by gambling-related harms can continue to access much-needed third sector services, whilst integrated care boards look to implement longer-term commissioning arrangements.
Ultimately, the shift to NHS and VCSE gambling harms services having a shared commissioner will allow for improved access to services, greater integration of pathways, and better data sharing, positively impacting patient care.
Asked by: Grahame Morris (Labour - Easington)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, with reference to the Written Ministerial Statement UIN HCWS1118, of 2 December 2025, and the transition to the statutory gambling levy system and consequential changes in April 2026, what steps he is taking to safeguard charities providing gambling harm reduction and treatment.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
In April, the new statutory levy on gambling operators came into effect to fund the research, prevention, and treatment of gambling-related harm. NHS England and the Office for Health Improvement and Disparities (OHID) are working collaboratively on the development of their respective gambling treatment and prevention programmes in England during this transition period.
To maintain continuity, commissioners are working with GambleAware on a managed transition, which includes the extension of GambleAware’s system stabilisation funding until March 2026, ensuring existing charities can continue to support people seeking help.
In January 2026, OHID will formally launch its Voluntary, Community and Social Enterprise Gambling Harms Prevention and Resilience grant for those voluntary, community, and social enterprise organisations wishing to deliver prevention activity over the next two years, following a market engagement process which will end in the new year. Funding will be released from April 2026.
National Health Service regional gambling services currently receive over 1,000 referrals each quarter, with plans to extend capacity. NHS England intends to run a grant funding scheme for voluntary, community, and social enterprise treatment and support services. This will ensure that those affected by gambling-related harms can continue to access much-needed third sector services, whilst integrated care boards look to implement longer-term commissioning arrangements.
Asked by: Sonia Kumar (Labour - Dudley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that people who suffer from severe gambling addiction receive prompt treatment.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
National Health Services receive over 1,000 referrals for gambling addition each quarter, with plans to expand capacity.
In April, the new statutory levy on gambling operators came into effect to fund the research, prevention, and treatment of gambling-related harm. NHS England and the Office for Health Improvement and Disparities are working collaboratively on the development of their respective gambling treatment and prevention programmes during this transition year.
The availability of levy funding will enable oversight and consistency across NHS and voluntary, community, and social enterprise provision, and the expansion of available capacity.
NHS England continues to work at pace to take on commissioning responsibility for the full treatment pathway in England, from referral and triage through to aftercare. Evidence- based commissioning decisions will be made to ensure optimal treatment modalities.
Asked by: Alex Ballinger (Labour - Halesowen)
Question to the Ministry of Defence:
To ask the Secretary of State for Defence, what assessment he has made of trends in the level of gambling harms among serving members of the Armed Forces.
Answered by Louise Sandher-Jones - Parliamentary Under-Secretary (Ministry of Defence)
Defence recognises that gambling-related harms can have significant impacts on the health and wellbeing of Service personnel. In addition to the limits placed on gambling by Kings Regulations, active efforts are made to highlight both the harms of problem gambling and the available support, in awareness campaigns.
Defence has worked with Swansea University to help understand gambling harms. This research and other academic work inform our current assessment of the levels of gambling harms specifically within the Serving population.
Further initiatives to build understanding include the new Defence Primary Healthcare Gambling pathway, which has been developed by the Defence Medical Services to ensure there is robust clinical pathway for those at risk, but will also present an opportunity to collect information to inform targeted interventions.
The Defence Public Health Unit engages proactively with Department of Health counterparts and will continue to work cross-Government to secure the best possible evidence and insight into how to support Service personnel with gambling issues. Alongside the Single Services, the Public Health Unit continues to work with external agencies and charities that offer support to Service personnel.
Asked by: Alex Ballinger (Labour - Halesowen)
Question to the Ministry of Defence:
To ask the Secretary of State for Defence, what discussions he has had with the NHS on improving prevention and treatment of gambling harms among Armed Forces personnel and veterans.
Answered by Louise Sandher-Jones - Parliamentary Under-Secretary (Ministry of Defence)
The Ministry of Defence takes problem-gambling very seriously and works closely with Armed Forces personnel and Veterans who require support.
The comprehensive Defence Primary Health Care Gambling pathway within the Defence Medical Services, assesses and supports Service personnel who come forward with a gambling issue and, when required, refers them to specialist NHS gambling services and clinics. Service personnel can also self-refer into these services.
This pathway includes an assessment of gambling addiction using recognised validated assessment tools such as the Problem Gambling Severity Index. Data collected from these assessments can be used to help Defence monitor and understand the scale of gambling harms within Service personnel.
Defence engages routinely with NHS colleagues delivering specialist gambling prevention and treatment services. The Public Health Unit within Defence engages proactively with Department of Health counterparts and will continue to work cross-Government to secure the best possible evidence and insight into how to support Service personnel with gambling issues.
Veterans are eligible for gambling addiction treatment through the NHS. The Office for Veterans' Affairs in the Ministry of Defence regularly works with the third sector and academia to ensure veteran-specific needs are understood.