Intended for healthcare professionals

CCBY Open access

Rapid response to:


Gambling and public health: we need policy action to prevent harm

BMJ 2019; 365 doi: (Published 08 May 2019) Cite this as: BMJ 2019;365:l1807

Rapid Response:

Independent funding for prevention and treatment of gambling harms

Dear Editor,

We are writing in response to the recent open letter submitted by Wardle et al (BMJ 2020;370:m2613).

For some years, GambleAware has advocated for gambling to be acknowledged as a public health issue and that effective prevention of the harms that arise requires a ‘whole system approach’. Only then will appropriate referral routes and care pathways be in place to ensure those individuals in need of support, including treatment, can receive the right intervention at the right time.

GambleAware has a proud record as an independent charity commissioning prevention and treatment services in England, Scotland and Wales underpinned by research and evaluation. Guided by an independent expert Board of trustees, the majority of whom work in the health sector, we have established a range of governance processes and procedures that ensures the industry has no influence over our commissioning decisions.

Notwithstanding that GambleAware is an approved National Institute for Health Research (NIHR) non-commercial partner, we support the recommendation of the House of Lords Select Committee that the Government should work closely with UKRI and ESRC who can advise on a structure for the commissioning of gambling-related research, funded by a mandatory levy.

Also, we agree with the Select Committee’s recommendation that the Government should develop a strategy to ensure that the NHS and other statutory health bodies work in partnership with charities to provide treatment, and to determine how resources will be allocated and patients referred between services.

In the meantime, the recent £100 million pledge from gambling operators will help us maintain this work in prevention and treatment to keep people safe from gambling harms. We will continue to make sure funding is allocated efficiently and independently, as would be expected of other health and social care commissioning and grant-making bodies.

With very best wishes,
Kate Lampard CBE & Professor Siân Griffiths OBE
Chair & Deputy Chair of Trustees, GambleAware

Competing interests: Kate Lampard CBE is a trustee of the Esmee Fairbairn Foundation, a trustee of the Royal Horticultural Society, an Associate at Verita, a consultant for the Home Office and the Lead non-executive director for the Board of Department of Health. Professor Sian Griffiths OBE is an Associate Board member of Public Health England and a former trustee of the RSPH.

07 July 2020
Kate Lampard
Chair of GambleAware
Professor Sian Griffiths
Pennine Place, 2a Charing Cross Rd, London, WC2H 0HF