Gambling: Rehabilitation

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.