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NICE Recommends Healthcare Professionals Ask People About Gambling at Health Checks and GP Appointments
The National Institute for Health and Care Excellence (NICE) has recommended that general practitioners (GPs) in the UK to ask patients about their gambling habits during health checks and appointments.
The recommendation is included in the first clinical guideline on gambling-related harms: identification, assessment and management.
“Gambling-related harms” is the term used to describe the negative impacts of gambling on the health and wellbeing of individuals, families, communities and society. These harms affect people’s finances, relationships and health (particularly mental health).
The new guideline advises healthcare professionals and social service workers to ask about gambling in various situations. This includes appointments related to depression, anxiety, self-harm, suicidal thoughts or potential addictions such as alcohol or drug dependence. These groups may be at higher risk of gambling-related harm. NICE recommends identifying these risks as early as possible.
People may also be at increased risk of gambling-related harm for several other reasons, including if they are suffering from post-traumatic stress disorder (PTSD), personality disorder or attention deficit hyperactivity disorder (ADHD). Taking medication that may affect impulse control, experiencing safeguarding issues or violence or a family history of gambling that harms could also increase a person’s level of risk.
People should be encouraged to assess the severity of their gambling-related harms by completing a questionnaire available on the NHS website. This is based on the Problem Gambling Severity Index (PGSI), a standardised measure for at-risk behaviour. A score of 8 or above indicates that they should seek support and treatment from a specialist gambling treatment service, while those with lower scores may also benefit from available support.
Healthcare professionals and social care practitioners must recognise and take action to ensure that stigma, shame and fear of disclosure does not prevent people experiencing gambling-related harms from seeking and accessing support and treatment.
It recommends using a tailored approach to meet the needs of each person, which could include providing them with access to vocation-specific services, such as veterans’ groups, or that take account of their ethnic background and religion. Treatments for gambling-related harms should also be provided in separate locations from services for alcohol or substance dependence.
The guidance recommends healthcare professionals consider involving a partner, family member or other person close to the person experiencing gambling-related harms in their treatment, if that is what they both want.
Gambling related harm has a devastating impact on those who experience it, and the people close to them. The useful and usable guideline will help healthcare professionals and others to identify those needing help earlier and ensure they get the treatment and support they need.
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.
“Over the past few years, the NHS has made significant progress in expanding treatment for gambling addiction with the rollout of 15 specialist clinics across the country. So, if you’re worried about your gambling, there is support available, and you can directly refer yourself to your local NHS gambling clinic.”
Minister for Gambling Baroness Twycross said: “We welcome this guidance from NICE on identifying, assessing, and managing gambling-related harms, which will support those experiencing harmful gambling to get access to the right support.
“We know that clinical treatment is not necessarily right for everyone, but it is important that there is a full spectrum of support as we strengthen treatment options.
“The Government’s plans to introduce a statutory levy, which will generate £100 million each year, will provide the investment needed to further expand the support and treatment on offer for those in need.”
The Gambling Survey for Great Britain (2023), which collects data from 20,000 respondents each year, reported that 2.5% of the survey population aged 18 years and older living in Great Britain participate in “problem gambling” (defined as a PGSI score of 8 or more), with an additional 12% of the survey population participating in gambling with an elevated risk of harm (PGSI score 1 to 7). Overall, 2.8% of participants who had gambled in the past 12 months reported experiencing at least one severe consequence, such as the breakdown of a relationship. Rates were higher among male participants and were also higher among younger adults (those aged 18 to 34) than older adults (those aged 55 and over).
NHS England has opened 15 gambling clinics across the country since 2019 – seven of which opened in 2024. These clinics are expected to see 3000 people a year. All specialist clinics are fully NHS-commissioned and funded.
As set out in government’s response to the consultation on the structure, distribution and governance of the statutory levy on gambling operators, published in November 2024, the new statutory levy will provide a significant increase in investment for support and treatment services for gambling-related harm.
The post NICE Recommends Healthcare Professionals Ask People About Gambling at Health Checks and GP Appointments appeared first on European Gaming Industry News.
On May 14, 2026, 1spin4win reached a significant milestone — five years on the iGaming market. The anniversary motto, The Gold Standard of Classic Slots, reflects the studio’s evolution into a recognized name in the classic slot niche, built on years of industry expertise and commitment to delivering authentic gambling experiences.
Today, its portfolio features more than 200 games combining timeless appeal, advanced mathematics, and strong performance. In 2025, 1spin4win achieved a 52.06% increase in bet count and a 56.62% rise in GGR compared to 2024. This growth has helped the provider earn the trust of over 1,000 global operators, including leading brands such as SOFTSWISS, EveryMatrix, Alea, SoftGaming, Digitain, and BetConstruct.
As part of the milestone celebration, 1spin4win introduces Lucky 1spin4win Hold and Win, a special slot highlighting the studio’s landmark titles and renowned characters. Alongside traditional fruit, bells, and sevens, the colorful 3×3 grid features Wild symbols shaped as red bezel-set diamonds. When activated, they illuminate the “5 Years” sign, reinforcing the game’s anniversary theme.
The celebratory atmosphere continues through the slot’s rewarding features. Landing nine identical symbols doubles the win, while three or more Coins trigger the exciting Hold and Win Bonus round. With three starting respins, players get the chance to claim two festive Jackpots — the x100 Minipot Coin and the x1000 Megapot.
To mark the 5-year anniversary, 1spin4win is also launching special promotional campaigns in collaboration with Olymp and Selector. To give players additional opportunities to join the celebration, the partners will distribute exclusive promo codes, which will also be available to the registered users of the provider’s Players Room platform.
Olga Hlukhovskaya, Business Development Director at 1spin4win, commented, “Five years in the industry is an important testament to how far 1spin4win has come. Since 2021, we’ve grown into an acknowledged iGaming brand trusted by top global companies. Looking ahead, we plan to keep expanding across African and Latin American markets, deepen our relationships with regional operators, and further strengthen our presence in Europe. For us, this anniversary is not only about celebrating past achievements, but also about building the next stage of 1spin4win’s journey.
Olga Bogdanova, Art Director at 1spin4win, shared, “Lucky 1spin4win Hold and Win is dedicated to the 1spin4win 5th anniversary in the casino industry. The game’s design brings together iconic characters and signature symbols from our previous releases, well-known to both our players and partners. The result is a vibrant product featuring engaging Hold and Win mechanics and the recognizable 1spin4win classic style. We invite everyone to join the celebration of our anniversary, test their luck in the slot, compete for festive jackpots, and revisit their favorite 1spin4win games!”
About 1spin4win
1spin4win is an established game provider founded in May 2021 by ambitious developers with over 15 years of experience in the gambling industry. Since its inception, the company has expanded its portfolio to include over 200 classic online slots, all characterized by quality mathematics, transparent mechanics, and well-balanced gameplay — key factors that drive strong player retention. The studio aims to release an average of four new games each month in 2026 and offers effective promotional tools for casino operators to help them enhance player loyalty.
The post 1spin4win presents Lucky 1spin4win Hold and Win to mark its 5th anniversary appeared first on Eastern European Gaming | Global iGaming & Tech Intelligence Hub.
Games
Stake releases Zoo casino game: a fast, multiplayer Stake Original where players bet on the wild side
A new live-round Stake Original where every player bets on the same outcome – six animals, a 20-tile track, three results per round, and wins up to 1,000x in play.
Stake, the world’s largest online casino and sportsbook, has today launched its Zoo casino game, a new multiplayer Stake Original that brings every player into the same live round to bet on six animals across a 20-tile track. Available worldwide on Stake, Zoo is the latest title to join the growing Stake Originals collection.
Zoo takes the shared-round excitement that has made games like Crash a Stake Originals staple and pairs it with simpler, more visual decision-making. Each round, six animals – Lion, Cheetah, Elephant, Crocodile, Rhino, and Penguin – appear on a 20-tile circular track, with each animal showing up a different number of times to create clear volatility tiers and payout differences across the board. Players have ten seconds to back one or more animals before the track spins up and locks in three result tiles in the center of the screen.
Zoo launches with a 98% RTP, a top multiplier of 1,000x per round, and full auto bet controls that let players preset their wager amount, number of rounds, and chosen animals. Designed as a simpler, more visual evolution of popular casino games like Roulette and Sic Bo, Zoo strips back the complexity without compromising on depth. The rarer the animal, the bigger the reward – Lion and Cheetah each appear only once on the track, Elephant and Crocodile twice, Rhino four times, and Penguin ten, giving players a clear read on the risk and payout of every play. With three result tiles drawn each round, players win based on how many times their chosen animal lands across all three.
“Zoo is exactly the kind of game we want Stake Originals to be known for – fast, simple to pick up, and genuinely fun to play in an online setting filled with other players. There’s real tension in watching the three tiles land for the whole table at once, and we think players are going to find their favourite animals pretty quickly,” said Stake’s Chief Marketing Officer, Akhil Sarin.
Zoo joins a growing line-up of in-house multiplayer game creations on Stake Casino, with the goal of keeping every Stake Original easy to learn, quick to play, and a little bit different from anything else in the iGaming industry.
About Stake
Stake is the world’s largest online casino and sportsbook, attracting over 100 million monthly visits across its global domains – more than any other iGaming platform on earth. Founded in 2017, Stake attracts over 80 million monthly visits and processes more than 100 billion bets per year. Stake is renowned for its innovation in crypto wagering and its growing expansion into regulated local-currency gaming markets, including Italy, Denmark, Brazil, Colombia, and Peru. The brand boasts an extensive global sponsorship portfolio including Drake, X Games, Everton Football Club, and the UFC.
Contact
Stake.com
The post Stake releases Zoo casino game: a fast, multiplayer Stake Original where players bet on the wild side appeared first on Eastern European Gaming | Global iGaming & Tech Intelligence Hub.
Games
Stake releases Zoo casino game: a fast, multiplayer Stake Original where players bet on the wild side
A new live-round Stake Original where every player bets on the same outcome – six animals, a 20-tile track, three results per round, and wins up to 1,000x in play.
Stake, the world’s largest online casino and sportsbook, has today launched its Zoo casino game, a new multiplayer Stake Original that brings every player into the same live round to bet on six animals across a 20-tile track. Available worldwide on Stake, Zoo is the latest title to join the growing Stake Originals collection.
Zoo takes the shared-round excitement that has made games like Crash a Stake Originals staple and pairs it with simpler, more visual decision-making. Each round, six animals – Lion, Cheetah, Elephant, Crocodile, Rhino, and Penguin – appear on a 20-tile circular track, with each animal showing up a different number of times to create clear volatility tiers and payout differences across the board. Players have ten seconds to back one or more animals before the track spins up and locks in three result tiles in the center of the screen.
Zoo launches with a 98% RTP, a top multiplier of 1,000x per round, and full auto bet controls that let players preset their wager amount, number of rounds, and chosen animals. Designed as a simpler, more visual evolution of popular casino games like Roulette and Sic Bo, Zoo strips back the complexity without compromising on depth. The rarer the animal, the bigger the reward – Lion and Cheetah each appear only once on the track, Elephant and Crocodile twice, Rhino four times, and Penguin ten, giving players a clear read on the risk and payout of every play. With three result tiles drawn each round, players win based on how many times their chosen animal lands across all three.
“Zoo is exactly the kind of game we want Stake Originals to be known for – fast, simple to pick up, and genuinely fun to play in an online setting filled with other players. There’s real tension in watching the three tiles land for the whole table at once, and we think players are going to find their favourite animals pretty quickly,” said Stake’s Chief Marketing Officer, Akhil Sarin.
Zoo joins a growing line-up of in-house multiplayer game creations on Stake Casino, with the goal of keeping every Stake Original easy to learn, quick to play, and a little bit different from anything else in the iGaming industry.
About Stake
Stake is the world’s largest online casino and sportsbook, attracting over 100 million monthly visits across its global domains – more than any other iGaming platform on earth. Founded in 2017, Stake attracts over 80 million monthly visits and processes more than 100 billion bets per year. Stake is renowned for its innovation in crypto wagering and its growing expansion into regulated local-currency gaming markets, including Italy, Denmark, Brazil, Colombia, and Peru. The brand boasts an extensive global sponsorship portfolio including Drake, X Games, Everton Football Club, and the UFC.
Contact
Stake.com
The post Stake releases Zoo casino game: a fast, multiplayer Stake Original where players bet on the wild side appeared first on Americas iGaming & Sports Betting News.
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