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NICE Recommends Healthcare Professionals Ask People About Gambling at Health Checks and GP Appointments

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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.

EvenBet Gaming

Behind EvenBet Gaming’s strategic evolution into casino

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EvenBet Gaming’s CEO, Dmitry Starostenkov, speaks to EEGaming about the company’s expansion into the casino vertical, what drove the decision, what it took to build, and what it means for operators looking to grow beyond a single product.

EvenBet has spent more than two decades building its reputation in poker. What told you the time was right to move into casino?

We kept having the same conversation with partners who trusted our poker infrastructure, asking whether we could support them on the casino side too. For a long time, our answer was to point them elsewhere but, with competition intensifying, that became harder to justify.

But there’s a wider shift happening too. Operators are under real pressure to extract more value from their existing player base. Acquisition costs are rising, regulated markets are tightening, and the days of building a sustainable business on a single vertical are gone. Operators who are growing have found more ways to extend player value across their full product offering, and that requires purpose-built infrastructure.

We have the technical foundation and understand the player behaviour. The question became when to make the move, and how to do it in a way that was genuinely an improvement on what was already out there.

Moving from the single poker vertical into a full casino platform is a significant undertaking. Where did the product challenges actually lie?

The single player account sounds simple until you’re actually building it. Shared balance, unified player profile, seamless movement between poker and casino all create complexity that compounds quickly. The other challenge was scope. A game aggregator covering 15,000 titles across 230-plus providers has the potential to create real infrastructure problems. We had to build something that could handle that scale without becoming unwieldy for operators to use. And we didn’t want to compromise the poker product to get there either – that was non-negotiable. Everything had to work as one system, not two products stapled together.

How does cross-vertical conversion work, and why does that matter so much to operators right now?

The friction in moving a player between verticals has always been the drop-off point. Separate logins, separate wallets and separate experiences are all different reasons for a player to disengage. When that’s removed, the conversion happens more naturally.

What makes the difference is having product mechanics that actively pull players across. One Click Poker removes the traditional lobby entirely, which has historically been the biggest barrier for casino players who find poker intimidating or unfamiliar. Spins Poker goes further by taking player-versus-player gameplay and wrapping it in slot-style mechanics, so the experience feels native to a casino player from the first session.

In the other direction, casino rewards sitting inside the poker environment give poker players a natural reason to explore. It becomes a two-way pipeline rather than a one-way push, and operators can see that working in the data. That’s what cross-vertical conversion looks like when the product architecture supports it properly.

What does EvenBet Gaming now offer an operator that they genuinely can’t get elsewhere?

Most casino platforms don’t come with a serious poker product attached, and most poker providers don’t have a credible casino offering. We’re in a fairly unique position in that we can genuinely deliver both, and the integration between the two is real and not just a partnership held together by an API. In terms of who this is for, it’s operators who want to grow. Whether that’s a new entrant who needs a clean, fast route to market, or an established operator who has a casino product but knows they’re missing a revenue stream without poker. We’re positioned to offer that market entry and scalability, without compromising quality.

The post Behind EvenBet Gaming’s strategic evolution into casino appeared first on EE Gaming | Global iGaming & Tech Intelligence Hub.

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Plaza Hotel & Casino books The Tony Bennett Experience for Aug. 8 in Las Vegas

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Plaza Hotel & Casino will host The Tony Bennett Experience for a one-night performance on Saturday, Aug. 8 at 7 p.m. in its classic Vegas showroom, the downtown Las Vegas operator said in a release.

The show features Las Vegas headliner and tribute artist Tom Stevens and his Jazz Ensemble, and is billed as a celebration of Tony Bennett’s 100th Anniversary. Plaza said Stevens will be backed by a four-piece band and perform songs including “I Left My Heart in San Francisco” and “The Way You Look Tonight.”

Tickets are on sale through the Plaza Hotel & Casino website.

The post Plaza Hotel & Casino books The Tony Bennett Experience for Aug. 8 in Las Vegas appeared first on Americas iGaming & Sports Betting News.

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Malta Prepares For EU Budget Battle To Stave Off Gambling Levy

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Malta’s Prime Minister has said his nation will veto any attempts by the EU to introduce a bloc-wide online gambling levy, threatening to place the industry at the centre of febrile European politics.

Robert Abela has told Malta’s parliament that he would use his nation’s member state veto to block the passage of the next EU budget, if a proposed gambling levy is included.

The budget, formally known as the Multiannual Financial Framework (MFF), lays out how the EU will spend its €2trn budget from 2028 to 2034.

The prospect of adding a continent-wide tax to the budget remains only a proposal, but the idea has heavyweight backing.

Vice-president of the European Parliament Victor Negrescu is spearheading these efforts, arguing that a fast-growing digital industry that generates billions in revenue should be subject to EU-level taxation.

Negrescu says that the levy could generate between €2-4bn every year.

“This industry fully benefits from the EU’s single market, digital infrastructure and crossborder access, but operates under fragmented rules, unequal taxation and insufficient enforcement,” he said.

The online gambling sector might well quibble with the specifics of these claims.

The idea that it “fully benefits” from the EU single market may have been unassailably true in the point-of-supply era, but the subsequent fragmentation of national rules that Negrescu refers to has significantly complicated that picture.

Nevertheless, backing for the levy from a senior European politician has naturally spooked the industry and its primary champion within the EU, Malta.

The levy would be so damaging to Malta’s economic interests that it is willing to use its most powerful EU instrument by executing a veto in the European Council in order to block the budget from being approved.

That would likely plunge the island nation into the centre of a political firestorm, but recent history suggests that smaller EU nations and their allies can successfully disrupt budget negotiations.

During discussions over the 2020 EU budget, Poland and Hungary successfully secured concessions after they both threatened to veto the MFF over rule-of-law requirements.

Malta will also hope to rely on support from the Friends of Cohesion, an informal alliance of 16 nations concerned with regional development, of which it is a part.

Negrescu’s pledge to pair his levy with a “clear EU directive against illegal and unlicensed platforms” is unlikely to satisfy the online gambling industry, despite growing complaints of a rampant black market from a number of quarters.

Malta strikes again

In simple terms, Malta is seeking to protect an industry which accounts for 10 percent of its gross domestic product.

The nation has shown a clear willingness to ignore the EU’s wishes in order to shield the many gaming firms that host their headquarters within its borders.

Most notably, the creation of Bill 55 has successfully protected local companies from having to repay hundreds of millions of euros in player refund settlements.

Ongoing cases before the Court of Justice of the European Union suggest that Europe’s top judges will soon rule against Bill 55, which is now Article 56A of Malta’s gambling act.

The European Commission also launched infringement proceedings against Malta over the provision

Tax troubles.

There are so far no specifics on how the levy would be calculated or what value it would be set at, but beyond Malta an additional levy would also be extremely challenging for operators in European markets already struggling with high tax burdens.

This includes the Netherlands, where a government report released this week has shown that staggered increases to taxes of 37.8 percent of gross gambling revenue (GGR) have failed to deliver any benefit to the country’s budget.

Even a relatively slight increase to this tax rate could send more operators scurrying out the market and see channelisation dive further than its current rate of 55 percent.

Nations like France, where online betting is taxed at 59.3 percent of GGR, or Portugal, with its 8 percent turnover tax on online sports betting, would also feel an impact.

Negotiations over the contents of the EU budget are set to continue for several months, with the approval process expected to be completed in late 2026 or early 2027.

Leaders in the Council of Europe have agreed to come to a preliminary deal on the MFF by October, according to a coordinated statement issued earlier this month.

Malta’s devout opposition to a possible gambling levy is just one of a range of issues under discussion, including a stark divide between nations such as Germany, which favour spending cuts, and the Friends of Cohesion, who want additional cash for agriculture and regional funding.

The post Malta Prepares For EU Budget Battle To Stave Off Gambling Levy appeared first on EE Gaming | Global iGaming & Tech Intelligence Hub.

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