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Written Question
Mental Health Services: Veterans
Monday 25th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how many veterans with OCD have used Op COURAGE since its inception.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

Prior to April 2023, Op COURAGE was formed from the three separate services of the Transition, Intervention and Liaison service, the Complex Treatment Service, and the High Intensity Service. Performance data for these services did not collect uniquely identifiable information on individual veterans, so it would not be possible to identify instances where a veteran had attended Op COURAGE for more than one course of treatment.

No data is held on the numbers of veterans with gambling additions that have used Op COURAGE. Data analysed includes the primary mental health reason for referral to Op COURAGE. From April 2023, there have been no referrals to Op COURAGE with a primary mental health reason of gambling addiction. Since April 2023, less than 1.5% of referrals to Op COURAGE have been with a primary mental health reason of either obsessive-compulsive disorder or drug or alcohol difficulties.

Between August 2021 and September 2024, £339,000 has been allocated across the three social prescribing pilot projects which are in Cornwall, Durham, and Dorset. The National Health Service provides wellbeing support to all full-time carers. Veterans who identify as a carer are offered a Carer’s Assessment, which is undertaken by local authorities. The outcome of the Carer’s Assessment will inform a care and support plan, which is bespoke to the needs of the carer.

The Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. It also funds advice and support to carers and a small number of additional local authority duties. There is no data on how much of that funding may have been used for veterans.


Written Question
Sports: Codes of Practice
Thursday 21st March 2024

Asked by: Iain Duncan Smith (Conservative - Chingford and Woodford Green)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps her Department is taking to ensure that the cross-sport Code of Conduct is (a) robust and (b) workable in practice; and what lessons she has learnt from the application of CAP code 2.1 for regulation of breaches of the Code.

Answered by Stuart Andrew - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

All domestic sports governing bodies have agreed to four core principles underpinning the cross-sport Code of Conduct on gambling sponsorship: (i) protecting children and young people (ii) socially responsible promotion (iii) reinvestment into sport (iv) maintaining sporting integrity. These principles put in place a robust minimum standard for sponsorship across all sports. Through the code, a proportion of in-stadia advertising will be dedicated to safer gambling messaging, and replica kits for adults will be made available without gambling logos, alongside the existing requirements for childrens’ replica kits.

Sports governing bodies must have sufficient flexibility to implement these principles in a way which maximises impact for the sports and their fans. Bespoke, sport-specific Codes are currently being designed by individual sports governing bodies, and will be implemented in due course. The Premier League and English Football League plan to have their Codes in place by next season. DCMS will continue to work closely with sports on their implementation and enforcement practices.

As a licence condition, gambling operators must comply with the restrictions set out in the Advertising Codes, which includes robust rules under section 2 regulating the recognition of marketing communications. Under these rules, marketing communications must be obviously identifiable as such and make clear their commercial intent, if that is not obvious from the context. The Advertising Standards Authority (ASA) can and does take action against breaches, and a recent ruling can be found here. Operators are liable to enforcement action from the Gambling Commission if affiliates which they pay to carry out marketing activities do not comply with the rules.


Written Question
Sports: Gambling
Wednesday 20th March 2024

Asked by: Paul Blomfield (Labour - Sheffield Central)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what assessment her Department has made of the effectiveness of self-regulation by the sporting industry in reducing the quantity of gambling messaging seen by viewers.

Answered by Stuart Andrew - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

In our approach to gambling advertising, we have struck a balanced and evidence-led approach which tackles aggressive advertising that is most likely to appeal to children, while recognising that advertising is an entirely legitimate commercial practice for responsible gambling firms.

We have welcomed the industry's whistle-to-whistle ban on TV betting adverts during live sports programmes. According to figures from the Betting and Gaming Council, the ban reduced the quantity of gambling advertisement views by children (age 4-17) by 70% over the full duration of live sporting programmes.

Further, alongside the Premier League’s announcement that it will ban gambling sponsors from the front of shirts by the end of the 2025/26 season, the gambling white paper commitment for a cross-sport Code of Conduct for gambling sponsorship has now been agreed by a number of the country’s major sports governing bodies. This will guarantee that where gambling sponsorship does appear, it is done in a responsible way to ensure fans, especially children, are better protected. This code will include provisions to ensure replica shirts for both children and adults are available without front-of-shirt gambling logos and a proportion of in-stadia advertising is dedicated to safer gambling messaging.


Written Question
Gambling: Ombudsman
Wednesday 20th March 2024

Asked by: John Hayes (Conservative - South Holland and The Deepings)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, if she will make an assessment of the potential merits of establishing an independent ombudsman to enforce gambling operators’ duty of care.

Answered by Stuart Andrew - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

Following the Government’s review of the Gambling Act 2005, and the Gambling White Paper, published in April 2023, we are introducing a package of measures to further prevent gambling-related harm, including a commitment to establish a non-statutory ombudsman to strengthen protections for customers where things go wrong. The body will adjudicate complaints, including those relating to social responsibility or gambling harm, where an operator is not able to.

We are working at pace with industry and all stakeholders in the sector, including the Ombudsman Association, to ensure customers have access to an ombudsman that is fully operationally independent in line with Ombudsman Association standards, and is fully credible in the eyes of customers. As set out in the white paper, it is important that the body adjudicates fairly and transparently all complaints regarding social responsibility or gambling harm issues where an operator is not able to resolve these.

We remain clear that if this approach does not deliver as we expect, or shortcomings emerge regarding the ombudsman’s remit, powers or relationship with industry, the government will actively explore the full range of options to legislate to create a statutory ombudsman.


Written Question
Gambling: Marketing
Wednesday 20th March 2024

Asked by: Ronnie Cowan (Scottish National Party - Inverclyde)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps her Department is taking to help ensure that gambling operators comply with codes of practice relating to content marketing.

Answered by Stuart Andrew - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

In our approach to gambling advertising, we have struck a balanced and evidence-led approach which tackles aggressive advertising that is most likely to appeal to children, while recognising that advertising is an entirely legitimate commercial practice for responsible gambling firms.

In April last year, HM Government published a White Paper on gambling which outlined a comprehensive package of reforms to make gambling safer following an exhaustive assessment of the evidence, including on gambling advertising. We concluded that further action on advertising was needed, which is why we and the Gambling Commission are introducing measures to tackle the most aggressive and harmful advertising practices by preventing bonuses being constructed and targeted in harmful ways, giving customers more control over the marketing they receive, and introducing messaging about the risks associated with gambling.

This supplements the already robust rules in place to ensure that gambling advertising is socially responsible and that it cannot be targeted at or strongly appeal to children. This includes specific licence conditions for operators, including the requirement to abide by the UK Advertising Codes, which further regulate how gambling operators advertise. The UK Advertising Codes were strengthened in 2022, with new protections for children and vulnerable adults.


Written Question
Gambling: Advertising
Wednesday 20th March 2024

Asked by: Ronnie Cowan (Scottish National Party - Inverclyde)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, if she will make an assessment of the potential implications for her policies on gambling advertisements of the findings on the relative appeal of gambling content marketing to children and those over the age of 25 in the report by the University of Bristol entitled What are the odds? The appeal of gambling adverts to children and young persons on twitter, published in October 2021.

Answered by Stuart Andrew - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

In our approach to gambling advertising, we have struck a balanced and evidence-led approach which tackles aggressive advertising that is most likely to appeal to children, while recognising that advertising is an entirely legitimate commercial practice for responsible gambling firms.

In April last year, HM Government published a White Paper on gambling which outlined a comprehensive package of reforms to make gambling safer following an exhaustive assessment of the evidence, including on gambling advertising. We concluded that further action on advertising was needed, which is why we and the Gambling Commission are introducing measures to tackle the most aggressive and harmful advertising practices by preventing bonuses being constructed and targeted in harmful ways, giving customers more control over the marketing they receive, and introducing messaging about the risks associated with gambling.

This supplements the already robust rules in place to ensure that gambling advertising is socially responsible and that it cannot be targeted at or strongly appeal to children. This includes specific licence conditions for operators, including the requirement to abide by the UK Advertising Codes, which further regulate how gambling operators advertise. The UK Advertising Codes were strengthened in 2022, with new protections for children and vulnerable adults.


Written Question
Gambling: Suicide
Tuesday 19th March 2024

Asked by: John Hayes (Conservative - South Holland and The Deepings)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, whether she has had recent discussions with Cabinet colleagues on investigations of gambling-related suicides.

Answered by Stuart Andrew - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

His Majesty’s Government recognises that, while millions of people gamble without experiencing problems, for some it becomes an addiction with serious consequences. It is particularly important to take steps to protect those, particularly young people, who are at risk of experiencing gambling harm.

In April 2023 the Department for Culture, Media and Sport published a White Paper following our review of the Gambling Act 2005. The White Paper outlined a series of measures to tackle practices and products which can drive harm and to ensure that people who are at risk of gambling harm and addiction are protected, including a commitment to introduce a new statutory levy paid by operators to fund research, prevention, and treatment. We are working at pace with the Gambling Commission to bring these measures into force as quickly as possible.

In October 2023 the Gambling Commission published its decision to introduce a specific reporting requirement requiring gambling businesses to inform the Commission when they become aware of a person who has gambled with them has died by suicide. This requirement will come into force on 1 April 2024. While it is the role of the Coroner to investigate such death, where the Commission is made aware that a customer of a licensee has died by suicide, it will consider whether there is evidence of suspected regulatory failings and whether it would be appropriate and proportionate to take any regulatory action.


Written Question
Gambling: Artificial Intelligence
Tuesday 19th March 2024

Asked by: Lord Taylor of Warwick (Non-affiliated - Life peer)

Question to the Department for Digital, Culture, Media & Sport:

To ask His Majesty's Government what steps they are taking to address the risks posed by the use of artificial intelligence in the gambling industry, particularly (1) problem gambling, (2) addiction, and (3) mental health issues.

Answered by Lord Parkinson of Whitley Bay - Parliamentary Under Secretary of State (Department for Culture, Media and Sport)

The Gambling Commission, Great Britain’s statutory regulator, continues to monitor industry developments in artificial intelligence, informed by the expertise of its Digital Advisory Panel. This includes the exploration and consideration of the use of artificial intelligence and machine learning by gambling operators, and engagement with the industry better to understand their uses of AI. The Gambling Commission will continue to increase its capacity and capability to deploy data science in its regulation through the formation of a new Data Innovation Hub.

All gambling operators which provide gambling services to customers in Great Britain must be licensed by the Gambling Commission, and must comply with its codes of practice. The social responsibility code requires them to have and to put into effect policies and procedures to promote socially responsible gambling. These should reduce the risk of, and seek to identify those struggling with, problem gambling. The Gambling Commission has the power to remove an operating licence where a gambling business is deploying AI in a manner that undermines the statutory licensing objectives and duties.


Written Question
Mental Health Services: Veterans
Thursday 14th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 28 February 2024 to Question 14455 on Mental Health Services: Veterans, if she will make an assessment of the potential merits of using social prescribing to support veterans with mild mental health conditions.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

NHS England commissions Op COURAGE, which provides a comprehensive mental health service for veterans. Since its inception in 2017, over 35,000 referrals have been made to Op COURAGE. NHS England does not hold data on the number of veterans who have accessed Op COURAGE services on more than one occasion, or the numbers of veterans with gambling additions that have used Op COURAGE.

NHS England has commissioned three pilot sites to explore and evaluate the merits of social prescribing in the Armed Forces Community. The outcome of the evaluation is planned for Autumn 2024, and the findings will inform a toolkit which can be used by other social prescribing teams.


Written Question
Mental Health Services: Veterans
Thursday 14th March 2024

Asked by: Steve McCabe (Labour - Birmingham, Selly Oak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 22 February 2024 to Question 12907 on Mental Health Services: Veterans, if she will make an estimate of the number of veterans with gambling addictions that have used Op COURAGE since its inception.

Answered by Maria Caulfield - Parliamentary Under Secretary of State (Department for Business and Trade) (Minister for Women)

NHS England commissions Op COURAGE, which provides a comprehensive mental health service for veterans. Since its inception in 2017, over 35,000 referrals have been made to Op COURAGE. NHS England does not hold data on the number of veterans who have accessed Op COURAGE services on more than one occasion, or the numbers of veterans with gambling additions that have used Op COURAGE.

NHS England has commissioned three pilot sites to explore and evaluate the merits of social prescribing in the Armed Forces Community. The outcome of the evaluation is planned for Autumn 2024, and the findings will inform a toolkit which can be used by other social prescribing teams.