We accept referrals from anyone who is experiencing harm from gambling aged:
- 13-18 years old from anywhere in England
- 18 or over and living in Greater London.
(Please note that the age range may be different for other gambling services).
Our Family and Friends service also provides support to those impacted by someone else’s difficulty with gambling such as family, partners, and friends.
There are now several NHS gambling services across England and this service covers mainly London and the South East. Please note that if you live in Essex but you have a London postcode, you will fall under our clinic – please contact us if you need to check which clinic you fall under.
The National Gambling Clinic was the first NHS gambling treatment service to be established in the UK. We have gained an international profile through research, presentations at conferences and the provision of training for gambling related harms services worldwide.
We are part of CNWL NHS Foundation Trust which has extensive experience providing addictions and psychological treatment and care to a wide range of service users.
Our team is made up of psychologists, therapists, nurses and psychiatrists and a peer support worker with lived experience of gambling harm.
We offer a comprehensive treatment programme tailored to individual needs.
We offer flexibility between online (Zoom), telephone or in-person treatment. Please note, currently all group sessions are run over Zoom.
Phase One – preparation for change
One-to-one phase one sessions consist of regular 20-30-minute appointments with a phase one clinician who will provide ongoing support during the initial stages of a client’s journey.
These initial treatment sessions/workshops will particularly focus on boosting motivation for change and putting practical barriers, called ‘Stimulus Controls’, in place to reduce access to gambling. These sessions also provide an opportunity to discuss any issues or difficulties that a client may be facing, for example, finding further support for other mental health problems.
Relapse prevention sessions can be offered as a 3-session course for clients who may have already experienced a period of abstinence from gambling and understand what strategies are so far helping them maintain this.
Phase Two – core treatment
Cognitive Behavioural Therapy (CBT) may be offered on a 1:1 or group basis as the treatment in phase two for relapse prevention.
Phase Three – further support
Psychodynamic Therapy may be available for clients after completing CBT and makes up phase three of treatment.
Phase Four – post treatment support
Our New LEAF group offers post treatment support for anyone who would benefit from ongoing contact with the service.
Psychiatric Reviews and Naltrexone:
Naltrexone is a drug that can be used alongside treatment to reduce the experience of urges. We can also offer psychiatric reviews at any stage of treatment if needed.
Family and Friends Service:
Family members and friends are welcome and encouraged to refer to the clinic for individual support and psychoeducation about gambling and how it may have impacted them.
To refer as a family or friend, please see the section below on how to make a referral.
Consultation pathway
We offer a consultation pathway for health professionals when the person presenting with gambling harm is not able to go through our programme without support.
The role of consultation is to provide specialised support to assess presenting difficulties, recommend a tailored client centred plan and assist in the implementation of the strategies needed to help reduce gambling harm.
How to make a referral
The National Gambling Clinic offers treatment to adults living in greater London and for under 18s across England. We also accept referrals from a wide range of health and care professionals. We can also work collaboratively with other professionals within our consultation pathway to coordinate care.
If you are a GP, please consider encouraging the prospective client to contact the National Gambling Clinic themselves to complete an online referral form.
Please note – we cannot accept referrals without the explicit consent from the client.
To refer yourself, or you are a professional looking to refer on someone else’s behalf, please complete our online referral form here – Start Online Consultation
Online referral rorm support:
- If you are having difficulties completing the referral form, a duty member of staff will gladly help you complete it over the telephone.
- For support in completing a referral please email us at: Gambling.cnwl@nhs.net Or call us on: 02073817722
What happens after submitting the form
If we need to discuss anything with you after receiving your form, we will contact you by phone or email within a few working days.
We will then contact you with your assessment appointment date. Reminders will also be sent coming up to your assessment appointment. We will send you a questionnaire to complete shortly before your assessment. Please fill this out, it helps clinicians have a better understanding of your situation.
An initial plan for treatment will be agreed at assessment and usually start straight away. Your Phase 1 Clinician will reach out to introduce themselves and arrange your first appointment.
To contact the clinic for more information or to discuss a referral, call on 0207 381 7722 or email gambling.cnwl@nhs.net
- Step Change (free expert debt advice)
- NHS Northern Gambling Service
- Southern Gambling Service
- West Midlands Gambling Service
- East Midlands Gambling Service
- East of England Gambling Service
- South West Gambling Service
- Andy’s Man Club
- Combat Stress
- Outside Edge (recovery theatre group)
- Self-help resources