1. Gambling in Wales – a Public Health Priority
Dr. Frank Atherton
Chief Medical Officer for Wales
The Living Room - National Conference on Excessive Gambling in Wales
21 June 2017 1 1

2. CMO Role Advice to Ministers and Welsh Government
Medical Leadership within NHS
Medical
AHPs
Advocate – population health improvement

3. Population Health Priorities: Unfinished Business
Improving Health Outcomes
Proximal determinants; smoking, alcohol, drugs
Health Settings
Schools, workplace, colleges, universities, prisons
Evidence Based Programs
Healthy Child Wales, First 1000 Days, Adverse Child Experiences

4. Population Health Priorities: Unsolved Problems
Inequalities
Obesity/Healthy Lives
Mental Health
Healthy Environments
HWB Future Generations
Health in All Policies and Health Impact Assessment
Large scale societal change

5. Population Health Priorities: New/Emerging Challenges
Common Pathways to Addiction
Gambling
Nicotine
Corporate Determinants of Health
Communicable Diseases have not gone away
PanFlu, H7N9, MERS, Ebola, Zika, WNV, Lyme

6. Economic, social, environmental and cultural well-being of Wales
A more equal Wales
A wales of cohesive communities
Economic, social, environmental and cultural well-being of Wales

7. Programme for Government
‘Healthy and Active’ one of four strategic priorities
Prioritise mental health – prevent, treatment and support
Wider determinants – sustainable employment

8. Gambling ….. the picture in Wales

9. Who has problems with gambling in Wales ?
1.1% of adults in Wales aged 16+ identified as problem gamblers
1.8% of people under the age of 45 are problem gamblers.
3.8% of people identified as either at low or moderate risk of gambling), with rates highest for men aged years old, where one in ten are at risk of gambling problems.

10. The Challenges Low prevalence – high impact Growing issue: People
Industry
Advertising
Health Inequalities
Online Gambling
Limited levers in Wales

11. Related Delivery Plans

12. Future work
Profiling problem gambling as a current and emerging public health issue
Identifying effective policy responses
Maximising the opportunity in the 4 strategies for cross-portfolio working

13. Thank you for listening
Dr. Frank Atherton
Chief Medical Officer for Wales
The Living Room - National Conference on Excessive Gambling in Wales
21 June 2017 13 13