16: GP+ Gambling Harms with Dr Emma Ryan

In this episode of the GP+ Careers podcast, Sophie interviews Dr Emma Ryan, a GP partner and Clinical Director, and also serves as the lead GP at the UK's first national primary care gambling harms service, established in 2019. She discusses her dual role, the holistic mental health assessments offered by her service for individuals experiencing gambling harm, and the service's evolution from self-referrals to increasing GP referrals. The episode also covers Dr Ryan's journey into this specialised field, the importance of raising awareness among healthcare professionals, and advice for GPs interested in diversifying their careers into similar areas of special interest.

Top tips

Educate yourself thoroughly: Begin by reading the latest NICE guidelines on gambling harms (2025), which recommend GPs ask about gambling harms in certain consultations, especially mental health consultations. You can also attend a free RCGP Gambling Harms webinar, which provides an overview of the NICE guideline Gambling-related harms and its relevance to CQC, practical interventions to use during consultations such as the Very Brief Advice (VBA), signposting to local support, and insights from lived experience. Attendance at a webinar will enable full accreditation under the RCGP Gambling Harms Scheme, unlocking access to valuable resources, patient-facing posters, and recognition for your practice. Also make use of the RCGP Gambling Harms Hub, which offers additional learning resources such as e-Learning modules and podcasts.

Connect with established services and networks: Reach out to the Primary Care Gambling Service, as they are keen to expand their network of interested GPs and have links across all regions. Also, explore the National Gambling Support Network, commissioned  by Gamble Aware, to find information about services available in different areas. It's also beneficial to visit existing voluntary (third) sector treatment and support services to understand their long-standing work.

Leverage your existing GP skills and embrace opportunities: Your core GP skills, such as being interested in patients and their stories, are highly valuable, and you shouldn't let imposter syndrome hold you back. Your role primarily involves identifying patients and conducting initial holistic mental health assessments, not necessarily providing the specific therapies like Cognitive Behavioural Therapy (CBT). Be open to saying "yes" to new experiences, as an initial interest can lead to sig