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2022-03-31-accounts

TRUSTEES’ ANNUAL REPORT AND FINANCIAL STATEMENTS

02 Charity Information for The Year Ended 31 March 2022

03 SECTION 1: Charity Overview

04 Statement from GamCare’s CEO and Chair

06 GamCare and Our Partners

10 SECTION 2: Activity and Impact (Strategic Report)

14 Ambition 1: Gambling harms are widely recognised and prevented

24 Ambition 2: Provision of effective tools and support

29 Ambition 3: Universal access to caring, evidence-led and integrated treatment

34 Ambition 4: GamCare’s work is seen as valued, trusted and effective

30 SECTION 3: Looking Ahead

31 SECTION 4: Financial Review and Governance

42 SECTION 5: Independent Auditor’s Report to the Members of GamCare

63 SECTION 6: Financial Information

72 Notes to the Financial Information

Charity Information for The Year Ended 31 March 2022

Registered Charity Name: GamCare

Trustees: Margot Daly (Chair, appointed as Chair June 2021) Sir Ian Prosser (Chair, retired June 2021) Jeff Clarkson (from March 2022) Jill Britton Emily Finch John Hagan Dominic Harrison Gareth Jarvis Matthew Moth Anita Gundecha (from June 2022)

Audit Committee members : John Brackenbury (to December 2021), Jill Britton (from February 2022), Margot Daly (to June 2021), John Hagan, Dominic Harrison.

Clinical and Quality Governance Committee members: Jill Britton (to January 2022), Emily Finch, Gareth Jarvis.

People, Culture and Communications Committee members (commenced May 2021): Margot Daly (to June 2021), John Hagan (from February 2022), Gareth Jarvis, Matthew Moth.

Leadership Team: Anna Hemmings Chief Executive Officer Chris Franklin Director of Finance & Resources Helen Garratt Director of Clinical & Community Services (to July 2021) Rachel Hassan Director of Quality & Innovation Mike Kenward Director of Development Fiona Macleod Director of Clinical & Community Services (from Nov 2021) Debby Morrell Director of People & Organisational Development Jenny Olsen Director of Policy & Communications Secretary: Chris Franklin Registered Office: 91-94 Saffron Hill, London, EC1N 8QP Registered Charitable Company Number: 03297914 (England and Wales) Registered Charity Number: 1060005 (England and Wales) SC050547 (Scotland) Auditor: Buzzacott LLP 130 Wood Street, London, EC2V 6DL Bankers: CAF Bank Ltd, 25 Kings Hill Avenue, Kings Hill, West Malling, Kent, ME19 4LQ

The trustees, who are the directors for the purposes of company law, present their statutory report, including the Strategic Report, together with the financial statements of GamCare for the year ended 31 March 2022.

We are committed to ensuring transparency to the public and wider stakeholders in relation to how our funds are received and utilised, our strategic objectives, and our annual progress against these. Our report is produced in accordance to relevant laws and best practice, specifically:

SECTION 1

STATEMENT FROM GAMCARE’S CEO AND CHAIR

The last year has been characterised by continued uncertainty owing to the coronavirus pandemic, alongside a changing environment in the gambling sector, with the ongoing Gambling Act Review. In this context, our teams have demonstrated sustained resilience and agility, once again reaching more people than ever before, offering a more diverse range of support, which help us deliver impacts that improve people’s lives.

In times of uncertainty, our focus remains consistent. We exist to reduce gambling harms and therefore place our beneficiaries at the heart of what we do.

We have extended the ways we do this in the last year, expanding our network of staff and service users with lived experience and establishing our Youth Advisory Board to steer our young people’s services going forward.

In April 2021 we launched our new three-year strategy, with four key ambitions:

Gambling harms are widely recognised and prevented

Universal access to effective tools and support

Universal access to caring, evidence-led and integrated treatment

GamCare’s work is trusted, valued and effective

We know that these are big ambitions, and that working with others will enhance our ability to deliver.

Collaboration at the heart of our approach

Collaboration remains at the heart of our approach, alongside our other values around being a learning organisation, harnessing knowledge to improve our work, using our experience to shape the agenda in this field, and playing a leadership role.

Throughout the year there have been many great examples of how we’ve progressed towards these ambitions in line with our values. We have worked extensively to raise awareness of gambling harms, most notably through the TalkBanStop campaign, a collaboration between ourselves, GAMSTOP and Gamban to promote the layering of tools and support to help people stop gambling. The campaign reached a wide audience and resonated well with the public. The TalkBanStop project has been evaluated by Ipsos and found positive benefits to this layering approach.

Reached more people than ever

Our prevention and outreach services have reached more people than ever, helped by improved access to schools and other services as society opened up post lockdowns. Our women’s and criminal justice programmes have reached almost 7,000 professionals in the last year, offering training that increases their knowledge of gambling harms, and where to signpost for support. Our youth outreach programme has been running in its current form for two years and has reached over 28,000 young people in that time, delivering education to prevent gambling harms among young people.

Our helpline activity continued to increase this year, with the continuing trend in the growth of live chat. Our advisers do a fantastic job of working with callers as they present, listening, offering appropriate support and advice and providing access to further support for those who want it. The quality of the service was recognised by the Helpline’s Partnership accreditors, who awarded us a re-accreditation of their Helpline Standard for a further three years.

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Backed by positive research

Our treatment services benefited from research completed by King’s College London (KCL), which was based on analysis of over 27,000 treatment records. KCL found that our treatment is highly effective, with progress being especially marked in the first three sessions. The majority of cases saw significantly reduced gambling alongside improved quality of life. The research provided rich insights into our work, and we have used this to develop and refine our treatment offer to ensure it is rooted in the best available evidence.

We have held workshops and events on a range of emerging issues across the year as part of our GamblingRelated Financial Harms programme and our Criminal Justice work. These have been well attended and have been successful at engaging a broader range of important stakeholders in our work. The workshops have focused on issues such as volatile trading, for example in cryptocurrencies, and loopholes in gambling blocks. These workshops provide valuable insights and often lead to further actions, for example, Gamban has extended its blocking software to cover day trading and crypto trading websites.

Funding successes

Finally, we are delighted to have secured funds to extend our work in important ways. We successfully tendered for two new grants from Gamble Aware to deliver a Youth Education Hub for England and to deliver professionals training on gambling harms to key groups. We have also secured funding for a Money Guidance Service, which will improve our ability to offer basic money advice and improved signposting around beneficiaries’ financial concerns.

Continuing to transform after 25 years of operation

As we look forward to the coming year, we are excited about the possibilities that lay ahead. We are optimistic that we will start to transform some aspects of our offer to ensure we are fit for the future, especially as the pandemic recedes. We will celebrate 25 years of our operation, having been at the forefront of support and treatment for much of this time. We are keen to share the experience we have gleaned as well as looking forward to what the next 25 years might hold.

Anna Hemmings, Chief Executive Officer

Margot Daly, Chair of Trustees

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ABOUT GAMCARE AND OUR PARTNERS

GamCare

GamCare is a registered charity, founded in 1997. We are the leading provider of information, advice and support for anyone affected by gambling harms. We operate the National Gambling Helpline, provide treatment and support for anyone who is harmed by gambling, create awareness about safer gambling and treatment, and encourage an effective approach to safer gambling within the gambling industry.

To access support, call the National Gambling Helpline for free on 0808 8020 133, or start a chat.

Our mission is: To support those harmed by gambling through advice and treatment, and to minimise gambling-related harm through education and engagement.

Our values represent a call to action:

COLLABORATIVE

Achieving more together AMBITIOUS Embracing future growth

LEARNING

Harnessing knowledge LEADING Shaping the agenda

Our Work

In 2021/22, we launched a new three-year strategy. Designed in collaboration with staff and service users, our new strategy sets out our four major strategic ambitions and the practical work we will do to deliver on these important goals. The core of this strategy is our continued commitment to increasing GamCare’s impact, making sure that fewer people are harmed by gambling, and that individuals and families who are affected by gambling have access to inclusive and effective specialist support to make and maintain positive changes.

The details of our active and determined work towards our ambitions are shared throughout this report. This focus of this work can be summarised as:

AMBITION 1: GAMBLING HARMS ARE WIDELY RECOGNISED AND PREVENTED

Work to raise awareness of the issues, increase access to support and protect customer safety:

AMBITION 2: UNIVERSAL ACCESS TO EFFECTIVE AMBITION 3: UNIVERSAL ACCESS TO CARING TOOLS AND SUPPORT EFFECTIVE AND EVIDENCE-LED TREATMENT Work to widen pathways to support or all who need Work to increase treatment uptake and it: outcomes:

AMBITION 4: GAMCARE’S WORK IS SEEN AS VALUED, TRUSTED AND EFFECTIVE

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OUR PARTNERS

Network Partners

GamCare provides support and treatment services direct and through our national network of treatment providers, who receive grants from GamCare. Collectively we offer specialist support across England, Scotland, Wales and Northern Ireland, with GamCare holding a multiple delivery, lead provider, and quality assurance role. During 2021/22 we worked with nine network partners, who we recognise and thank for their delivery and collaboration.

We will continue to build and develop our partner network in line with our objectives of providing effective support and integrated treatment.

Young People

The Young People’s Gambling Harm Prevention Programme is delivered in partnership between GamCare and the Young Gamers and Gamblers Education Trust (YGAM), providing education, training and support to young people and professionals. Together, we have worked with almost 36,000 young people and 14,000 professionals across the UK, since we partnered in 2020.

Friends of GamCare

We have extended our partnership model to include ‘Friends of GamCare’. This model is a collaborative approach to develop post-treatment signposting pathways to organisations who specialise in providing service users with support from those with lived experience of gambling harms. Our current Friends of GamCare are:

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SECTOR DEVELOPMENTS

GamCare’s work happens in the context of the gambling treatment environment and wider related sectors. We actively engage with external advisors and insight data, seeking to continuously improve our impact through work with those harmed by gambling, local communities, and experts across health, justice, social care and finance. Key developments in 2021/22 have included:

GambleAware has:

Worked with Dr Justin van Dijk of University Commissioned the expansion of Gambling College London to produce data-led maps Education Hubs via competitive tender. showing prevalence, service usage and reported GamCare and partners were successful for demand. England, and Adferiad Recovery for Wales.

Engaged FutureGov to develop a new Outcomes Commissioned a new Gambling Harms Framework and Service Delivery Model to inform Awareness and Support training programme the future National Gambling Treatment Service. via competitive tender, awarded to GamCare.

Relevant research and evaluation activity has included:

PHE: Gambling-related Harms Evidence Review. ABSG: Progress Report on the National Strategy to Reduce Gambling Harms, Gambling Commission: Exploring the Gambling Year Two.

Gambling Commission: Exploring the Gambling Journeys of Young People.

GamCare: King’s College London Analysis of GamCare Treatment Clients.

GambleAware: Women’s Lived Experience of Gambling and Gambling Harms across Great Britain: Phase 1.

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COVID-19 UPDATE

The world has changed in response to Covid-19, and GamCare has worked since the beginning of the pandemic to understand and mitigate the complex impacts on our service users, services and staff. Going into 2021/22, we were hopeful that we were past the worst of Covid-19, but variants of the virus continued to impact society throughout the year. Our earlier pandemic responses and learning positioned GamCare and partners well to maintain all services and support throughout the year, and we have mainstreamed new ways of working which add accessibility and flexibility:

Workforce: we have consulted across all GamCare teams on preferred working patterns, and as a result we have moved towards hybrid working arrangements which meet staff and service needs. These arrangements will be permanent, subject to our usual workforce engagement and review processes.

Digital transformation: we have commenced a wide-ranging programme of digital transformation in response to service users’ shift to ‘technology-first’ when seeking help. We are in the process of overhauling our online offer to meet this identified need.

We have continued to closely monitor changes in gambling behaviours and impacts. In the course of the year, we have seen the land-based sector open up without material impact on the profile of our service users. This is supported by Gambling Commission survey data which shows only a slight post-lockdown increase in in-person gambling against a long-term shift towards online gambling. However, we have seen an increase in National Gambling Helpline calls regards high risk trading, including cryptocurrencies. The issues experienced by these callers seem to mirror the harms we see from gambling and we will continue to work with and further explore this emerging area of need.

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SECTION 2

A MODEL FOR CHANGE TO REDUCE GAMBLING-RELATED HARMS

PRIORITY AREAS

Gambling harms are widely recognised & prevented

Universal access to effective tools & support

Universal access to caring, evidence-led & effective treatment

CamCare’s work is trusted, valued & effective

KEY ACTIVITIES

Understanding the issues

Awareness raising Education & prevention

Connecting with professionals

Improving referral pathways

Protecting customer safety

Making gambling safer

Outreach & engagement

Accessible support options

Digital support & self-help

Targeted programmes

Integrated support Aftercare

Peer support & involvement

Evidence based treatment

Integrated local care Specialist care pathways

Young people’s treatment Family support

Targeting those at risk

Research into what works

Robust governance & evaluation

Setting the standard Measuring & communicating our impact

Collaborating across sectors

Sharing knowledge & insight Thought leadership Sharing lived experience

IMPACTS

Professionals are competent & screen for gambling harm, getting people to the help they need quickly

People understand how to access help & seek support earlier, preventing escalation

Individuals who are at higher-risk of harm or under-represented are supported

People make safer choices about gambling

Gambling operators better understand gambling harms & environments are safer for consumers

Evidence based gambling support & treatment are easily understood & accessible across the UK, for all who need them

More people harmed by gambling get the support & specialist treatment that they need

People harmed by gambling can access support in a range of formats to suit them

People harmed by gambling receive Integrated care for the range of needs and risks they may experience

Gambling related harms experienced are reduced, & people are supported to maintain their gambling recovery

Affected others are supported, both in their own right & in helping their loved ones

Services are shaped by service users, improving effectiveness for all through lived experience

GamCare is a leading sector expert on gambling treatment, reducing risk & safer gambling

GamCare leads the way in standards of quality, workforce & governance in gambling support & treatment

GamCare builds & shares knowledge & insight into what’s needed & what works

GamCare brings stakeholders together & drives collaboration within the sector & more widely

GamCare supports service users to share their voices & influence change

OUR YEAR IN NUMBERS

1st APRIL 2021 TO 31st MARCH 2022

PREVENTION

10

1,517

15,137

28,527

gambling operators gambling operator and professionals working young people attended achieved financial services staff with at risk individuals gambling awareness GamCare’s Safer received Safer received gambling workshops Gambling Standard Gambling training awareness training

SUPPORT AND TREATMENT

9,728

37,880

42,070

71,267

people attended structured treatment target chats/callers to total calls/chats structured sessions delivered the National Gambling answered by the National treatment Helpline Gambling Helpline

OUTCOMES

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77%
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of service users
successfully completed
their treatment
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83%
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of service users undertaking ‘extended brief interventions’[1] completed these successfully

99% of treatment users would recommend the treatment to someone else

The majority of service users completing treatment moved from ‘moderate’ to ‘healthy’ gambling behaviour, and from ‘problem gambling’ levels to ‘moderate’ levels (using CORE-10 and PGSI measurement scores[2] ).

1 ‘Extended brief interventions’ are motivational sessions with follow ups (usually up to six sessions), provided via the National Gambling Helpline and our treatment services. Focused advice may include taking responsibility to make a change, offering strategies related to behavioural change and/or goal setting.

2 CORE-10, Clinical Outcomes in Routine Evaluation: a brief 10 set measurement/scoring tool for common presentations of psychological distress and wellbeing; a validated tool used in gambling treatment. PGSI, Problem Gambling Severity Index: a standardised measure of risk behaviour in gambling, used in gambling disorder treatment.

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WHAT THIS YEAR’S DATA TELLS US

We produce comprehensive annual statistics relating to treatment data and to Helpline service users who agree to be enrolled in our case management system, providing us with a clear picture about the people using our services. Insights highlights from our 2021/22 data include:

----- Start of picture text -----
14%
100%
Affected
others 80% 73% 70%
60%
40%
20%
86%
0%
Gamblers
Males in Males using
Treatment the Helpline
----- End of picture text -----

Most people attending treatment were gamblers , the remainder being affected others.

Working males under 35 were most likely to use our support and treatment services, 38% of which are 26–35 year-olds.

Ethnicity – most gamblers and affected others reported as White (87% of those in treatment). The second highest ethnic group was Asian and Asian British (7% of those in treatment).

Online gambling – was Primary reasons for reported by more service gambling , reported by users than offline (63% of helpline and treatment treatment users). Online users, were chasing gambling increased in losses/wins (64%), financial 2020/21 due to COVID-19, and difficulties (32%), escapism has continued post-lockdown. (33%) and boredom (33%).

Main impacts related to their gambling behaviour, reported by service users in gambling and treatment were:

By Location , most service users were from the North West, the South East, London, and the East of England, which together account for 62% of those accessing treatment.

----- Start of picture text -----
Anxiety 79%
/ Stress
Financial 75%
Difficulties
Depression 57%
/ Low Mood
Family / 54%
Relationship
Difficulties
0 20 40 60 80 100
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AMBITION 1: GAMBLING HARMS ARE WIDELY RECOGNISED AND PREVENTED

To deliver on this ambition we:

RAISE awareness to make it easier for people to identify gambling harms and seek support IDENTIFY needs to understand who is harmed by gambling and how to reach them TRAIN more people to increase knowledge and take-up of specialist support and treatment PROTECT consumers by using industry training and accreditation to improve safety

In 2021/22 our work towards this ambition included:

ENGAGEMENT AND RISK REDUCTION PROGRAMMES

GamCare delivers awareness and prevention work through a number of targeted programmes, providing training, community engagement and thought leadership activities, in order to improve identification of need and access to support for people who require help.

In 2021/22 our training was delivered to 15,000+ adults, and our awareness workshops were delivered to 28,000+ young people.

YOUNG PEOPLE’S PROGRAMMES

Our Young People’s Gambling Harm Prevention Programme is delivered in partnership with YGAM. Together, we have continued to expand the programme’s impact and in 2021/22, 28,527 young people attended our education workshops in England, Wales and Northern Ireland, a massive increase on last year, reflecting the return to face-to-face delivery. Young people said:

Overall, I learnt a lot about gambling and it made me more aware about spotting an addiction in the future. (North East)

7,609 professionals working with young people were trained, building awareness and confidence, a 21% increase on last year, reflecting the maintenance of online training. Participants said:

It is an area I had little knowledge of. Helped me to understand the risks, the signs and the help available. I thoroughly enjoyed the training and found it useful, informative and engaging. It was an eye opener. (London)

The impact of this training is evidenced through increased participant confidence:

How confident do you feel about talking to young people about gambling and / or gambling-related harm?

----- Start of picture text -----
3%
9%
Not at all 16%
confident 26%
37%
Slightly
confident
Quite
confident
64%
44%
Very
confident
Baseline Endpoint
Not at all confident 0.27%
----- End of picture text -----*

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Highlights of our work included:

Video Training Resources

We rolled out new videos to improve our professionals training by bringing complex ideas to life.

GAMBLING AND THE IMPACT

ON THE BRAIN:

we commissioned Dr Jack Lewis to present the impact that gambling has on the brain in virtual reality.

AFFECTED OTHERS: MOTIVATIONAL INTERVIEWING: filmmakers took inspiration from we commissioned Filmmakers those with lived experience, for Change to create a scenariousing interviews to embed their based video to support delivery voices into the script. of brief interventions using the FRAMES guide.

The videos and personal experience stories were helpful as it demonstrated the different gambling issues young people face, especially in online gaming. The FRAMES video was also useful as it allowed that approach to be demonstrated in practice. Professional Training Participant, Yorkshire and The Humber

Financial Partnerships

We worked together with financial organisations to support young people’s awareness and skills:

Youth Participation

Our Quality and Innovation Directorate’s Lived Experience Team leads on delivery of GamCare’s Young People’s Participation Strategy. Our work in 2021/22 has included the establishment of a new Youth Advisory Board, licensed as a Duke of Edinburgh Activity Provider, and the involvement of 300+ young people in decision-making on services, resources and campaigns (see Ambition 4 for more information).

CASE STUDY – SALLY’S STORY

A demand for workshops aimed specifically at parents was identified and new content has been developed and piloted. This need is reflected in Sally’s experience:

Sally* is the mother of a teenage child who contacted us for support due to her child buying video game lootboxes. Sally noticed an email about unauthorised card purchases and after checking the account discovered over £1,000 had been spent in the past month. GamCare’s young people’s team connected with Sally and explored how she could offer support to her child, different ways to start the conversation, and how to manage challenging behaviour if it arose. We worked with Sally to identify strategies to support her child to reduce lootbox purchases, and how to refer them into the service for their own tailored support. Following our support, Sally is confident in raising the concern with her child and understands how to refer them into the service.

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WOMEN’S PROGRAMME

The third year of GamCare’s national women’s programme saw particularly strong training outputs as delivery has become established and face-to-face work has resumed post-lockdown. We have trained 6797 professionals across England, Wales and Scotland, delivering a 15% increase on 2020/21 , and 70% above our annual target . Highlights of our work to understand and meet the needs of women are:

Understanding Impact

We continue to invest in understanding what works and this year we have:

The screening question is: Has your gambling or the gambling of someone close to you had a negative impact on your life?

Understanding Women’s Experience

We conducted a Lived Experience survey of women who currently or used to gamble, and people who have been affected by someone else’s gambling, and we are grateful to the 61 respondents who shared their experience and opinions with us. These responses enriched our understanding of women’s specific gambling experiences, effects and barriers to support and reinforced the role of stigma and shame as obstacles to seeking and accessing services.

Gambling is still perceived as a man’s problem and I feel it’s more shaming being a woman. Women’s survey respondent

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Programme Development

Innovations and developments introduced by the team in 2021/22 include:

CRIMINAL JUSTICE

Following the pilot phase, GamCare’s Criminal Justice and Gambling Harm Programme has completed the first year of a two-year project to engage, explore and evolve knowledge, practice and evidence across the Criminal Justice System (CJS). Developments this year included:

Professional Training

731 professionals trained, of whom 500+ were police, prison or probation professionals with 20% of sessions being held onsite in CJS settings.

A particular highlight was being asked to deliver a session to police officers and support staff focused on their own welfare and how they can support themselves as gamblers and/or affected others. Feedback from across our training reports increased awareness of gambling harms and increased confidence in the impacts of gambling harms, what support is available and how it’s accessed.

Criminal Justice Network Development

We have made significant steps in the recognition and support of gambling harms within the CJS:

Programme Development

We continue to work on building our understanding and practice in this area of work. This year we:

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GAMBLING RELATED FINANCIAL HARM

Each year at least three quarters of callers to the National Gambling Helpline and those accessing GamCare’s treatment services report financial difficulties, and two thirds mention gambling debt:

GamCare’s Gambling Related Financial Harms (GRFH) programme brings together banking, gambling industry, gambling support and debt advice sectors to share knowledge, develop resources, and provide early access to help, so that harms do not escalate. This year’s key achievements were:

GRFH Network Development

We have engaged with 100+ organisations and 180 professionals to build a network of stakeholders interested in addressing GRFH.

We facilitated four GRFH Networking Events, bringing cross-sector professionals together to collaborate and share learning, and delivered presentations and workshops on GRFH to numerous external events, e.g., the GambleAware Annual Conference, the Money and Mental Health Policy Conference and the Institute of Money Advisors (IMA) Annual Conference.

After attending our two IMA workshops more participants said they were confident or very confident in identifying and supporting clients affected by gambling than before attending.

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97.5%
100%
80%
60%
40%
24.3%
20%
0%
After attending Before attending
----- End of picture text -----

Examples of practical action the network has taken to address GRFH include:

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Insights Workshops

GamCare facilitated a series of workshops to share learning and best practice and generate recommendations for organisations to consider. Workshop themes were:

  1. Gambling-Related Financial Harm in children and young people.

  2. The intersection of high-risk trading and gambling.

  3. Gambling-Related Financial Harm in affected others.

Each workshop was attended by 60+ stakeholders and a summary of key insights and recommendations was published following each event, encouraging learning and action.

High-risk Trading and Cryptocurrencies

Our high-risk trading Insight Workshop explored day trading, cryptocurrency, and how this mirrors gambling harm. Significant learning emerged from this forum and was captured in a report, and we have reviewed GamCare’s involvement in this area. We are committed to gaining a better understanding of the needs of this cohort, determining what support interventions are effective, and developing appropriate support services. We are working to build awareness of high-risk trading harms and how trading intersects with gambling and have engaged in numerous media pieces on this in: the Guardian, the Sun, and the Sunday Times.

Direct Debt Advice Referral

We have set up a pilot to trial a direct referral pathway from gambling treatment into debt advice. As part of this joint initiative, GamCare’s Leeds Community Gambling Service can now easily transfer clients to the debt advice company PayPlan to discuss their financial situation. PayPlan’s debt advisers can arrange suitable debt solutions based on individual circumstances. We are looking to expand this pilot to other treatment teams in the coming year, and are working with Citizens Advice to develop a new national pathway.

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ARMED FORCES DEVELOPMENT

Over the year, GamCare has continued its partnership with the RAF Benevolent Fund, with the aim of supporting serving personnel, veterans, and families affected by gambling harms. We have done this by training 150 staff from RAF Welfare Teams and bases to identify the signs of gambling harm. We have supplied materials to be used on-base, including leaflets and screening cards, and have attended Community Support events to raise awareness of our services in Armed Forces communities.

The brief was brilliantly delivered and very informative. There was a great use of differing platforms - videos, interaction with those on the call and being briefed. I learnt a lot, especially regarding the preventative measures that are available. RAF training participant

I think that gambling is something that is hidden amongst the RAF community and more spotlight should be given to gambling. RAF training participant

GamCare was pleased to contribute to the Benevolent Fund’s 2021 study on wellbeing and gambling harm in the RAF. A further UK-wide study led by the University of Swansea focused on veterans. The studies confirm higher rates of gambling amongst this cohort, and recommend screening, support and awareness training. We will expand our Armed Forces work in 2022, and respond to these findings.

INDUSTRY STANDARDS AND SERVICES

GamCare’s Industry Standards and Services team supports gambling operators to build safer gambling environments through training, standards and other services. Our customers value that our products are informed by lived experience and are responsive to an evolving regulatory landscape. In 2021/22:

1,517 gambling operator and financial services staff received safer gambling training across 40+ organisations – almost 50% up on 2020/21

10 gambling operators achieved the Safer Gambling Standard

14 organisations are signed up to our Helpline transfers service – up from 7 in 2020/21

The team expanded this year, increasing capacity and delivering the following achievements:

STAFF TRAINING AND DEVELOPMENT

Our social responsibility and customer interaction training enables frontline industry staff to build the awareness and confidence to proactively identify and intervene on gambling harm, motivating positive behaviour change. We have built training capacity and invested in new e-learning initiatives:

Suicide Awareness for the Gambling Industry e-Learning

77% 39% think training ‘significantly’ will change the way they interact with customers 38% ‘quite a lot’

In May 2021, the GamCare and Samaritans training collaboration launched, alongside new, practical guidance for gambling operators on reducing the risk of gambling related suicide. Aimed at gambling operator staff, the e-learning (open to all staff) and face-to-face training (for managers and leaders) provides the skills and confidence to support customers who may be experiencing suicidal thoughts. In its first year, almost 1,000 learners have completed the free module. The course has been externally evaluated and the interim report is encouraging: 77% of the sample learners thought that the training would change the way they interact with customers, 38% ‘quite a lot’ or 39% ‘significantly’.

I am now more knowledgeable on how to respond and escalate such a sensitive situation. Suicide Awareness e-learning participant

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Customer Interaction e-Learning

The launch of our Customer Interaction e-learning in January 2022 makes GamCare’s training products more accessible to customer-facing staff in the gambling industry, from entry level to management roles. The course provides training to recognise and react to gambling-related harm and includes guidance on customer interaction and when to make an intervention. The course is heavily informed by clinical and lived experience and is an excellent way to learn the fundamentals of socially responsible interactions, and to embed learning from our other training products.

NATIONAL GAMBLING HELPLINE TRANSFERS

Uptake of the warm transfers service doubled over the last year, from 7 to 14 organisations. This service offers training and technical support so that customer care staff can transfer appropriate calls directly into the National Gambling Helpline. By supporting customer care teams with our warm transfers service, we have been able to help callers capitalise on their motivation to make a change.

CASE STUDY – JEN’S STORY

Jen*, a gambler identified in need of support, was transferred to the Helpline by an organisation signed up to conduct warm transfers. Jen and a Helpline Adviser spoke for 57 minutes, they had a motivational discussion with Jen receiving emotional support, a free Gamban licence, selfexclusion advice, and support around suicidality. Jen is now receiving regular treatment from one of GamCare’s treatment partners in her local area.

*Name created - this case study is based on anonymous Helpline Transfers service data

SAFER GAMBLING ENVIRONMENTS

GamCare offers services to businesses to educate and raise awareness of the importance of customer protection and safer gambling strategies. Our work in this area has included:

The Safer Gambling Standard (SGS)

SGS is an independent industry kitemark which assesses the social responsibility practice of gambling businesses and awards at four levels. The SGS award was redesigned and its criteria amended in March 2022, with a gold award to recognise research, education and treatment (RET) donations over 0.25%, and safer gambling practices as recognised through the four levels.

The third year of the SGS saw 10 awards made to gambling businesses who demonstrated best practice in safer gambling, including effective use of safer gambling tools and proactive engagement with customers at risk of harm. The SGS portal was redesigned in January 2022 to make it easier for gambling businesses to begin the assessment process, which has received positive feedback. For more information, visit www.safergamblingstandard.org.uk

We are proud to be recognised by GamCare and its Safer Gambling Standard in this critically important area of responsible betting and gaming. Robert Hoskin, Chief Governance Officer, Entain

Achieving this accreditation is confirmation of the improvements we have made and will continue to make in the future.

Richard Poole, Director of UK Brands, Greentube Alderney

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Safer Gambling Labs

Safer Gambling Labs bring together those with lived experience of gambling harms and businesses to explore safer gambling initiatives, problems and products in a collaborative environment, facilitated by GamCare’s expert team. In 2021/22, we held five Safer Gambling Labs, hosting workshops, producing reports and making recommendations based on insights generated. We have developed guidance for gambling businesses on approaches to vulnerability, safe workplaces and customer care processes, and worked with financial institutions to explore ways to engage with people who may be at risk of gamblingrelated harms. Practical examples of our work in the year are:

Industry Code

To further our goal of creating safer gambling environments, GamCare has developed an Industry Code for the Display of Safer Gambling Information. The Code sets minimum standards for the display of safer gambling information online, regards consistent information display, accessibility of gambling management tools, and visibility of access support services. The online Code went live in August 2021 and was adopted by the Betting and Gaming Council and its membership, including the agreement of a single logo to be used by all members to clearly signpost access to tools and support. We are now in the process of developing a similar code for land-based gambling venues and will source an external evaluator to assess the impact of both codes.

COMMUNICATIONS

GamCare’s work to raise awareness is supported by our dedicated Policy and Communications directorate (see Ambition 4 for more details). In the course of the year the team has facilitated stakeholder engagement, coordinated events and campaigns, and engaged with media outlets. An example is our communications work on Safer Gambling Week which included:

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AMBITION 2: PROVISION OF EFFECTIVE TOOLS AND SUPPORT

To deliver on this ambition we:

MAKE SUPPORT MORE ACCESSIBLE FOR ALL, including people at risk of falling through the gaps INNOVATE to improve the tools and support available, and share new ways of working VALUE LIVED EXPERIENCE, centring service user and family perspectives in all our work AMPLIFY OUR IMPACT by developing new ways of working in response to emerging needs

In 2021/22 our work towards this ambition included:

NATIONAL GAMBLING HELPLINE

Our 24/7 Helpline teams have worked hard throughout the year, expanding, developing and learning to meet the needs of more people experiencing gambling-related harm. Over the year we delivered:

71,267 total calls answered by the National Gambling Helpline (up 32% on 2020/21)

42,070 target chats/callers to the National Gambling Helpline

6.886 referrals from the National Gambling Helpline into treatment services, remaining the primary source of treatment referrals (58%)

Post-lockdown, our Helpline staff were able to raise the number of answered calls by almost a third (32%). This increase is particularly significant as we also saw a significant decline in repeat callers, supported by our new signposting/referral guidance, and an increase in live chat activity, which is more time-consuming. For the first time, one-to-one live chat was the most used platform (at 53%).

Where known, our callers were:

----- Start of picture text -----
2.5%
Mixed Ethnicity [4]
3%
14% Black
16%
affected
others under25 6.6%
Asian
30%
female [3]
19%
over 46
24%
aged 87.4%
86% 36-45 White
gamblers British
70%
male
41%
aged
26-35
----- End of picture text -----

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ONLINE PEER SUPPORT

The GamCare Forum

Our forum continues to be used by many users affected by problem gambling, and also those who are in long-term recovery but use the platforms as part of their ongoing recovery and support others within the online community. There are currently over 63,000 members across the forum contributing to multiple topics. The highest activity sections are:

----- Start of picture text -----
Topics Posts
New 5,473
Members
Intro Forum 40.4k
Recovery 4,079
Diaries
Forum 206.3k
Overcoming 2,606
Problem
Gambling 33.5k
Friends 1,477
and Family
forum 13k
----- End of picture text -----

I immediately joined, read the forums and knew I wanted to achieve the same and that I would beat this horrible addiction. I put all blocks in place with gamstop, gamban and blocking transactions with my bank... The chat helps massively, it fills that time I would be usually sat on my phone gambling and the people are so welcoming and friendly and ever so helpful to everyone. GamCare Forum Member

Chat Rooms

Our chatrooms offer live text chat to talk about issues related to problem gambling in a safe and supportive moderated environment. Hosting over 300 contacts per month, on average, they include:

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ONLINE PEER SUPPORT

GameChange is our well-established computerised Cognitive Behavioural Therapy (cCBT) Programme. The programme provides an online treatment course designed to help participants reflect on and change their gambling behaviour, building more positive choices and thinking patterns. GameChange offers eight modules, focusing on key areas such as motivation, triggers and decision-making. Programme access is flexible and supported by regular check-ins from one of GamCare’s trained cCBT practitioners.

In line with international evidence on computerised therapies, service users complete as many modules as they feel they need, at their own pace. This year, the average number of modules completed across the year is 4.85 with 70% of booked check in calls completed, suggesting a positive working alliance between therapists and clients. 1,243 clients completed up to module 4, up from 353 in 2020/21.

The Programme was great. Practical, technically simple, personal and confidential. It was a good fit for my life. I felt that it was still personal especially with the phone calls. A huge advantage was to get help while being at home any time I was free. It fit around my schedule. GameChange Service User

TALKBANSTOP

TalkBanStop was launched in 2020 to advocate and encourage the layering of tools and support to provide better protection against gambling harms. The project is delivered in a partnership of:

To date, TalkBanStop has:

The project secured a further year’s funding in December 2021 and will run until March 2023. TalkBanStop’s impact has been evaluated by Ipsos with its final report due in April 2022. Ipsos’ initial findings show raised awareness of TalkBanStop’s services and tools amongst stakeholders and the public, and strongly support the effectiveness of layering tools in driving behaviour change and protecting against harms. People who used all three forms of support reported a better financial situation, improved relationships and better performance at work.

The fact that I’ve used [GAMSTOP], with the blocking software, and the counselling has given me three big pillars to stand on. I can’t do it anyway on my phone, and I’m getting it in my mindset through the counselling that I don’t want to do it and that I’m changing my behaviours towards it. Anonymous TalkBanStop pilot participant

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LIVED EXPERIENCE

GamCare’s work to centre service user and family perspectives is overseen by the Lived Experience Team within our Quality and Innovation Directorate (See Ambition 4 for more details). We coordinate an active Lived Experience Forum which brings together adults with lived experience of gambling-related harms. The forum has grown significantly this year and members have supported the development of tools and support, co-delivered engagement and training and worked with financial service providers on support for customers impacted by gambling harms.

This year, we have established a new staff Lived Experience Steering Group. Made up of staff from across GamCare, the group develop and support lived experience engagement and impact:

As an employee of GamCare, I have been given a unique opportunity to use my lived experience of gambling harm. I have worked with GamCare’s Policy and Communications Team to share my story through outlets including Sky News, The Sun and BBC local radio, raising awareness of how anyone can experience gambling-related harm, but crucially where they can get free help and support.

I believe that gambling addiction is stigmatized in the UK. The more we can talk about it in a public space the more we can change that viewpoint, which encourages people to speak out when they are experiencing issues. Although going public with my story was a nerveracking experience, it was also a moment of pride to know that I was taking a bad experience in my life and using it to help others avoid something similar and GamCare supported me very well throughout.

Matt Burgiss, Industry Services and TalkBanStop Project Manager

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AMBITION 3: UNIVERSAL ACCESS TO CARING, EVIDENCELED AND INTEGRATED TREATMENT

To deliver on this ambition we:

EXPAND THE RANGE OF LOCALLY-BASED SPECIALIST TREATMENT available nationally INCREASE OUR IMPACT by continuing to improve services and share what works INTEGRATE TREATMENT PATHWAYS so that service users experience seamless support PIONEER NEW TREATMENT PROVISION to build service user engagement and outcomes

In 2021/22 our work towards this ambition included:

ADULT TREATMENT

Over the last three years we have worked with our partners to support over 29,000 people in our specialist gambling treatment provision. Flexibility, accessibility, and confidentiality underpin this work and we offer multiple routes to treatment through telephone, online, video call and virtual group-work options, and faceto-face.

In 2021/22 almost 10,000 people attended structured treatment

----- Start of picture text -----
77% 83% 99%
successfully completing successfully completing of treatment service
their planned their planned Extended users would recommend
Treatment programme Brief Interventions the service to someone else
----- End of picture text -----

The sessions with my practitioner were 100% worthwhile and so beneficial for me at a time of need. I would wholeheartedly recommend this service to anyone struggling Anonymous You were fantastic. Saved my marriage, saved my life to be honest. Still paying back for what I did both with money and having to build trust, but I would not be where I am today without your help. Anonymous

The GamCare team has been absolutely fantastic helping not only my husband to deal with his addiction, but also supporting me. Thank you. Anonymous

The support really helped me understand that I wasn’t alone and to understand what a gambling addiction is. I could make better decisions about my reactions because I was more aware of the gambler’s actions/reasons/addiction. Anonymous

Over the year, we have seen people coming forward with lower Problem Gambling Severity Index (PGSI) scores and requiring shorter treatment journeys, which is a positive step in reducing harms. There is a slight reduction in the numbers accessing one-to-one treatment sessions but there are increases in the use of the Helpline, through tools like TalkBanStop, and in engagement with other forms of online support such as GameChange cCBT and our forums.

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POSITIVE OUTCOMES

GamCare uses validated tools throughout individuals’ treatment journeys (usually weekly) to measure change in gambling behaviour, risk and wellbeing - the PGSI, and the Clinical Outcomes in Routine Evaluation (CORE-10).

Our 2021/22 treatment data shows improvements in service users’ progress using these measurements. The average PGSI score on completion of treatment was 3.3 (from 17.0) which is within the ‘moderate’ range, and for CORE-10 was 6.5 (from 17.5), within the ‘healthy’ range – these are evidenced-based, reliable improvements.

In July 2021, King’s College London (KCL) completed in-depth analysis of GamCare’s treatment data. KCL’s analysis of almost 28,000 treatment records found that our treatment had a significant impact on reducing problem gambling (as assessed via PGSI risk measures) and on increasing wellbeing (as assessed via CORE10 psychological distress measures). KCL’s data-led insights into the factors affecting the effectiveness of treatment for problem gambling are valuable and include:

The first three sessions of treatment are crucial – these sessions deliver the most gains, with consistent gains made in the next three

Social support is important – employed clients and those in relationships are likely to show significantly higher improvements, and additional support should be provided to those most likely to not attend treatment.

Clients who complete treatment as planned have higher levels of improvement than those with unplanned exits - although these clients still show significant improvement to gambling and wellbeing

We have shared these findings widely via a detailed research paper, summary report, webinars and media coverage, and have incorporated this new evidence into our treatment planning and delivery.

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PARTNERSHIPS

We work in close collaboration with multiple partners to provide locally-embedded gambling treatment. Examples of our successful joint work in 2021/22 include:

New East Midlands Partnership

Our East Midlands service covers Nottinghamshire, Derbyshire, Lincolnshire, Leicestershire, Northamptonshire and Peterborough. We have worked together with local partners to:

New Scotland Initiatives

Since 2018, GamCare has supported over 500 people in the Glasgow area to tackle gambling-related harms. This year, some highlights of our work in Scotland were:

Peer Aid

Betknowmore UK and GamCare’s Peer Aid support service went from strength to strength this year, extending group support provision across the country following a successful pilot in London and the South. The service provides one-to-one and group peer support to individuals harmed by gambling, wrapping around the treatment received from GamCare. Service users are connected to trained Peer Supporters who have personal experience of gambling harms, and have moved into recovery. This year there have been 145 Peer Aid referrals from GamCare, providing access to hope and strong foundations for sustainable recovery.

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YOUNG PEOPLE’S TREATMENT

This year we supported 141 young people and parents with specialist advice, guidance and interventions tailored to individual need and risk

We have built a new level of integration between GamCare’s youth education programmes, young people’s treatment, and adult support and treatment provision, ensuring that young people experience smooth transition from one specialist service to another, where needed. This has been supported by investment in staff capacity and skills.

Pathways to support for young people affected by the gambling of others, such as a parent or carer, has been an important focus this year. Review of our data evidenced the need for this targeted support and identified access barriers such as fear for the adult gambler’s welfare, guilt, and shame. GamCare’s young people and adult treatment teams have worked together to embed practical measures to identify, signpost and engage this vulnerable group, as illustrated by Freddie’s story:

CASE STUDY – FREDDIE’S STORY

Freddie* was supported by GamCare after his step dad spent over £20,000 on gambling in a single session, with a massive impact on the family. His mum and step dad had been referred into our adult treatment service which signposted support for Freddie. Freddie was looking for ways to understand and help with his step dad’s gambling. He felt relief when he understood that GamCare would help his step dad, and his worker was able to help Freddie focus on the important things in his own life – his exams, his girlfriend and his wellbeing. Freddie was supported with ways to improve his mental wellbeing, such as running and walking the dog, and with talking with his mum and step dad. Following this support, Freddie reported that he felt much better about his own mental health, had a better, more open relationship with his step dad, and overall felt more at peace with what had happened to his family.

Freddie (*name changed), a Young People’s Treatment Service user

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AMBITION 4: GAMCARE’S WORK IS SEEN AS VALUED, TRUSTED AND EFFECTIVE

To deliver on this ambition we:

SUPPORT ALL OUR STAFF in their development, within a strong culture based on shared values USE AND SHARE DATA, KNOWLEDGE AND INSIGHT to contribute to sector learning and development Maintain effective systems and processes that ASSURE SAFETY, QUALITY AND PERFORMANCE BUILD PARTNERSHIPS and co-create collaborative work that improves service user outcomes.

In 2021/22 our work towards this ambition included:

PEOPLE AND ORGANISATIONAL DEVELOPMENT

At GamCare, we recognise the importance of high employee engagement and we invest in our employees and potential employees. We have made significant progress in 2021/22; our latest staff survey (March 2022) was completed by 72% of staff and found that:

----- Start of picture text -----
84% 99%
of people feel proud believe that GamCare’s work
to work for GamCare positively impacts people’s lives
----- End of picture text -----

INCLUSION AND DIVERSITY

GamCare’s staff Inclusion and Diversity Action Group (IDAG - formerly the EDI Forum), continues to influence change in line with our values and commitment to staff. Our People and Quality teams have worked together to support IDAG development and establish clear IDAG aims - for GamCare to be a fully inclusive, diverse, caring and authentic employer who treats employees with respect and kindness.

Based on our staff survey, our employees are:

New inclusion projects undertaken this year include:

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LEARNING AND DEVELOPMENT

Our People and Organisational Development Directorate leads on ensuring that staff across GamCare are supported with their core role requirements, and their personal and professional development. This year, we maintained and enhanced this support via:

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QUALITY AND GOVERNANCE

GamCare’s ongoing expansion across funding, staffing and delivery means that we need to continually review and develop our organisational infrastructure and our quality and governance systems. Driven by our specialist Quality and Innovation Directorate, this year we have effectively strengthened our organisational capacity and capability, making progress across:

In addition, GambleAware conducted a comprehensive Treatment Services Review, covering GamCare’s Helpline, GameChange cCBT, Lead Provider, Peer Aid, and Treatment provision. Completed in late 2021, and including feedback from staff and service users, the review focused on:

1 Service Aim and Objectives 6 Service User Experience & Involvement 2 Service Provision 7 Financial Sustainability 3 Client Pathway 8 Infrastructure 4 Clinical Processes 9 Governance, Structure & Processes

5 Staffing, Management & Workforce

Feedback included:

Treatment: “ Service provision is very well set up to meet its goals and the provision available for both people experiencing gambling harms themselves and affected others is excellent. ”

GameChange: “ The clinical governance and reporting line is excellent. ”

Helpline: “ Good processes are adopted to ensure the wellbeing of staff as well as quality assurance over delivery and coverage of staff. ”

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LIVED EXPERIENCE

We strive to embed service users’ voices in all of GamCare’s activities, and in 2021/22 we made significant progress in this area, as reflected throughout this report. To support this, we invested in restructuring our Lived Experience Team, resulting in:

The Lived Experience Manager position at GamCare is genuinely my dream job, I have seen first-hand how the work we do saves lives and changes lives, and I’m committed to giving my all to help embed and amplify the voices of people who have experienced gambling harm across all of GamCare.

Over the coming months I am looking forward to collaborating with our treatment teams and partners to improve pathways for service user engagement, and also enhancing our presence within the wider gambling harms lived experience community.

Colin Walsh, GamCare Lived Experience Manager and Adult Engagement Lead

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ADULT ENGAGEMENT

GamCare’s Lived Experience Forum brings together people with lived experience of gambling-related harms to share their experience and insights and help shape our services. In 2021/22, members:

YOUTH PARTICIPATION

GamCare’s Young People’s Participation Strategy sets out our commitment to engage with young people. To support our Young People’s teams to deliver on this, we have established GamCare’s first Youth Advisory Board (YAB). The YAB and the work of its Youth Advisors across the organisation will help us to integrate the voices, opinions, and insight of young people into our work. Our YAB is licensed as a Duke of Edinburgh Award Approved Activity Provider offering young people the chance to complete the volunteering section of their Award by participating.

More widely, through surveys, focus groups, individual and group experience research, over 300 young people had a direct influence on service development, working on our young people’s digital portal (GamWorld), BigDeal website and logo, and social media campaigns.

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INSIGHT

All GamCare’s departments contribute to the sector-wide drive to improve the evidence-base on gambling harms. We do this through our internal work on data, knowledge and insight, by commissioning research and evaluation, and by participating in research consortia. Internally, we have delivered improvements to our data, reporting, outcome measurement and evaluation systems and developed our data strategy. The new strategy provides clear goals and objectives to ensure that data is managed effectively and efficiently, benefiting all GamCare’s work via evidence-based insights.

We have also undertaken major research and evaluation projects, for example:

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COMMUNICATIONS

GamCare’s Policy and Communications Directorate works to raise awareness and understanding of both gambling-related harms and the full range of support and treatment available via GamCare and partners. Our communications strategy is evidence, insight and impact led, and designed to reach a wide public audience, to target under-represented and vulnerable groups, and to engage with stakeholders and policy-makers in gambling, health, justice, financial services and related sectors.

Our work in 2021/22 is threaded through this annual report, for example in our impactful campaigns to raise awareness and share insights related to Gambling Related Financial Harm, Safer Gambling Week, TalkBanStop, cryptocurrency investment, and the findings of King’s College London’s research into the effectiveness of GamCare’s treatment provision. Further examples of our successful communications work include:

CAMPAIGNS

We coordinated multiple media campaigns, engaging with target audiences on:

STAKEHOLDER ENGAGEMENT

We worked to engage with policy, practice and industry leads on the Gambling Act Review, building on and sharing the findings from our related survey of people identifying as problem gamblers, and those affected by a loved one’s gambling. This included meetings with current and shadow Gambling Ministers and the CEOs and Chairs of major gambling operators.

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SECTION 3

Our three-year strategy and ambitions will continue to guide our work, supported by our detailed 2022/23 business plan. Looking ahead, some of our top priorities for the year ahead are:

SERVICE DEVELOPMENT AND QUALITY

We will continue to develop and deliver high-quality services that are accessible, inclusive, and driven by lived experience. Our plans include analysis and continuous improvement of service pathways, and community consultation to tackle engagement barriers. Alongside this, we will roll out exciting new projects across prevention, support and treatment. Examples include: Armed Forces development, our new Trained Associate model, the English Youth Education Hub, and our Money Guidance Service which will offer new support on financial issues, tailored to those affected by gambling harms.

DIGITAL TRANSFORMATION

GamCare is undergoing a digital transformation. Evidence from help-seeking behaviours, the Covid-19 pandemic and service user expectations, has underlined the need for us to deliver a more personalised, intelligent and engaging support experience. The first phase started in late 21/2022 with engagement of a digital agency to rebuild our website with an integrated chatbot, onboarding platform and personalised user area. Across 2022/23 and beyond, this long-term work will enable future service delivery, expand our reach, and embed better technology that enhances recovery from gambling harms.

STAFF ENGAGEMENT AND INCLUSION

GamCare’s people strategy will see us invest in our people, providing greater support and development to our existing staff and raising our profile as an employer of choice to potential staff. Embracing inclusion is a key goal and, led by our staff Inclusion and Diversity Action Group, we will undertake a health check to inform the development of a new two-year inclusion and diversity action plan, ensuring that our staff are engaged, well-supported, and representative of the many communities we serve.

SUSTAINABILITY PLANNING

Our grant agreement with GambleAware is due for renegotiation in 2022/23 and while we are hopeful for increased investment in response to need, this negotiation takes place in the context of GamCare’s wider work on long-term income security. Meaningful service development requires lasting investment and we are acting to secure a diverse and sustainable funding mix to enable us to maintain and build on our work towards our mission.

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SECTION 4

RESERVES POLICY AND GOING CONCERN

GamCare operates a risk-based Reserves Policy and aims to maintain reserves to allow continuity of operations for six months in the event of funding ceasing. It allows for the known liabilities that arise on the cessation of services and operations such as redundancies and lease commitments, and a contingent element to ensure a responsible cessation of operations can be made.

The Reserves Policy is set by the trustees with a clear understanding of likely future income streams and also the risks faced by GamCare. It is reviewed on an annual basis in the first quarter of each financial year (April – June) following the agreement of the annual budget, and the required level of reserves is recalculated at this point.

In line with the Charity Commission’s guidance, ‘free reserves’ is defined as the unrestricted, undesignated fund which is not represented by GamCare’s fixed assets. The required level of reserves has been calculated on this basis at £2.0m (2021: £1.9m). As of 31 March 2022, free reserves amount to £2.7m (2021: £1.95m), being above the reserves policy level set by the Board.

In keeping with the prior year’s results, GamCare has achieved growth in free reserves by expanding its operations, achieving good results from its income generating activities, and carefully managing its costs. Although our income has not been significantly affected by the Covid-19 pandemic, we are continually monitoring and forecasting our reserves position to ensure we are well-placed if any future impact might occur.

Our grant agreement with GambleAware runs until March 2023, providing stability at the current time; furthermore, GambleAware have provided a strong commitment to GamCare that they will continue to work with GamCare beyond March 2023. In the light of the healthy reserves position, the Board of Trustees consider that adequate resources continue to be available to fund the activities of GamCare for at least the next 12months, and therefore consider the charity to be a going concern for the foreseeable future.

REMUNERATION POLICY

GamCare carries out an external remuneration benchmark survey periodically comparing us to similar-sized organisations. Salaries are reviewed in relation to this benchmark. Similarly, the benchmark survey is used by the trustees in reviewing the executive leadership team pay-bands on a bi-annual basis.

RISK MANAGEMENT

The trustees and the executive leadership team regularly review the risks to which GamCare is exposed and are satisfied that it operates systems to mitigate these risks. A Risk Register is maintained by the executive leadership team throughout the year, and is reviewed at quarterly meetings by the People, Culture and Communications Committee, the Clinical and Quality Governance Committee, the Audit and Risk Committee, and the Board of Trustees.

All employees undertake appropriate training and are regularly supervised. Adequate professional indemnity insurance cover has been taken to cover employees carrying out work for and on behalf of GamCare; this includes any claim resulting from alleged or actual abuse.

The major risks to the charity include:

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upon an updated finance strategy for 2023 onwards, forming relationships with new potential funders and donors, building upon the existing relationships with key funders into the longer term with a view to longer-term contracts, and creating new customers for our earned income streams.

For each of the risks and mitigations identified, a comprehensive management plan is developed to ensure that we monitor our progress, and thereby protect against adverse impacts where possible.

GRANT-MAKING POLICY

Grants are made to beneficiary organisations (namely, our partner network) for the purpose of delivering treatment to service users across Great Britain. The criteria for making grants to these organisations include: consideration of their ability to deliver clinically effective treatment to beneficiaries; their ability to deliver local treatment and engage with local communities; meeting due diligence criteria around effective organisational and clinical governance; and holding sufficiently robust finances to provide continuity of treatment. We provide ongoing grant management of these organisations to ensure effective delivery, reporting, governance and compliance.

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STRUCTURE, GOVERNANCE AND MANAGEMENT

GamCare is a registered charity and a company limited by guarantee. The company is registered at Companies House, registration number 03297914. The company is also a registered charity in England and Wales (registration number 1060005), and in Scotland (registration number SC050547). The governing document is the Memorandum and Articles of Association, which establishes the objects and powers of the charitable company.

Trustees are identified and appointed by the Board. On appointment, trustees are given an induction pack and training which details their role and responsibilities as trustees and orients them in terms of our services, operations and key staff. Trustees take overall responsibility for setting the mission, the strategy and objectives of the organisation, monitoring performance and managing risk.

Management of the organisation is delegated to the Chief Executive Officer, who leads on implementing the strategy and providing a quarterly performance report to the Board. The trustees and executive leadership team comprise the key management personnel of the charity; the executive leadership team is in charge of directing and operating GamCare on a day-to-day basis.

The Board meets four times each year and is supported by the work of the Audit and Risk Committee, the Clinical and Quality Governance Committee, and the People, Culture and Communications Committee, which also meet four times each year.

GamCare makes use of a network of treatment provider organisations who deliver therapeutic gambling treatment nationwide. Grants are made to these organisations, and performance managed through a grant agreement.

In 2021/22, the organisation had an average of 158 full-time equivalent employees (2020/21: 144); see note 8 for further information.

FUNDRAISING STATEMENT

In 2021/22, 54.9% of GamCare’s income (2020/21: 62%) was through charitable activities commissioned by GambleAware.

The remainder of GamCare’s income for the year comprised the following: direct donations to GamCare were 41% (2020/21: 30%), other grants and sources were 1% (2020/21: 6%) and unrestricted income earned from training and accreditation services was 3.5% (2020/21: 2%).

Whilst we do accept donations from the general public, we do not solicit donations from the general public through third-party fundraisers and we have not received any complaints in respect of our fundraising activities in 2021/22.

We are compliant with the General Data Protection Regulation and all relevant codes of conduct for our fundraising activities.

PUBLIC BENEFIT

Our trustees have complied with their duty under Section 17 of the Charities Act 2011 to have due regard to public benefit guidance as published by the Charity Commission for England, Wales and the Office of the Scottish Charity Regulator. All of the charity’s activities are designed to deliver the public benefits described in its charitable objects. The Board regularly reviews our strategy, plans and performance.

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STATEMENT OF TRUSTEES’ RESPONSIBILITIES

The trustees, who are also directors of GamCare for the purposes of company law, are responsible for preparing the trustees’ report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires trustees to prepare financial statements for each financial year which give a true and fair view of the state of the affairs of the charitable company and of its income and expenditure for that period.

In preparing these financial statements, the trustees are required to:

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006.

They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Each of the trustees confirms that at the date of the approval of this Report:

This confirmation is given and should be interpreted in accordance with the provisions of s418 of the Companies Act 2006. The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

AUDITORS

The external auditors, Buzzacott LLP, are deemed to be appointed in accordance with Section 487 (2) of the Companies Act 2006.

This report has been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies.

This report, including the Strategic Report, was approved by the Board of Trustees on 14 September 2022 and was signed on their behalf by:

Dominic Harrison

GamCare Trustee and Chair of the Audit and Risk Committee

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SECTION 5

OPINION

We have audited the financial statements of GamCare (the ‘charitable company’) for the year ended 31 March 2022 which comprise the statement of financial activities, the balance sheet, the statement of cash flows, the principal accounting policies and the notes to the financial statements. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland’ (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

BASIS FOR OPINION

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

CONCLUSIONS RELATING TO GOING CONCERN

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

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OTHER INFORMATION

The trustees are responsible for the other information. The other information comprises the information included in the Annual Report and Financial Statements, other than the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

OPINIONS ON OTHER MATTERS PRESCRIBED BY THE COMPANIES ACT 2006

In our opinion, based on the work undertaken in the course of the audit:

MATTERS ON WHICH WE ARE REQUIRED TO REPORT BY EXCEPTION

In the light of the knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ report, including the strategic report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 and the Charities Accounts (Scotland) Regulations 2006 (as amended) requires us to report if, in our opinion:

51

RESPONSIBILITIES OF TRUSTEES

As explained more fully in the trustees’ responsibilities statement, the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

AUDITOR’S RESPONSIBILITIES FOR THE AUDIT OF THE FINANCIAL STATEMENTS

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

How the audit was considered capable of detecting irregularities including fraud

Our approach to identifying and assessing the risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, was as follows:

52

To address the risk of fraud through management bias and override of controls, we:

In response to the risk of irregularities and non-compliance with laws and regulations, we designed procedures which included, but were not limited to:

There are inherent limitations in our audit procedures described above. The more removed that laws and regulations are from financial transactions, the less likely it is that we would become aware of noncompliance. Auditing standards also limit the audit procedures required to identify non-compliance with laws and regulations to enquiry of the directors and other management and the inspection of regulatory and legal correspondence, if any.

Material misstatements that arise due to fraud can be harder to detect than those that arise from error as they may involve deliberate concealment or collusion.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

USE OF OUR REPORT

This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 and to the charity’s trustees as a body, in accordance with Section 44(1) (c) of the Charities and Trustee Investment (Scotland) Act 2005 and Regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Hugh Swainson (Senior Statutory Auditor)

6th October 2022

For and on behalf of Buzzacott LLP, Statutory Auditor

130 Wood Street, London, EC2V 6DL

53

,44•1 SECTION 6 FINANCIAL INFORMATION

STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME AND EXPENDITURE ACCOUNT)

For the year ended 31 March 2022

Note
Income
Donations
2a
Charitable
activities
2b
Investment
income
Total income
Expenditure
Charitable
activities
3
Total expenditure
Net income
(expenditure)
Transfers
between funds
14
Net movement in
funds for the year
Reconciliation of
funds
Total funds
brought forward
14
Total funds
carried forward		 Unrestricted
Funds
2022
£
Restricted
Funds
2022
£
Total
Funds
2022
£
Unrestricted
Funds
2021
£
Restricted
Funds
2021
£
Total
Funds
2021
£
992,354
5,462,606
6,454,960
638,834
3,337,692
3,976,526
546,947
8,777,306
9,324,253
318,677
9,073,680
9,392,357
1,650
-
1,650
7,785
-
7,785
1,540,951
14,239,912
15,780,863
965,296
12,411,372
13,376,668
790,100
13,945,303
14,735,403
578,012
12,610,519
13,188,531
790, 100
13,945,303
14,735,403
578,012
12,610,519
13,188,531
750,851
294,609
1,045,460
387,284
(199,147)
188,137
(8,268)
8,268
-
(70,971)
70,971
-
742,583
302,877
1,045,460
316,313
(128,176)
188,137
2,051,751
870,540
2,922,291
1,735,438
998,716
2,734,154
2,794,334
1,173,417
3,967,751
2,051,751
870,540
2,922,291

The Statement of Financial Activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities.

55

BALANCE SHEET

As at 31 March 2022

Note
Fixed Assets
Intangible assets
9
Tangible assets
10
Total Fixed Assets
Current assets
Debtors
11
Short term deposits
Cash at bank and in hand
Total Current Assets
Liabilities
Creditors: amounts falling due within one year
12
Net Current Assets
Net Assets
The funds of the charity:
Restricted funds
14
Designated funds
14
Unrestricted funds
14
Total Charity Funds		 2022
£
2021
£
51,601
47,143
19,908
55,583
71,509
102,726
3,305,802
2,803,254
1,203,484
1,201,036
6,649,130
5,808,676
11,158,416
9,812,966
(7,262,174)
(6,993,401)
3,896,242
2,819,565
3,967,751
2,922,291
1,173,417
870,540
35,866
26,262
2,758,468
2,025,489
3,967,751
2,922,291

The notes on pages 58 to 68 form part of these financial statements.

Approved by the Board, and authorised for issue, on 14 September 2022 and signed on behalf of the Board by:

Dominic Harrison Chairman of the Audit Committee

GamCare: a company limited by guarantee Company registration number 03297914 (England & Wales)

56

STATEMENT OF CASH FLOWS

For the year ended 31 March 2022

Note
Cash provided by operating activities
17
Cashfows from investing activities
Interest Income
Purchase of tangible fxed assets
10
Cash at bank and in hand
Total Current Assets
Liabilities
Creditors: amounts falling due within one year
12
Purchase of intangible fxed assets
9
Cash used in investing activities
Increase in cash at bank and in hand in the year
Cash at bank and in hand at the beginning of the year
Cash at bank and in hand at the end of the year		 2022
£
2021
£
867,795
3,929,691
1,650
7,785
(4,075)
-
6,649,130
5,808,676
11,158,415
9,812,966
(7,262,174)
(6,993,401)
(22,468)
(33,826)
(24,893)
(26,041)
842,902
3,903,650
7,009,712
3,106,062
7,852,614
7,009,712

GamCare does not have any borrowings or lease obligations. Net debt consists therefore of the cash at bank and in hand.

57

NOTES TO THE FINANCIAL INFORMATION

NOTE 1: ACCOUNTING POLICIES

(a) Basis of accounting

These financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (SORP) and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2011 and UK Generally Accepted Accounting Practice. GamCare is a public benefit entity for the purposes of FRS 102.

Going concern

The Board of Trustees has assessed whether the use of the going concern basis is appropriate; it has considered possible events or conditions that might cast significant doubt on the ability of GamCare to continue as a going concern. The Board has made this assessment for a period of at least one year from the date of approval of the financial statements. In particular, the Board has considered GamCare’s forecasts and projections and has taken account of any potential adverse impact on donations and funding income and the context of the post pandemic economic environment. The Board notes that our grant agreement with GambleAware runs until March 2023, and that this provides stability at the current time. Furthermore, it notes that GambleAware has provided a written commitment to GamCare under which it will continue to work with GamCare beyond March 2023. In the light of these facts and the current reserves position, the Board considers that adequate resources continue to be available to fund the activities of GamCare for at least the next twelve months, and therefore considers the charity to be a going concern for the foreseeable future.

(b) Fund accounting

Unrestricted funds are available for use at the discretion of the trustees in furtherance of the general objectives of the charity. Designated funds are unrestricted funds that have been set aside by the trustees for a particular purpose. Restricted funds are subject to restrictions on their expenditure imposed by the donor or grantor.

(c) Income

All income is included in the Statement of Financial Activities when the charity is entitled to the income and the amount can be quantified with reasonable accuracy and receipt is probable. The following specific policies are applied to categories of income: Income from donations is received by way of grants, donations and gifts and is included in full in the Statement of Financial Activities when receivable. Grants, where entitlement is not conditional on the delivery of a specific performance by the charity, are recognised when the charity becomes unconditionally entitled to the grant. When specific performance conditions exist, income is deferred until the performance conditions are met. Income from investment is recognised when receivable.

58

(d) Support costs

Expenditure is recognised on an accruals basis as a liability is incurred. Expenditure includes any Value Added Tax which cannot be fully recovered, and is reported as part of the expenditure to which it relates. Charitable expenditure comprises those costs incurred by the charity in the delivery of its activities and services for its beneficiaries. It includes both costs that can be allocated directly to such activities and those costs of an indirect nature necessary to support them. All costs are allocated between the expenditure categories of the Statement of Financial Activities on a basis designed to reflect the use of the resource. Costs relating to a particular activity are allocated directly where possible, and the remainder are apportioned on an appropriate basis such as time and usage.

(e) Tangible and intangible fixed assets

Tangible and intangible fixed assets excluding any investments are stated at cost less accumulated depreciation and amortisation. The costs of minor additions or those costing below £1,000 are not capitalised. Depreciation and amortisation is provided at rates calculated to write off the cost of each asset over its expected useful life. Fixtures, fittings and equipment are written off over 3 years. IT equipment and software are written off over 3 years.

(f) Operating leases

Rental payable under operating leases are charged against income on a straight-line basis over the lease term basis.

(g) Pensions

GamCare contributes to a defined contribution scheme for the benefit of its employees. Contributions payable are charged to the Statement of Financial Activities in the year in which they become payable to the scheme.

(h) Critical accounting estimates and areas of judgement

In preparing these financial statements, the Trustees have made significant estimates and judgements in the following areas:

No other judgements were required that have a significant effect on the amounts recognised in the financial statements nor do any other estimates or assumptions made carry a significant risk of material adjustment in the next financial year.

59

(i) Debtors

Debtors are recognised at their settlement amount, less any provision for non-recoverability. Prepayments are valued at the amount prepaid and have been discounted to the present value of the future cash receipt where such discounting is material.

(j) Cash at bank and in hand and short term deposits

Cash at bank and in hand represents such accounts and instruments that are available on demand or have a maturity of less than three months from the date of acquisition. Deposits for more than three months but less than one year have been disclosed as short term deposits.

(k) Creditors and provisions

Creditors and provisions are recognised when there is an obligation at the balance sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably. Creditors and provisions are recognised at the amount GamCare anticipates it will pay to settle the debt and are discounted to the present value of the future cash payment where such discounting is material.

(l) Financial instruments

The only financial instruments held by the charity constitute payables and receivables. These are categorised as ‘basic’ in accordance with section 11 of FRS 102 and are initially recognised at transaction price. These are subsequently measured at transaction price less any impairment.

(m) Taxation

The company is a charity under the Finance Act 2010 (schedule 6, paragraph 1) definition. Accordingly, the company is potentially exempt from taxation in respect of income or capital gains within categories covered by the Corporation Tax Act 2010 (part 11, chapter 3) or the Taxation of Chargeable Gains Act 1992 (section 256), to the extent that such income or gains are applied exclusively to charitable purposes. No tax charge arose in the period.

60

NOTE 2: INCOME

2022 income

2a. Donations
Public / institutional
Total donations
2b. Charitable activities
Other income: Audit and training fees
Grants:
GambleAware grants
Other grants
Total income from charitable activities
2021 income
2a. Donations
Public / institutional
Total donations
2b. Charitable activities
Other income: Audit and training fees
Other income
Grants:
GambleAware grants
Other grants
Total income from charitable activities		 Unrestricted
£
Designated
£
Restricted
£
2022 Total
£
992,354
-
5,462,606
6,454,960
992,354
-
5,462,606
6,454,960
546,947
-
-
546,947
-
-
8,666,316
8,666,316
-
-
110,990
110,990
546,947
-
8,777,306
9,324,253
Unrestricted
£
Designated
£
Restricted
£
2022 Total
£
612,572
26,262
3,337,692
3,976,526
612,572
26,262
3,337,692
3,976,526
307,799
-
-
307,799
10,878
-
1,500
12,378
-
-
8,347,197
8,347,197
-
-
724,983
724,983
318,677
-
9,073,680
9,392,357

61

NOTE 3: ANALYSIS OF EXPENDITURE ON CHARITABLE ACTIVITIES

2022 charitable expenditure
Activity
Clinical services
Outreach services
Auditing and training
2021 charitable expenditure
Activity
Clinical services
Outreach services
Auditing and training		 Activities
undertaken
directly
Grant funding
of activities
Support costs
Other
2022 Total
£
£
£
£
£
5,192,246
3,356,553
1,092,227
-
9,641,026
2,098,829
1,750,145
323,570
-
4,172,544
805,471
-
116,362
-
921,833
8,096,546
5,106,698
1,532,159
-
14,735,403
Activities
undertaken
directly
Grant funding
of activities
Support costs
Other
2021 Total
£
£
£
£
£
4,505,631
3,816,346
867,501
-
9,189,478
1,930,892
1,095,083
272,856
-
3,298,831
619,145
-
81,077
-
700,222
7,055,668
4,911,429
1,221,434
-
13,188,531

NOTE 4: ANALYSIS OF GOVERNANCE AND SUPPORT COSTS

2022 governance and
support costs
Activity
Clinical services
Outreach services
Auditing and training
2021 governance and
support costs
Activity
Clinical services
Outreach services
Auditing and training		 Management
Central
administration
Finance
ICT
HR
2022 Total
£
£
£
£
£
£
264,333
188,377
257,541
98,189
283,787
1,092,227
67,587
51,664
65,851
35,594
102,874
323,570
25,221
21,105
24,573
11,687
33,776
116,362
357,141
261,146
347,965
145,470
420,437
1,532,159
Management
Central
administration
Finance
ICT
HR
2021 Total
£
£
£
£
£
£
287,178
132,427
244,675
28,152
175,069
867,501
71,346
34,833
91,051
10,476
65,150
272,856
21,703
22,629
20,073
2,309
14,363
81,077
380,227
189,889
355,799
40,937
254,582
1,221,434

Included within support costs are governance costs of £15,581 (2020/21: £14,712)

62

NOTE 5: ANALYSIS OF GRANTS

Treatment provider network organisations
North
Midlands
South
Scotland and Wales
Other programme grants
National Programme Grants		 2022
2021
£
£
1,635,777
1,606,724
532,482
676,348
1,018,699
1,400,160
578,748
538,467
1,340,992
689,460
5,106,698
4,911,159

NOTE 6: TRUSTEE EXPENSES

Travel, office and subsistence costs amounting to £1,481 (2020/21: £nil) were reimbursed to no trustees (2020/21: none).

The Chair (current and retiring) of the Board of Trustees received honorarium payment totalling £34,285 (2020/21: £25,000) in accordance with the GamCare’s Articles of Association as covered by clauses 11.5 and 15.3.

No other trustees received any remuneration during the year (2020/21: £0).

NOTE 7: NET INCOME FOR THE YEAR

Net income is stated after charging:

2022 2021
£ £
Auditor’s remuneration: audit fees 14,400 14,040
Auditor’s remuneration: non audit services 2,130 -
Depreciation 39,750 38,926
Amortisation 18,010 29,998
Leases 226,617 216,593

63

NOTE 8: ANALYSIS OF STAFF COSTS AND THE COST OF KEY MANAGEMENT PERSONNEL

Salaries and wages
Social security costs
Pension contributions
The average number of employees is
The average FTE employees is		 2022
2021
£
£
5,351,654
4,527,970
529,307
435,856
300,044
255,804
6,181,005
5,219,630
188
152
158
144

The number of employees whose total employee benefits excluding pension contributions were in excess of £60,000 were as follows:

2022 2021
£ £
£60,001 - £70,000 2 2
£70,001 - £80,000 1 1
£80,001 - £90,000 3 -
£110,001 - £120,000 1 1

All key management personnel accrue pension benefits under defined contribution pension schemes. Total pension contributions paid for these employees were £36,811 (2020/21: £26,640).

The total employment benefits of the key management personnel including employer’s pension and National Insurance contributions were £781,797 (2020/21: £573,433). The key management personnel comprise the trustees and directors listed on page 2.

Payments totalling £41,066 (2020/21: £13,250) were made in the year in respect of termination settlements.

64

NOTE 9: INTANGIBLE FIXED ASSETS

Asset cost
As at 1 April 2021
Additions
Disposals
As at 31 March 2022
Accumulated amortisation
As at 1 April 2021
Charge for year
Disposals
As at 31 March 2022
Net book value
As at 1 April 2021
As at 31 March 2022		 Computer
software
£
147,262
22,468
(57,696)
112,034
100,119
18,010
(57,696)
60,433
47,143
51,601

NOTE 10: TANGIBLE FIXED ASSETS

Asset cost
As at 1 April 2021
Additions
Disposals
As at 31 March 2022
Accumulated depreciation
As at 1 April 2021
Charge for year
Disposals
As at 31 March 2022
Net book value
As at 1 April 2021
As at 31 March 2022		 Fixtures, fttings
and equipment
Computer and
ICT equipment
Total
£
£
£
89,689
46,694
136,383
-
4,075
4,075
-
(15,972)
(15,972)
89,689
34,797
124,486
44,844
35,956
80,800
29,896
9,854
39,750
-
(15,972)
(15,972)
74,740
29,838
104,578
44,845
10,738
55,583
14,949
4,959
19,908

65

NOTE 11: DEBTORS

Trade debtors
Other debtors
Prepayments and accrued income		 2022
£
2021
£
2,966,686
2,167,417
1,162
1,232
337,954
634,605
3,305,802
2,803,254

NOTE 12: CREDITORS

Trade creditors
Other creditors
Accruals
Deferred income
Taxation and social security		 2022
£
2021
£
89,591
114,650
35,149
33,166
211,066
162,497
6,752,445
6,561,600
173,923
121,488
7,262,174
6,993,401

NOTE 13: ANALYSIS OF NET ASSETS BETWEEN FUNDS

2022 Analysis of net assets between funds

Intangible fxed assets
Tangible fxed assets
Net assets		 Unrestricted
Fund
Designated
Fund
Restricted
Funds
2022 Total
Funds
£
£
£
£
36,121
-
15,480
51,601
13,936
-
5,972
19,908
2,708,411
35,866
1,151,965
3,896,242
2,758,468
35,866
1,173,417
3,967,751

2021 Analysis of net assets between funds

Intangible fxed assets
Tangible fxed assets
Net assets		 Unrestricted
Fund
Designated
Fund
Restricted
Funds
2022 Total
Funds
£
£
£
£
33,000
-
14,143
47,143
38,908
-
16,675
55,583
1,953,581
26,262
839,722
2,819,565
2,025,489
26,262
870,540
2,734,154

66

NOTE 14: MOVEMENT IN FUNDS

Restricted funds:
Clinical services
Outreach Services
Safer Gambling Standards
Total restricted funds
Designated fund
Unrestricted funds
Total unrestricted funds
Total funds		 As at 1 April
2021
Income
Expenditure
Transfer
As at 31
March 2022
£
£
£
£
£
763,355
9,442,760
(9,641,026)
-
565,089
64,372
4,664,141
(4,172,544)
8,268
564,237
42,813
133,011
(131,733)
-
44,091
870,540
14,239,912
(13,945,303)
8,268
1,173,417
26,262
66,225
(56,621)
-
35,866
2,025,489
1,474,726
(733,479)
(8,268)
2,758,468
2,051,751
1,540,951
(790,100)
(8,268)
2,794,334
2,922,291
15,780,863
(14,735,403)
-
3,967,751

Designated funds of £35,866 (2020/21 £26,262) will be spent in 2022/23 in furtherance of our Worksafe programme.

A funds transfer of £8,268 (2020/21 £70,971) represents an amount of overhead cost apportioned to a restricted charitable activity which has been met from unrestricted funds.

Purpose of restricted funds

Clinical services

Our clinical services offer support and treatment to people with gambling problems and affected others. We deliver a range of treatment services directly, and also indirectly through a partner network across England, Scotland and Wales. These activities are funded by grant-making bodies and also through donations provided by operators and the general public.

Outreach services

Our outreach services deliver education, prevention and engagement activities to those at risk of gambling harms. These services include a national youth education programme as well as a women’s outreach programme. Our activities aim to raise awareness of gambling issues, and also to facilitate access to support.

Safer Gambling Standards

The Safer Gambling Standard is a quality mark for gambling operators who adopt specific playing protection measures and safer gambling approaches. Our operator training is aimed at customer interaction to reduce or prevent gambling harms, and to facilitate wider access to support.

67

NOTE 15: COMMITMENTS UNDER OPERATING LEASES

GamCare is committed to future minimum payments under non-cancellable operating leases as follows:

Payments due
Within one year
Between 2 and 5 years
Total restricted funds		 2022 Land
and Buildings
2022
Other
2021 Land
and Buildings
2021
Other
£
£
£
£
73,014
13,155
205,000
4,922
-
10,420
102,500
14,766
73,014
23,575
307,500
19,688

NOTE 16: RELATED PARTY TRANSACTIONS

No transactions with related parties were made during the year (2020/21: £nil). Transactions with trustees are disclosed in note 6.

NOTE 17: RECONCILIATION OF NET MOVEMENT IN FUNDS TO NET CASH FLOW FROM OPERATING ACTIVITIES

Net movement in funds
Add back depreciation charge
Add back amortisation charge
Deduct interest income shown in investing activities
(Increase) in debtors
Increase in creditors
Net cash provided by operating activities		 2022
£
2021
£
1,045,460
188,137
39,750
38,926
18,010
29,998
(1,650)
(7,785)
(502,548)
(408,040)
268,773
4,088,458
867,795
3,929,694

68