Mental Health Integrated Care and Health Inequality Conference
Hosted by Nottingham University Hospitals (NUH), the Mental Health Integrated Care and Health Inequality Conference on Friday 17th May brought together health professionals from across Nottingham to discuss the state of mental health provision and practice in the city.
As part of the event, Head of Programme at Small Steps Big Changes (SSBC) Donna Sherratt was invited to speak in her capacity as PBP Race Health Inequality Ambassador. In her speech, she highlighted the link between race and health outcomes, with a particular focus on mental health. Many marginalised communities have unequal access to the knowledge and connections needed to help their mental health, and many services do not respond to the specific circumstances certain minoritised groups face.
A year on from it’s launch, she reflected on the success of the PBP Maturity Matrix tool and how it has helped organisations become more culturally competent. Through better representation, marginalised communities feel their needs are understood and listened to, meaning they are more likely to access services and get the help they need.
As well as Donna, the conference featured a range of amazing and inspirational talks from experts who shared their personal stories of mental health:
Imran Akkram, CEO of Bipolar Lift, told the audience his story of being diagnosed with bipolar disorder and how his frustration at the lack information available at the time led to the creation of Bipolar Lift.
Selina Khunkhuna from Talking Therapies spoke about her experience as a member of LGBTQIA+ community from a Sikh background and the mental health challenges this presented to her.
Carolyn Cleveland from CC Empathy Training told her incredibly moving story of grief and how it led to her realising the importance of empathy in health services and wider society.
There were also talks from Anthony May of Nottingham University Hospitals and Professor Derek Tracy from West London NHS Trust. They helped the audience develop a better understanding of the mental health picture in Nottingham and across the country respectively.
Paintings by artist Andy Farr in a collaboration project with NUH to visualise the mental health
Throughout the day there were networking opportunities for people across the system to make new connections and establish new referral opportunities for their patients. Organisations in attendance included Al-Hurraya, NCVS, and Harmless to name just a few.
We would like to thank everybody who helped organise this great event, with a special mention to Shirley Tench (NUH Mental Health Practitioner) who first identified the need for such a conference and took an instrumental role in the organisation of the event.
The PBP Race Health Inequalities (RHI) and Mental Health programmes are currently working together to take forward the recommendations of the RHI report last year. As priority areas, the programmes will work together to:
Increase cultural competency across organisations who support people with mental health needs
Create community partnerships to increase knowledge and information exchange
We will be releasing further details on this project later this year. For more information you can contact PBP Deputy Locality Director Ciara Stuart on Ciara.staurt@nhs.net.
Improving Access to Diverse Communities from an Early Years Lens
PBP Race Health Inequality ambassador and Small Steps Big Changes (SSBC) Head of Programmes Donna Sherratt was amongst panel members and presenters at the Improving Access to Diverse Communities from an Early Years Lens webinar in April. This webinar launched the new report from SSBC, which cites the impact of PBP’s Culturally Competent Maturity Matrix in creating more accessible, inclusive, and culturally-sensitive childhood services.
The Culturally Competent Maturity Matrix is a bespoke self-assessment tool used to assess the responsiveness of an organisation, service, or system in delivering or commissioning provision to meet the needs of Black Asian and Minority Ethnic citizens. The purpose of the tool is to help to tackle structures and processes that can be exacerbating inequalities experienced by minority communities and to shift mindsets, by providing a platform for curious questions and difficult conversations.
Reflecting on the achievements highlighted in the report, Donna stated:
“To be able to affect change for expectant parents, in my role as SSBC Head of Programmes and PBP Race Health Inequalities Lead, has been a unique and unplanned opportunity. The webinar and report drew all these experiences together and showcased some of the amazing work I am honoured to have been a part of.
“Hearing the broad range of panel members speaking about the personal impact individuals can have, and how services have continued to develop to meet the needs of the community, was inspiring. The follow-up report features learning which can be used across the wider system. It has been great to be part of the work with such amazing colleagues across the whole system.”
We can now share the appointment of our three new Race Health Inequality programme leads – Patricia Hughes, Manisha Sheth, and Annie Alleyne. Together, they will work towards the goal of reducing the health inequalities experienced by minority ethnic communities in Nottingham city.
They will continue the fine work of Clive Foster and Donna Sherratt, who have stepped down from their leadership roles after three incredible years. Under their leadership, the programme has helped bring partners and community representatives together to develop thriving programmes that delivering positive change in the community. This includes the nationally-recognised Maturity Matrix.
While we are sad to be saying goodbye to Clive and Donna as leads, they will continue to be involved in the programme. We excited to see how the programme will develop under the new leadership of Patricia, Manisha, and Annie.
So let’s find out more about our new leads:
Patricia Hughes
Patricia, known as Trish, is an experienced nurse and specialist in Haematology. Trish has worked as Director of Nursing at NHS England and the Northern Care Alliance. Being passionate about the digital agenda, Trish has provided senior nursing expertise to the Shuri Network, the first NHS and care network of women from minority ethnic groups in digital health.
Patricia says: “I have always been a champion for inequalities in health and used my influence and voice to make a difference. I’m looking forward to continuing to make a positive impact on the race inequalities agenda.”
Manisha Sheth
Manisha is experienced in supporting and advocating for ethnically diverse families during pregnancy and beyond. As well as training maternity staff to provide culturally sensitive and safe care, she is also an infant loss bereavement counsellor and co-founded an organisation that supports Muslim and Polish-speaking families through maternity care in Nottinghamshire.
Manisha says: “I’m grateful to be a part of this amazing programme to help create much-needed change for families in Nottingham and reduce the disparities that currently exist.”
Annie Alleyne
Annie has worked at Nottingham CityCare for more than 10 years and has been Chair of the Ethnic Equality Staff Network since 2022. As part of the staff network Annie has advocated for staff form ethnically diverse backgrounds, progressed the EDI strategy and influence change across CityCare. She is embarking on ILM level 5 training in coaching and mentoring this year.
Annie says: “My mantra is: “to make as positive a difference, to as many people’s lives as possible”. I’m eager to start working with communities and partner organisations to redress the balance of health inequalities currently being experienced by marginalised groups and individuals in Nottingham.”
Annual Physical Health Checks for People with Severe Mental Illness
Do you work with or support someone who has a Severe Mental Illness (SMI)?
Did you know they are eligible for a free physical health check at their GP surgery every year?
People with a Severe Mental Illness (SMI) such as schizophrenia, bipolar or other psychoses, often experience poor physical health and undiagnosed/untreated physical health conditions because of the focus on their mental health.
People living with SMI have:
6.6 times increased risk of respiratory disease
6.5 times increased risk of liver disease
4.1 times increased risk of cardiovascular disease
are three times more likely to lose their natural teeth.
What is a physical health check?
An annual physical health check helps to identify any physical health problems early and ensure access to appropriate interventions.
A full check will include:
A blood pressure check
Height and weight / BMI
A blood sample to check the level of glucose (sugar) and level of cholesterol
Questions about whether they smoke and how much alcohol they drink
Questions about diet and exercise and any substance misuse.
Physical health checks will normally take place in the GP surgery or in the community mental health service and take 30-45 mins. If the check identifies any areas of concern, the patient will be given information and advice and may be referred on for an appropriate follow up intervention such as smoking cessation or a diabetes prevention programme.
Could you support someone to access their health check?
Many people living with SMI may be unaware they should be receiving an annual physical health check and why it is important. They may also be unaware they are on an ‘SMI register’ and what this means. You can support someone to access their health check by asking them if they have attended a health check before, if they have received an invitation from the GP surgery, or by encouraging them to take up the offer, or support them to call the GP surgery for an appointment.
Further information
Physical Health checks for SMI is a national NHS programme – information can be found here.
A useful training video on the physical health of people with SMI has been produced by the South East Clinical Network and includes downloadable handouts for trainees – click here
Rethink have developed some useful patient information resources, including a downloadable patient leaflet and booklet for health checks, available here.
Nottingham and Nottinghamshire Smoking and Tobacco Alliance: April 2024 newsletter
Welcome to our newsletter for Spring! We’re hoping 2024 will be just as busy as 2023. In the first three months of this year, we’ve been working together towards our Alliance goal of eliminating smoking and tobacco-related harm and creating a smokefree generation for Nottingham and Nottinghamshire. This newsletter highlights some recent activities, such as the social media campaigns we ran during March to support No Smoking Day, and the plans we’ve made to use additional stop smoking resources.
Recently, the Tobacco and Vapes Bill was introduced before Parliament to help protect future generations from the harmful impacts of smoking. If passed, this legislation will ensure that children turning 15 this year (2024) or younger will never be legally sold cigarettes or other tobacco products, even after they turn 18. This is a significant move towards creating a smokefree generation and the debates in parliament will offer extra opportunities to raise awareness of the harms of tobacco and promote our stop smoking services locally.
It is an exciting time for us to be working together and collectively aiming to reduce smoking rates in Nottingham and Nottinghamshire. Thanks once again for your support and input, which is very much appreciated.
Nottingham and Nottinghamshire Smoking and Tobacco Alliance: April 2024 newsletter
The Alliance has a clear, shared ambition to see smoking amongst adults reduced to 5% or lower by 2035 across Nottinghamshire and Nottingham City. Further to this, we want to make the harms of smoking a thing of the past for our next generation such that all of those born in 2022 are still non-smokers by their 18th birthday in 2040.
In this newsletter:
Programme Updates
New Integrated Wellbeing Service in the city
New promotional resources aimed at preventing smoking and vaping among young people
Real Stories
Partner Spotlight
Upcoming plans and events
Programme Updates
Through our work as an Alliance, we continue to raise the profile of stop smoking services, available support and organisations that work hard to tackle the harms of tobacco. Our goal is to have conversations about why people smoke in the city and county, how people feel about smoking in their communities and how we can support people to quit.
Our social media channels were launched in October 2023. Since then, across all four platforms – Twitter, LinkedIn, Facebook and Instagram – we have had at least 1107 interactions with our posts and now have more than 115 followers.
If you haven’t yet followed our social accounts, the links are below – feel free to share and like our posts! The more people who follow and interact with us, the more the accounts will be shown to others on the platforms, so your support really helps to get the message out.
National No Smoking Day – 13th March and our March social media campaign: Reflecting on 40 years of tobacco control
No Smoking Day 2024 marked the 40th anniversary of No Smoking Day in England. For the whole of March, the Alliance used this opportunity to reflect on the last 4 decades of tobacco control in our social media channels. A summary is shown below:
As part of the month’s campaign, we published this video of local public health expert and former tobacco control advisor Liz Pierce reflecting on her work when stop smoking services were first set up back in 2000 – No Smoking Day (youtube.com).
As well as signposting readers to support available, both nationally through the NHS and locally through our community stop smoking services, we also highlighted the importance of smokefree spaces in supporting people who are trying to give up smoking, encouraged reporting of illegal and underage tobacco sales, and promoted signing the tobacco declaration to local organisations.
Department of Health and Social Care (DHSC) grant funding for smoking cessation
The Government is introducing changes to create the first ever Smokefree Generation. The proposed changes will protect future generations from starting smoking, and effectively phase out smoking for good.
Legislation has been proposed so that children turning 15 this year (2024) or younger will never be legally sold cigarettes or other tobacco products, even after they turn 18.
The changes also include additional support for smokers who are trying to quit, and measures to reduce the appeal of vapes to children and young people.
To support existing smokers to quit, the government is more than doubling the budget for stop smoking services, investing an additional £70 million per year (to a total of £138 million), aiming to support around 360,000 people to quit each year.
Both city and county are receiving extra funding of £545,215 and £1,039,463 respectively per annum for the next 5 years. We aim to use this funding to help more people stop smoking, by:
increasing promotion of services to raise awareness of stop smoking services
stimulating more quit attempts by providing more smokers with advice and swift support linking smokers to the most effective interventions to quit
boosting existing behavioural support schemes designed to encourage smokers to quit
expanding support for target groups / areas, focusing on where there are high levels of smoking
building capacity in local areas to respond to increased demand
strengthening partnerships in local healthcare systems.
We will keep you updated as the implementation of the funding starts.
New Integrated Wellbeing Service in the city
Thriving Nottingham is now live in Nottingham city. A new, free health and wellbeing service, funded by Nottingham City Council and developed by Thrive Tribe, is now here to revolutionize health support for residents in Nottingham.
🔗 Streamlined support. Simplifying access for residents, the service consolidates diverse health and wellbeing provisions into one central platform.
💪 Diverse offerings (in-person and virtual provision). Supporting adults, children and families with weight management using programmes by gloji, MAN v FAT and Slimming World, as well as offering support with smoking cessation, community-based physical activity options and personalised 1-to-1 health coaching.
Lucy Hubber, Director of Public Health at Nottingham City Council, said:
“People in Nottingham have poorer health outcomes than in other similar areas. We are therefore thrilled to partner with Thrive Tribe to bring to life our vision of a new health and wellbeing offer for Nottingham residents from April 2024. The new service, Thriving Nottingham, will consider the physical, mental, social, and emotional aspects of health and wellbeing. This service will help meet the diverse needs of our communities and recognise that health behaviours are complex and rarely occur in isolation.
We look forward to working with Thrive Tribe to ensure Thriving Nottingham becomes a trusted and well-used service for all of our communities and a service that improves the lives of all of Nottingham City residents.”
New promotional resources – preventing vaping and smoking among children and young people
We’ve created some posters to encourage reporting of underage sales – for both tobacco products and vapes. Restricting underage sales helps to prevent vaping and smoking by young people, as it reduces their access to the products. These posters are intended to encourage adults to report to Trading Standards when they become aware of places selling vapes and/ or tobacco products to people who are under 18. The vaping poster also includes some information on how to recognise unregulated vapes when you see them for sale.
As the posters are promoting reporting by adults, they are intended for use in staff or office areas, rather than areas primarily used by young people.
Here is a patient quit story from Nottinghamshire Healthcare Trust:
Referred to the service in November 2023, the patient had been smoking since the age of 16 with a consumption rate of 20 cigarettes per day. Previous attempts with nicotine replacement therapies (NRTs), particularly patches had left her dissatisfied and expressed to try e-cigarettes in order to gradually reduce the number of cigarettes.
By January 2024, the cigarette consumption reduced to 6 cigarettes daily and was down to only 1-2 cigarettes a day by the end of the month. In February she successfully quit smoking altogether, including vaping.
Patient feedback admitted that the process of quitting had been more challenging that anticipated but helped her mental health significantly.
This shows the importance of harm reduction and the benefits of quitting the habit.
Partner Spotlight: Quarrydale Academy’s smoking prevention work with 11–15-year-olds
Secondary schools in Nottingham and Nottinghamshire can access INTENT, a free, evidence-based smoking and vaping prevention programme aimed at 11–15-year-olds who have never smoked. Designed to be delivered by teachers as part of the PSHE curriculum, the content includes interactive, age-appropriate activities providing information on tobacco, vaping, and reasons not to smoke or vape, followed by creation of unique “Personal Plans” about how to refuse offers of cigarettes or vapes.
The Quarrydale Academy in Sutton in Ashfield, Nottinghamshire, has provided some feedback on the Intent programme.
A Year 7 student said: “I felt that the information given and how it was given was very good. It wasn’t just about learning, but also ways in which the knowledge, information and strategies could be used in other areas of life”.
One of the Quarrydale teachers that delivered INTENT said: “The resources were easy to use and the information that was to be shared was clear and well explained. This gave me confidence to deliver the sessions and they were organised in a way that staff and students found interesting – Staff and students got a lot from this, and it also helped develop relationships further”.
Steven Cooper, Assistant Head Teacher and Designated Safeguarding Lead at Quarrydale said: “Intent was organised and explained very well initially by the team, support for the website and use of resources was excellent and contact and communication to support the use of this in school has been great, and available at any point”.
Going forward we’ll continue to spread the importance of quitting and signposting Nottingham and Nottinghamshire residents to the right support. We’ll also continue to educate people on the harms of tobacco.
We want to shine a light on our partners’ efforts to reduce smoking in our area. If you’re planning any campaigns or activities focused on tobacco, please get in touch.
We’ve been focusing on several key issues, including illegal tobacco (and the need to stamp it out), underage sales, and the benefits of creating smokefree spaces. Feel free to get in touch if you have any ideas for future activities around any of these issues.
For our work on smokefree spaces and policy, we will shortly be consulting partners on their current activities and setting up a Delivery Group to take forward work on this theme – as we already have in place for the other Alliance themes. If your organisation would be interested to participate, please contact – swathi.krishnan@nottinghamcity.gov.uk and kay.massingham@nottscc.gov.uk.
Celebrating Changing Futures Nottingham
Last year, we were invited to celebrate the incredible work of Changing Futures Nottingham with partners across the Nottingham healthcare network.
Changing Futures Nottingham is a partnership working towards sustainable improvements in supporting people facing Severe and Multiple Disadvantage (SMD) in our city. Their work is invaluable in improving health outcomes for those facing a range of issues including homelessness, substance abuse problems, and mental health issues.
We were honoured to be invited along, with PBP Clinical Director Husein Mawji in attendance. Take a look at this video from the event to learn more about Changing Futures Nottingham and their work.
Nottingham and Nottinghamshire Smoking and Tobacco Alliance: January 2024 newsletter
Nottingham and Nottinghamshire Smoking and Tobacco Alliance: January 2024 newsletter
The alliance has a clear, shared ambition to see smoking amongst adults reduced to 5% or lower by 2035 across Nottinghamshire and Nottingham City. Further to this, we want to make the harms of smoking a thing of the past for our next generation such that all of those born in 2022 are still non-smokers by their 18th birthday in 2040.
In this newsletter:
In The News
Programme Updates
Government consultation
Real Stories
Partner Spotlight
Upcoming plans and events
In the News
Partners join forces for a smokefree future in Nottingham City and Nottinghamshire County
The Nottingham and Nottinghamshire Smoking and Tobacco Alliance is urging smokers in Nottingham and Nottinghamshire to quit for good.
The Alliance recently commissioned a new survey to open a conversation about why people smoke in the city and county, and how people feel about smoking in their communities.
The findings reveal that most people in Nottingham and Nottinghamshire who smoke do so every day, and more than three quarters (77%) say they smoke to cope with stress. This is despite the fact that smoking is known to actually increase anxiety and tension.
Two in three respondents said they’d like to cut down the amount they smoke and two in five wanted to quit altogether, but only 15% could very easily imagine themselves as an ex-smoker.
More than a third said they want to quit due to the cost of smoking. Worryingly, three in ten smokers in the county and four in ten in Nottingham City had made the decision to prioritise smoking over buying food.
There are local services ready to provide free stop smoking advice and support for people who want to quit smoking. Nottingham City residents can access support on quitting smoking through Stub it! at www.ncgpa.org.uk/stub-it. Nottinghamshire residents can access support on quitting smoking through Your Health Notts at https://yourhealthnotts.co.uk/support/stop-smoking/
We’ve now officially launched our Alliance and the publication of our new research which aims to open a conversation about why people smoke in the city and county, and how people feel about smoking in their communities. Our messaging and goal was shared across broadcast, print and online publications to get our mission and messages across to thousands of Nottingham and Nottinghamshire residents. We’ve raised the profile of stop smoking services, available support and organisations that work hard to tackle the harms of tobacco.
Our social media channels were also launched. Across all four platforms – Twitter, LinkedIn, Facebook and Instagram – we have had at least 423 interactions to our posts and now have more than 115 followers.
If you haven’t yet followed our social accounts, the links are below – feel free to share and like our posts!
In October, Prime Minister Rishi Sunak set out plans to introduce legislation to prohibit children born on or after 1 January 2009 from legally buying cigarettes in England. This would effectively raise the smoking age by one year, every year, until it applies to the whole population. The idea is to create a smokefree generation, a sentiment outlined in the recent King’s speech. Smoking is the UK’s biggest preventable killer – causing around one in four cancer deaths and 64,000 in England alone – costing the economy and wider society £17 billion each year. People of all ages were invited to take part in a public consultation seeking views on plans to crack down on youth vaping by reducing the appeal, affordability and availability of vapes to our children.
The consultation posed questions in three areas for which new legislation would be needed. These were:
Creating a smokefree generation: consulting on the smokefree generation policy and its scope.
Tackling youth vaping: consulting on several options to ensure we take the most appropriate and impactful steps, building on England’s analysis of the youth vaping call for evidence.
Enforcement: consulting on the proposal to introduce new powers for local authorities in England and Wales to issue fixed penalty notices to enforce age of sale legislation of tobacco products and vapes.
The consultation ran from October 12 to December 6 and the government is currently analysing feedback from the people who participated in it. The results will be announced in due course.
“You’ve got to be ready to quit, but as soon as you are – do it sooner rather than later.”
Sandra, from Nottinghamshire, began smoking when she was just 12 years old. After smoking 20-25 cigarettes a day for 52 years she decided to make a change.
In 2019, Sandra was hospitalised due to smoking-related health conditions including pneumonia and obstructive pulmonary disease. When returning home, Sandra got in touch with her local stop smoking service – Your Health Notts.
Speaking about her smokefree lifestyle, Sandra said: “I’m so glad that I quit smoking and wish I’d done it sooner. The benefits to my personal life have been amazing.
“My family are so proud of me and I’ve been able to treat myself and my husband with the extra money I’m saving.”
Sue Lees from Nottingham city smoked her first cigarette aged just 13 and now, at the age of 55, she has finally kicked the habit with support from the Stub it! Stop Smoking Service. Delivered by the Nottingham City GP Alliance who are commissioned by Nottingham City Council, the service helps people in Nottingham City quit smoking for good through a range of methods and techniques tailored to each individual and their smoking patterns.
It has now been several months since Sue had her last cigarette and she’s enjoying numerous financial and health benefits of adopting a smoke-free lifestyle.
She said: “Now I’m reaping all of the benefits of quitting. I’m saving more of my hard-earned money and I’m no longer out of breath so often. I can also taste food properly for the first time in years – in fact, everything tastes so good now!”
Our dedicated Phoenix team provide tobacco dependency support to pregnant women and other people at Sherwood Forest Hospitals Trust. We’ve successfully reduced the smoking at time of delivery rate by around 6% since we started running the pilot two and a half years ago. Previously a significant outlier for our SATOD (women’s smoking status at time of delivery) rates, this has been hailed as a huge success and used as an example on the NHS England website for the delivery of the maternity NHSE model.
We’re very proud of the achievements of the team and how we are supporting our women and health inequalities in our communities. The funding is due to cease in March but we’ve just been informed that our business case for further funding has been successful so this will now be a fully funded substantive service at Sherwood moving forwards.
For more information, visit https://www.england.nhs.uk/ourwork/prevention/tobacco-dependency-programme/. This site contains three videos; the first one is a quick summary of the service provided and includes an overview case study of a Mum, Fiona, who managed to quit with our support. The third video focuses on Fiona and baby Charlie in a bit more detail. There are also some useful blogs on smokefree pregnancies here: NHS England » Smokefree pregnancies.
Kate Wright, Tobacco Dependency Programme Lead, Sherwood Forest Hospitals NHS Foundation Trust,
Claire Allison, Tobacco Dependence Maternity Lead for The Phoenix Team, Sherwood Forest Hospitals NHS Foundation Trust
Upcoming plans and events
Going forward we’ll continue to spread the importance of quitting and signposting Nottingham and Nottinghamshire residents to the right support. We’ll also continue to educate people on the harms of tobacco.
We’ve been focusing on several key issues, including illegal tobacco (and the need to stamp it out) and the benefits of creating smokefree spaces. Feel free to get in touch if you have any views on either of these issues.
Travel Well
We are delighted to be supporting Travel Well, the new initiative aiming to get city residents walking and cycling more.
With an active lifestyle having a massive impact on both mental and physical wellbeing, Nottingham City Council’s Travel Well project aims to help support people to build activity into their daily lives for lasting healthy changes.
As part of a national trial, Nottingham is one of 11 areas where it has been identified that people switching to more active lifestyles can make a real difference. The trial will give healthcare professionals and social prescribers the ability to refer patients to services that promote walking, cycling and wheeling delivered within the community.
The aim is to support people to become more active, manage mental and physical wellbeing, manage long-term health conditions or address social isolation.
The project will take place around Aspley, Beechdale, Bilborough, Bulwell, Sneinton, St Ann’s and Strelley.
Would you recognise the signs of gambling harm?
Gambling can harm physical and mental health, damage relationships and leave people feeling lonely and isolated. It can also cause problems with employment, education, housing and lead to serious debt.
Gambling-related harm is under-recognised and often hidden. Many people being harmed by gambling don’t recognise the issues it’s causing. When people do recognise they may have a problem, it can hard to talk about it or to reach out for help because of guilt, shame or worry.
The two aims of the Nottingham City gambling related harm campaign, which launched in October, came out of two important things that local people told us:
The need to increase awareness of gambling related harms
The need to increase access to information, advice and support services
The campaign therefore highlights the risks and impacts of gambling and aims to raise awareness of:
The different types of gambling related harm (financial, social, mental health, employment etc.)
The different types of gambling activity
How to recognise when you or someone you know is at risk of gambling harm
Where to go to get support for yourself or someone you know
A mixture of promotional channels are being used to share the key campaign messages, including tram stops, bus advertising, and city information points. This is supported by social media, press releases, printed materials e.g. leaflets, and a digital partner toolkit.
For partners, we are pleased to share with you the campaign toolkit, which includes digital resources, assets, and copy to help you use and share the key campaign messages across your own networks.
If you notice that you, or someone you know, is feeling stressed, anxious or isolated, or are thinking about gambling a lot of the time, it could be a sign of gambling harm. To learn more, and to find out about free advice and treatment services available in Nottingham, visit: www.asklion.co.uk/gamblingsupport
Manage Consent
To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
Functional
Always active
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
Preferences
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
Statistics
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
Marketing
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
