People with health and social care needs may be particularly vulnerable to gambling harm. The researchers interviewed 23 professionals working within primary care, social care services, and third sector organizations in England. Participants talked about their experiences working with adults with health and social care needs who experienced gambling harm. Participants reported a lack of guidance on how to screen, assess, and support people experiencing harm from gambling. There was also a lack of awareness of gambling support services and management tools. Participants called for gambling harm to be recognized as a public health problem. Many highlighted the need for guidance along with professional development activities.