Delivering the first action plan to prevent and reduce harms associated with gambling across the 10 localities in the Greater Manchester city-region. Priority activities include:• Contributing to and translating the best available evidence of the prevalence and impact of gambling for individuals, community and society to support decision making• Improving systems to provide equitable access to high quality, local treatment and support services• Developing effective public health interventions to prevent and reduce gambling harms• Engaging with communities and individuals to co-design local, regional and national action