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HEALTH PROMOTION AND DISEASE PREVENTION

Health promotion is defined by WHO as ‘enabling people to increase control over, and to improve, their health’. When evidence based and tailored to need, it can lead to improved physical and mental wellbeing and better outcomes.

Effective strategies for the prevention and management of CHD in primary care are a good example of health promotion in action. Primary prevention: avoiding development of diseases or conditions through awareness and lifestyle choice and change Secondary prevention: detecting disease early, then increasing opportunities to prevent disease progression through increased awareness and self management Tertiary prevention: reducing negative impact of established diseases by optimising function and reducing disease-related complications. See also Men’s health, New patient checks, Physical activity, Sexual health National priorities for health improvement

  • Smoking
  • High blood pressure
  • Obesity
  • Poor diet
  • Poor mental health
  • Insufficient exercise
  • Alcohol use
Public Health England. PHE Strategy 2020 to 2025 https://www.gov.uk/government/publications/phe-strategy-2020-to-2025 
(In March 2021, the Government announced that it would establish a new Office for Health Promotion, within the Department of Health and Social care, which would take over many of Public Health England's current roles.) 

Interventions for behaviour change

Brief evidence-based motivational intervention can:

  • help patients identify priority health areas for change
  • help boost confidence and motivation to change
  • empower patients to take control of their own health and plan for change

Resources General

NICE Public Health Guidance: more than 40 documents on the delivery of evidence-based health promotion https://www.nice.org.uk/guidance/published?type=ph
Public Health Agency for NI www.publichealth.hscni.net/
Public Health Wales https://phw.nhs.wales
Public Health Scotland  https://publichealthscotland.scot
Patient: health promotion/lifestyle: information resources on health promotion issues https://patient.info/healthy-living
Public Health England – current public health policies https://www.gov.uk/government/organisations/public-health-england
UK National Screening Committee: Population screening programmes https://www.gov.uk/topic/population-screening-programmes
More specific

Healthy eating Weight management Physical activity

Practice Nurse featured articles

Obesity and the practice nurse  Dr Mary Lowth
Health impact of diet in minority ethnic groups  Georgine Leung 

Practice Nurse Curriculum Module

Lifestyle modification  

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