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Keyworth C, Epton T, Goldthorpe J Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews. Prev Sci. 2020a; 21:319-331

Keyworth C, Epton T, Goldthorpe J, Calam R, Armitage CJ. Perceptions of receiving behaviour change interventions from GPs during routine consultations: A qualitative study. PLoS ONE. 2020b; 15:(5)

National Institute for Health and Care Excellence. Behaviour change: individual approaches. 2014. (accessed 2 August 2023)

National Institute for Health Research. Brief conversations in primary care: an opportunity to boost health. 2021. (accessed 2 August 2023)

NHS England. Making Every Contact Count (MECC): Consensus statement. 2016. (accessed 2 August 2023)

O’Donnell A, Hanratty B, Schulte B Patients’ experiences of alcohol screening and advice in primary care: a qualitative study. BMC Fam Pract. 2020; 21

Giving opportunistic patient advice

02 August 2023
Volume 5 · Issue 8

Featured on the NHS England website, as well as a requirement of the NHS standard contract and with its own Facebook group, Making Every Contact Count (MECC) is an ‘evidence-based approach to improving people’s health and wellbeing by helping them change their behaviour’ (NHS England, 2016).

The NHS contract states under Service Condition 8.6: ‘The Provider must develop and maintain an organisational plan to ensure that Staff use every contact that they have with Service Users and the public as an opportunity to maintain or improve health and wellbeing, in accordance with the principles and using the tools comprised in Making Every Contact Count Guidance’.

This comprises a number of documents on behaviour change – everything from general approaches through adult weight management to stop smoking interventions. We’re interested in ‘behaviour change individual approaches’ – which links to National Institute for Health and Care Excellence (NICE) public health guidance 49 (NICE, 2014). This document deals in detail with a wide range of individual approaches and makes a number of recommendations as to who should take action.

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