In this presentation, Mike discusses the importance of a systematic approach to prevention in healthcare. He outlines a four-quadrant model derived from interviews with senior leaders, which considers the dynamics of prevention and who will be supplying these services, whether in the commercial world or state and local communities. Mike emphasises the need for a blend of these quadrants to create a future-focused preventive healthcare system.

He illustrates the potential benefits of prevention using examples like social prescribing, wearables connected to data systems, and the emergence of the big society. Mike also explores the concept of individuals having their own budgets for prevention and health management. He discusses the need for quality control, training staff in coaching and behavior change, and the management of this new marketplace.

Mike highlights various models that can guide systematic prevention efforts and stresses the importance of aligning national policies with local implementation. He also touches on the significance of changing attitudes and behaviours, both in clinical practice and at a system level. The presentation concludes with a discussion on the challenges and barriers to implementing a preventive strategy.

Video timeline
Introduction to Prevention in Healthcare (00:00 – 05:20)
Importance of prevention
Four-quadrant model
Imagining Life in the Four Quadrants (05:21 – 10:55)
Blend of quadrants
Likes and dislikes of each quadrant
Key Ideas from Leaders on Prevention (10:56 – 15:34)
Social prescribing, wearables, big society
Public and private supply of services
Concepts of Shopping for Health and Living for Health (15:35 – 20:55)
Individual budgets for prevention
Quality control and staff training
Marketplace management
Systematic Approaches to Prevention (20:56 – 26:51)
Codifying health education interventions
Policy and preventive services
Behaviour Change Models (26:52 – 32:17)
Health action model
Attitudinal and normative systems
Challenges and Barriers to Prevention (32:18 – 40:19)
Resource generation
System change and leadership
Public and political alignment
Conclusion and Discussion (40:20 – 43:00)