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Chapter 25 - Agents of Change

from Section 5 - Transforming Medicine

Published online by Cambridge University Press:  01 May 2025

Richard Pinder
Affiliation:
Imperial College of Science, Technology and Medicine, London
Christopher-James Harvey
Affiliation:
Imperial College of Science, Technology and Medicine, London
Ellen Fallows
Affiliation:
British Society of Lifestyle Medicine
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Summary

Traditional clinical training has often lacked the leadership and management skills necessary for practitioners to effectively drive change. Despite facing systemic pressures and resource limitations, clinicians can be agents of change by innovating within their work environments. Practising self-care and understanding the benefits of Lifestyle Medicine are essential for healthcare practitioners to sustain their wellbeing and energy for these changes. The transformation of healthcare environments to encourage healthier choices can profoundly affect the wellbeing of both staff and patients. Large-scale change can be fostered by engaging with the community and connecting patients to local groups and activities. The UK has seen examples of successful Lifestyle Medicine projects and we explore some examples of success in this chapter. To innovate in healthcare, one must be clear about their motivation, be prepared to initiate projects without initial funding, plan for their evaluation, and ensure that the projects are enjoyable for all participants involved.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Russell-Westhead, M., O’Brien, N., Goff, I., et al., Mixed methods study of a new model of care for chronic disease: Co-design and sustainable implementation of group consultations into clinical practice. Rheumatol Adv Pract. 2020;4(1):rkaa003. https://doi.org/10.1093/rap/rkaa003.Google ScholarPubMed
Baqir, W., Gray, W. K., Blair, A., Haining, S. and Birrell, F., Osteoporosis group consultations are as effective as usual care: Results from a non-inferiority randomized trial. Lifestyle Med. 2020;1(1):e3. https://doi.org/10.1002/lim2.3.CrossRefGoogle Scholar
Birrell, F., Johnson, A., Scott, L., Irvine, A. and Shah, R., On behalf of the Doubleday Medical Schools’ Patient Partnership Collaborative. Educational collaboration can empower patients, support doctors in training and future-proof medical education. Lifestyle Med. 2021;2(4):e49. https://doi.org/doi/10.1002/lim2.49.CrossRefGoogle Scholar
Group Consultations. Virtual Group Consultations (NHS England, Menopause Toolkit Resources). https://www.groupconsultations.com/nhse-vgc-menopause-resources/.Google Scholar

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