Health systems across the world are facing unprecedented pressures. Populations are ageing, the prevalence of long-term conditions continues to rise, healthcare workforces are under increasing strain, and the costs of treating preventable illness continue to escalate. Despite decades of evidence demonstrating that many chronic diseases are preventable, healthcare systems remain largely organised around treating illness rather than preventing it. This imbalance is no longer sustainable. At the Self-Care Academic Research Unit (SCARU) , together with the International Self-Care Foundation (ISF) and the Self-Care Forum (SCF) , we believe the next evolution of healthcare must place prevention where it belongs: at the centre of health systems. That belief has led to the development of the Declaration on Self-Care and Lifestyle Medicine , a consensus framework that sets out how health systems can better integrate prevention, behavioural healthcare and person-ce...
The integration of Work Coaches (WCs) & Disability Employment Advisors (DEAs) into UK General Practice (GP) provides an innovative approach to bridging the gap between health & employment services. We now reflect on the findings of our recent study led by Shriti Patani, Lara Shemtob & Kabir Varghese in collaboration with colleagues from the Department of Primary Care and Public Health at Imperial College London. The study explored the benefits & challenges of integrating emplyment support services in primary care from the perspectives of GPs & work coaches. What’s the context? Employment is a critical social determinant of health, with unemployment linked to poorer physical & mental wellbeing & reduced quality of life. Traditionally, individuals seeking employment support access services through Jobcentres. However, barriers including stigma or lack of awareness - especially in people with disabilities or long-term health conditions -...