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Prevention First

Prevention-First

Embedded within your PCN

Supporting Prevention & Patient Self-Management in Primary Care

Primary care teams are increasingly managing patients with complex long-term conditions, lifestyle-related health challenges, low patient activation and repeated non-clinical attendances.

Many patients require practical support to improve lifestyle behaviours, confidence, engagement and self-management yet these conversations can be difficult to accommodate within routine GP appointments.

An embedded Health & Wellbeing Practitioner (HWP) service provides patients with dedicated support around behaviour change, lifestyle improvement and wellbeing, helping practices intervene earlier and support better long-term outcomes.

Our Health & Wellbeing Practitioners work alongside multidisciplinary teams to support prevention, personalised care and improved patient engagement.

Why Introduce a Health & Wellbeing Practitioner?

Reduce Avoidable GP Demand

Patients who repeatedly attend general practice with lifestyle-related concerns, low confidence in self-management or wellbeing needs can receive targeted support outside of GP appointments.

Support Prevention & Population Health

HWPs help patients engage with preventative care, healthy lifestyle choices and condition management.

Improve Patient Activation

Supporting patients to better understand and manage their own health can improve confidence, engagement and outcomes.

Strengthen Long-Term Condition Support

Patients living with obesity, diabetes, cardiovascular disease, chronic pain or multiple long-term conditions often benefit from structured lifestyle and wellbeing support.

Improve Health Inequalities & Access

Health & Wellbeing Practitioners can help engage harder-to-reach populations and support personalised care approaches aligned to local priorities.

Traditional Primary Care Support vs Embedded Health & Wellbeing Practitioner Model

Traditional Model
Limited appointment time for lifestyle conversations
GP-led behaviour change discussions
Fragmented signposting
Repeated attendance for non-clinical concerns
Reactive care
HWP Model
Dedicated wellbeing-focused support
Structured patient coaching
Coordinated support pathway
Earlier intervention and self-management
Prevention-focused approach

Appropriate Patients for a Health & Wellbeing Practitioner

Health & Wellbeing Practitioners can support a broad range of patient presentations.

Long-Term Conditions

Type 2 diabetes Cardiovascular disease Hypertension Respiratory conditions Chronic pain management Obesity and weight-related concerns

Lifestyle & Behaviour Change

Physical activity support Healthy eating habits Sleep improvement Lifestyle coaching Confidence building Sustainable habit change

Mental Wellbeing Support

Low mood linked to lifestyle or health concerns Stress management Social isolation Confidence and motivation support

Prevention & Risk Reduction

Patients at risk of developing long-term conditions Cardiovascular risk reduction Prediabetes support Weight management support

Personalised Care Support

Goal setting Self-management plans Signposting to local services Community engagement

Clinical Governance &
Safe Practice

We understand that governance, safety and workforce quality are essential considerations for PCNs.

Patients requiring medical review or specialist intervention are escalated appropriately through agreed pathways.

Our service includes:

Appropriately trained practitioners
Structured induction and onboarding
Clinical supervision and operational oversight
Defined scope of practice
Escalation pathways into wider MDT teams
Safeguarding compliance
Information governance and GDPR compliance
Integrated working alongside primary care teams

Flexible Service Delivery for PCNs

Every Primary Care Network has different operational pressures and population needs.

We offer flexible delivery models including:

Embedded Practice Support

Dedicated sessions integrated into primary care teams.

Multi-Practice Delivery

Clinics delivered across multiple practices within the PCN.

Pilot Programmes

Trial the service before wider implementation.

Remote, Hybrid or Face-to-Face Clinics

Flexible delivery to meet patient and practice needs.

Measurable Outcomes for Your PCN

We work collaboratively with PCNs to develop meaningful reporting and measurable outcomes.

Potential KPIs may include:

Reduction in repeat GP attendance

Improved patient activation and self-management

Increased engagement with preventative care

Behaviour change outcomes

Lifestyle improvement measures

Improved patient confidence and wellbeing

Reduced non-clinical appointment demand

Patient satisfaction

Attendance and engagement rates

Signposting and onward support utilisation

Outcomes can be tailored to align with your PCN priorities and local population health goals.

Why Partner with Xcel Health?

Why Partner with Xcel Health?

We understand the challenges facing modern primary care and the need for practical, scalable workforce solutions.

Our focus is on delivering services that:

Reduce operational pressure
Improve patient experience
Strengthen prevention strategies
Integrate effectively with MDT teams
Deliver measurable outcomes
Support personalised care priorities

We work collaboratively with PCNs to design services aligned to local priorities and patient demand.

What Implementation Looks Like

01

Discovery Discussion

Understanding your PCN priorities, challenges and patient population needs.

Service Design

Agreeing referral criteria, clinic structure and intended outcomes.

03

Mobilisation

Onboarding, systems setup and operational integration.

Delivery & Reporting

Regular performance reporting and ongoing service optimisation.

Frequently Asked Questions

HWPs support patients with behaviour change, lifestyle improvement, wellbeing and self-management to improve long-term health outcomes.

Patients with long-term conditions, lifestyle-related concerns, repeated attendance patterns, low confidence in self-management or prevention needs.

Yes. Delivery can be tailored across one or more practices within a PCN.

Yes. Pilot models can help evaluate local demand and outcomes.

We agree reporting metrics collaboratively with each PCN.

Health & Wellbeing Practitioners work closely with GPs, nurses, pharmacists, social prescribers and wider teams.

Discuss a Health & Wellbeing Practitioner Service for Your PCN

If your PCN is seeking innovative ways to improve prevention, support behaviour change and reduce avoidable demand on general practice, we would welcome a conversation.

Explore whether a Health & Wellbeing Practitioner model could support your network.