Introduction Increasing prevalence of chronic disease is raising demands on the healthcare system, and evidence‐based cost‐effective ways to address these are needed. This project piloted a novel approach of delivering lifestyle medicine in general practice by providing a holistic lifestyle medicine programme to patients at high risk of chronic diseases. Methods Eleven patients at high risk of chronic disease participated in a 6‐week programme of General Practitioner (GP)‐led group consultations, which delivered evidence‐based lifestyle education and interventions across all the pillars of lifestyle medicine. Anthropometric data (including weight and body mass index (BMI)) and quality‐of‐life data (using the EuroQol‐5D (EQ‐5D‐5L) tool) and patient's confidence and motivation were assessed at the beginning and end of the programme to assess impact. Cost‐effectiveness was estimated by calculating the cost‐per‐quality‐adjusted‐life‐year (QALY) for the EQ‐5D‐5L data. Results Seventy‐three per cent of participants lost weight, with an average weight loss of 1.7 kg confidence interval (CI), –3.46 to –0.02 kg; P = 0.048), which resulted in an average BMI reduction of 0.56 (CI, –1.11 to –0.02; P = 0.043) over 6 weeks. Quality of Life scores show improvement, with EuroQol‐visual analogue scale (EQ‐VAS) score increase of 23 points (CI, +11.82 to +34.18; P = 0.002) and EQ‐5D‐5L scores show reduction in mobility problems, anxiety and depression and pain. Patient's self‐rated confidence and motivation to make healthy lifestyle changes improved significantly over the programme. Conclusions Delivery of lifestyle medicine intervention via a GP‐led group consultation model results in improvement in patients’ perceived health and well‐being, along with reductions in weight, and reduced problems with mood and pain. Delivery of care in this way is cost‐effective. The positive findings from this pilot‐scale study support investment in a larger study to further develop and explore delivery of lifestyle medicine intervention in this way.

Objectives. The study explores parents lived experience of having an infant with early onset group B streptococcus (GBS).Design. The study adopts a qualitative approach and a phenomenological framework with written autobiographical accounts as the method of data collection.Methods. Twenty-seven parents wrote first-hand accounts of their experience of having an infant with early onset GBS. Participants documented their experiences in their own way, reporting their thoughts and feelings, experiences, and events that were meaningful to them.Results. Four themes were developed from data analysis: 'bonding'; 'grief'; 'communication and information provision'; and 'future family'.Conclusions. The study findings demonstrate the complexity of emotions within parent's experiences and highlight grief and loss as a core component of these experiences. Medical intervention, while acknowledged as being vital and in many cases lifesaving, was viewed as a disruption to early bonding experiences resulting in sadness and guilt. Variation in information provision, communication about this infection, and feeling that their infant's illness and/or death were preventable added to the sense of loss. Breakdowns in interpersonal communications with partners and family were commonly described and experiences of early onset GBS had implications for decision-making around future pregnancies.

This paper evaluates SHAPE (Sexually Harmful Adolescent’s Progressive Education), a group-based intervention programme for sexually harmful adolescents which teaches psychological and social skills in order to address areas of need associated with risk. The SHAPE programme was run twice with three participants in each group (N=6). Results indicated that there were some significant changes to participant’s beliefs and attitudes as well as levels of anger control. These results suggest that the SHAPE programme is effective at delivering its aims but further data is required to assess the impact of the programme on actual offending behaviour.