ABSTRACT
Health promotion constantly changing with each emerging public health issue and each new approach to influencing policy, practice and behaviour. Success in teaching and assessment has not been uniform, either within or between curricula, and health promotion techniques do not necessarily stay with all students in the same way as the 'holy grail' of factual knowledge. Measure the problem, evaluate action, expand the knowledge base, develop a workforce that is trained in the social determinants of health and raise public awareness about the social determinants of health. A new vascular risk reduction programme aims to maximise control of cardiovascular risk factors in primary care and link check-ups and healthy lifestyles advice more firmly into the Quality and Outcomes Framework for incentivising practices. Obesity provides an excellent case study in how health promotion is changing. As well as premature death from obesity-related causes such as coronary heart disease and various cancers, obesity can cause many years of chronic disease.
