The National Health Creation
Strategy
We wrote this as a template for what we believe is required to change the health of our children — and our children's children. A quiet, evidence-aligned roadmap for shifting the UK from treatment to prevention.
The UK faces a rising burden of preventable chronic disease — type 2 diabetes, heart disease, obesity, hypertension — driven largely by diet, lifestyle and environment. Yet less than 2% of NHS spending goes to prevention. The imbalance is economically unsustainable and, more painfully, clinically ineffective.
This paper proposes a whole-system transformation: not less treatment, but less need for it. It is built around five coordinated pillars and phased gently across three decades, so that change is safe, sustainable and possible.
It is offered as a template — a starting point for conversation between citizens, clinicians, schools, supermarkets and policymakers. Please read it, share it, and improve it.
A coordinated framework
Primary care reform
Nutritionists, dietitians and lifestyle practitioners embedded inside every GP practice.
Schools reform
A national “We Are What We Eat” curriculum from Reception through Year 11.
Supermarket regulation
Major supermarkets enlisted in a national Healthy Living Campaign — defaulting toward better choices.
NHS financial reform
Rebalancing NHS spending so 10–15% goes upstream, into prevention, over thirty years.
National public programme
A long-term, unified Healthy Living campaign that normalises food and lifestyle as medicine.
An unhurried transformation
- Phase 1 · Years 0–5
Pilot Nutrition & Lifestyle Hubs in 300–500 GP practices. Launch the schools curriculum. Begin supermarket reform. Lift NHS prevention spending to 4%.
- Phase 2 · Years 5–15
Expand hubs to half of GP surgeries. Embed nutrition into GCSE assessment. Extend HFSS restrictions. Prevention spending rises to 6–8%.
- Phase 3 · Years 15–30
Comprehensive integration across primary care, schools and food retail. Prevention spending stabilises at 10–15% of NHS budget. Population health improves across generations.
The National Health Creation Strategy
The complete white paper — executive summary, framework, economic case, risks and costings — as a printable PDF.