I agree prevention of illness and disease is what we really have to focus over the next 5 years. Our practice is diagnosing large numbers of patients with Diabetes mainly due to Obesity. We need to encourage Lambeth people to take more exercise and eat more healthy foods. We need Public health to to work with Lambeth council and make bold decisions as creating more cycle paths, having less off licences selling alcohol, free play areas, making supermarkets provide cheaper healthy food, less fried chicken shops on high streets. There is lots of Public health evidence on what works but it needs the political will to make it happen.