Why Lifestyle Medicine Accelerator Exists

Lifestyle Medicine has the potential to transform patient outcomes - but for many NHS teams, the challenge isn’t belief, it’s implementation. We exist to bridge that gap - helping teams turn intention into practical, sustainable services.

Our mission is to embed lifestyle medicine sustainably within the NHS - supporting better patient outcomes and helping to reduce health inequalities.

We do this by working in partnership with NHS organisations on a commissioned basis to design and deliver tailored services that are practical, sustainable, and free for patients at the point of care.

Where it started

A woman with shoulder-length blonde hair and blue eyes, smiling and wearing a white top.

Meet Camille – A GP on a mission for change

As a GP working in North Lewisham in London, Camille saw the growing impact of lifestyle-related conditions on her patients every day.

After completing her diploma in Lifestyle Medicine, she became increasingly aware of the gap between what was possible, and what was actually being delivered in practice. She saw Lifestyle Medicine as more than just a healthcare approach, that it was a way to tackle health inequalities by addressing the root causes of illnesses, not just the symptoms.

Lifestyle medicine made sense. The evidence was there. But in reality, there was no clear, practical way to embed it into everyday NHS care in a way that felt accessible, sustainable, and effective for patients.

She knew there had to be a better way.

Working with the community, not around it

At the same time, North Lewisham PCN had already been building strong foundations through its health inequalities work - led by Dr Aaminah Verity - with a well-established community forum and a commitment to co-design.

Rather than creating a service for patients, the decision was made to design it with them.

This approach shaped everything.

The aim was to move away from top-down healthcare models and instead build something that genuinely reflected the needs, preferences and lived experiences of the local population.

The principle was simple:

Nothing about me, without me.

Illustration of diverse group discussing key themes in healthcare. Bubbles highlight ideas: "Holistic service," "Non clinical, minimal medical jargon," "Open to all within PCN," "Longer appointment," "Engaging underserved communities," "Culturally appropriate, personalized information and advice giving," "Open follow-up," "Optional tests," "Group work alongside one-to-one's."

Testing what works in the real world

The North Lewisham Lifestyle Medicine Service was developed and delivered within this context - designed to work within the realities of the NHS, not outside of it.

The service:

  • Was delivered by health and wellbeing coaches and nutritionists using ARRS funding

  • Combined group-based and one-to-one support

  • Focused on practical, personalised behaviour change

  • Prioritised accessibility, inclusivity and long-term support

It was open to a broad population, while also proactively reaching those at higher risk of cardiovascular disease and health inequalities.

This wasn’t a theoretical model.

It was tested in a live system, with real patients, real constraints, and real outcomes.

Infographic about Lifestyle Medicine Service with arrows pointing to Health & Wellbeing Coaches, 1-1 and Group Sessions, MDT and Referrals with Wider Team, Open to All, and 12 Week Program with Follow Up.

What we learned

Through this work, a number of things became clear:

  • Lifestyle medicine can be successfully delivered within NHS settings

  • Engagement improves when services feel accessible and relevant

  • Longer-term support is key to meaningful, sustained change

  • Co-design leads to stronger, more effective services

Most importantly: implementation matters just as much as intention

Infographic about service improvements, noting statistically significant results in BMI and weight, diabetes management, sleep quality, mental health, physical activity, and fruit and vegetable intake. It highlights personal testimonials about the service's accessibility and personal tailoring, with positive feedback on the coordinator, discussion groups, and individual sessions.

From local service to scalable approach

While the programme was successful, it also highlighted a wider challenge. Delivering lifestyle medicine in a single PCN is one thing. Embedding it consistently across different teams, populations and systems is another.

It became clear that NHS organisations needed:

  • a practical framework

  • support with design and delivery

  • and a way to adapt the model to their own context

Lifestyle Medicine Accelerator was created to meet that need.

Where we are now

Today, we work with NHS teams to design and deliver lifestyle medicine services that are:

  • Practical to implement

  • Grounded in real-world experience

  • Adaptable to local populations and systems

Building on what was learned in North Lewisham, we support organisations to move from intention to implementation - creating services that are both effective and sustainable.

Explore our work in practice

To see more examples of how lifestyle medicine services have been designed and delivered, including outcomes and learning, visit our Projects and Impact page.

Ready to explore what this could look like in your setting?