BLUEPRINT FOR CREATING PRIMARY CARE HEALTH HUBS

SYNOPSIS

FOREWORD

PART 1: TRANSFORMING GENERAL PRACTICE

1.1 THE PURPOSE OF THIS BLUEPRINT

A handbook for general practices that want to offer Biomedical, Functional and Mind-
Body Medicine side by side. An Integrative approach providing the best of all worlds.

PART 2: MODELS OF HEALTHCARE AND ALLIED TREATMENTS AND THEIR

CURRENT STATUS WITHIN GENERAL PRACTICE

2.1 BIOMEDICAL MEDICINE - A REDUCTIONIST APPROACH

The art and science of identifying symptoms of disease due to existing pathology.
Uses synthetic medicine to treat symptoms even when unexplained by pathology.

2.2 FUNCTIONAL MEDICINE - A SYSTEMS APPROACH

Looks for root causes of dis-ease in psycho-neuro-endocrine-immune imbalances
usually stress induced. Treats using natural therapies, nutrition and supplements.

2.3 THE BIOMEDICAL AND FUNCTIONAL TREATMENT MODELS COMPARED

A table comparing key features of these two modalities side by side. The Biomedical
approach treats only symptoms whereas Functional medicine looks for root causes.

2.4 RESTRICTIVE PRACTICE ALERT: WHAT FUNCTIONAL MEDICINE

PRACTIONERS CAN OFFER IN PRIVATE PRACTICE THAT GPs CANNOT
Describes the limitations of the GP offering compared to what could be made
available if the government were to allow Functional Medicine to be practiced.
2.5 MIND-BODY MEDICINE (PSYCHONEUROIMMUNOLOGY) – A
BIOPSYCHOSOCIAL APPROACH
The art and science of identifying stress and exhaustion as the root cause of
medically unexplained illnesses, often accompanied by breath pattern disorder
2.6 INTEGRATIVE MEDICINE – THE BEST OF ALL WORLDS
Embracing Biomedical, Functional and Biopsychosocial approaches within Health
Hubs where practitioners operate with mutual respect for each other's disciplines
2.7. CURRENT STATUS OF THESE APPROACHES WITHIN GENERAL
PRACTICE
Biomedical is the predominant model. Functional Medicine is not allowed to be
practiced. Mind-Body medicine is available elsewhere in the NHS on a waiting list
2.8 CHOOSING WISELY UK
The aspirations of this organisation are entirely laudable but it seems it has made
little impact partly because of the absence of real choice in general practice

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PART 3: GOOD HEALTH STARTS WITH GOOD BREATHING. WHO KNEW!

3.1 THINGS YOUR GP WON’T TELL YOU (OR MIGHT NOT EVEN KNOW!)
Lamentably breathing physiology is no longer taught in medical schools. Whilst every
doctor and patient needs to understand this discipline inside-out, hardly any do!

3.2 CONDITIONS WITH MEDICALLY UNEXPLAINED SYMPTOMS WHICH YOUR

DOCTOR WILL NEVER RESOLVE BY TAKING A BIOMEDICAL APPROACH
The ‘fat file’ syndrome of unresolved ailments that is bankrupting the NHS but which
could so easily be avoided if doctors and patients first addressed correct breathing

3.3 THE CALAMITOUS EFFECTS OF CHRONIC HYPERVENTILATION

Habitually over breathing for long periods of time gives rise to a raft of illnesses with
medically unexplained symptoms, yet hyperventilation typically goes undiagnosed

3.4 ACID BASE BALANCE AND THE SCIENCE OF BREATHING:

Understanding the multiple health benefits which accrue from breathing coherently in
such a way that the acid base balance of the bloodstream is optimised.

3.5 WHY “TAKE A DEEP BREATH” IS BAD ADVICE AND WIM HOF IS NOT THE
GUY TO JUMP INTO A FREEZING LAKE WITH - NOT FOR NOW ANYWAY!
When you speak of breathing people often say, “Oh, you mean take deep breaths”,
or mention Wim Hof the ice man, oblivious to the dangers of deep and fast breathing

3.6 BREATHE THROUGH THE NOSE OR BREATHE THROUGH THE MOUTH?. IT

MATTERS!
Mouths are for eating whereas noses are for breathing. It’s something to do with the
flow of nitric oxide!

3.7 GOOD BREATHING RESTORES BALANCE, (HOMEOSTASIS), BY CREATING

OPTIMAL TRANSFER OF OXYGEN TO CELLS THROUGHOUT THE BODY
Internal homeostasis with good (also known as coherent or resonant) breathing is
the foundation of good health because it enables C02 to release oxygen to cells.

3.8 RESPIRATORY SCIENCE COUPLED WITH MIND-BODY MEDICINE USING A

BIOPYSYCHOSOCIAL THERAPEUTIC APPROACH IS WHAT IS NEEDED!
Meet the UK doctors and therapists who pioneered an effective, low-cost clinical
approach that could save the NHS £billions and transform the lives of patients.

3.9 CONCLUSION: BREATHING IS THE FIRST PILLAR OF HEALTH UPON

WHICH ALL THE OTHER PILLARS REST!
Breathing is overlooked by those who promote diet, exercise sleep and relaxation.
These are important but without first addressing breathing their benefits are reduced.

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PART 4: MODELLING STRESS, EXHAUSTION AND HYPERVENTILATION
Stress and exhaustion lead directly to over breathing which in turn leads to loss of
homeostasis. A health epidemic borne of modern lifestyles that cannot be ignored.

4.1 ARE YOU STESSED AND EXHAUSTED? THE HUMAN FUNCTION CURVE.
A model which illustrates the relationship between performance, arousal and health
showing the role played by catabolic metabolism in health breakdown and death.

4.2 THE HUMAN FUNCTION CURVE QUESTIONNAIRE

An instrument to prompt the question: “Am I on the down slope?”

4.3 ‘SABRES’ – AN ACRONYM LISTING THE ESSENTIAL REQUIREMENTS FOR

RESTORATION AND MAINTENANCE OF HEALTH (NIXON)
Factors to be mindful of in avoiding catastrophic physical and mental breakdown.
Also the basic educational needs of the patient in biopsychosocial rehabilitation.

PART 5: DIAGNOSTIC TOOLS FOR DEMONSTRATING TO PATIENTS THEIR

STATE WITH REGARD TO STRESS, EXHAUSTION AND HYPERVENTILATION
Patients have to be shown the state they are in before they can be encouraged to
take ownership of their health and be motivated to take remedial action.

5.1 SHOWING PATIENTS THE CONDITION THEY ARE IN.

Once pathology has been ruled out, diagnostic triage from a Mind-Body medicine
perspective prompts patients at act, with Functional Medicine in reserve if needed.

5.2 ANSWERING THE QUESTION “AM I STRESSED?” USING THE NIMAGEN

QUESTIONNAIRE (OR Dr NIXON’s BOOKSHELVES!)
The Nijmegen Questionnaire (NQ) gives a broad view of symptoms associated with
dysfunctional breathing patterns. Or like Dr Nixon, just watch the person breathe!

5.3 “A CAPNOGRAPH IN EVERY SURGERY”. USING CAPNOGRAPHY TO

DEMONSTRATE TO THE PATIENT THAT THEIR BREATHING IS FAULTY
Capnography has the potential to reveal more about how your body chemistry has
been over recent months / years and as it is now than any other available test

5.4 USING A SALIVA TEST TO SHOW CORTISOL LEVELS

Saliva is the stress hormone

5.5 USING A TEST OF HEART RATE VARIABILITY

5.6 OTHER HEALTH METRICS OBTAINED USING BODITRAX

5.7 PRESENTING THE DIAGNOSTIC INFORMATION SO AS TO ENCOURAGE

PATIENTS TO OWN THEIR HEALTH AND BE INSPIRED TO ACTION
Only by demonstrating to patients the threat and the opportunity can meaningful
discussion take place as to the range of Health Hub options now available to them.

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PART 6 : TOWARDS RESTORATIVE PRACTICE: MODELS FOR DEVELOPING
GOOD HABITS AND AWARENESS AROUND WHAT NEEDS TO BE DONE
Conceptual frameworks of value to patients in understanding the territory they are
about to enter if they are serious about taking responsibility for their health

6.1 THE SEVEN HABITS OF HIGHLY EFFECTIVE PEOPLE (COVEY)

The road to recovery involves developing good health promoting habits. Nowhere
are habits better articulated than in Covey’s classic treatise on personal mastery.

6.2 HYPERVENTILATION – A THERAPISTS POINT OF VIEW (KING)

Proffers a two-phase approach to recovery from hyperventilation-induced symptoms
which cannot be achieved by tackling the breathing disorder alone.

6.3 MODEL OF A LOGICAL PROGRESSION FOR GETTING BACK TO HEALTH.

(THE SHINN MODEL)
Applying Coveys ‘Begin With The End In Mind’, Dr Shinn shows that the journey to
health and wellness, (the end), starts with correcting breathing, (the beginning)

PART 7: SIX PRESCRIPTIONS FOR ACHIEVING BETTER BREATHING

Breathing is a habit so good breathing can be learned. Six prescriptions to get you
started on addressing faulty breathing. See what others you can find!

7.1 PRESCRIPTION 1: START USING RESPeRATE IMMEDIATELY TO SLOW

YOUR BREATHING
An easy to use biofeedback device for getting you started immediately on training
good breathing. Every Health Hub should have them to lend to patients.

7.2 PRESCRIPTION 2: READ AND PUT INTO PRACTICE ‘SELF HELP FOR
HYPERVENTILATION SYNDROME: RECOGNISING AND CORRECTING YOUR
BREATHING PATTERN DISORDER’ by Dinah Bradley
It is claimed that this little handbook has brought new life and energy to thousands of
people by restoring their ability to breathe simply, naturally and freely.

7.3 PRESCRIPTION 3: BOOK A SESSION ON ‘CAPNOTRAINER’ WITH THE

HEALTH HUB BREATHING COACH
An instrument for gaining an in depth understanding of how what is happening in the
mind affects the body as manifest in the breath

7.4 PRESCRIPTION 4: BREATHE LIKE THE BUDDHA! – WATCH THE FIRST 8

EXERCISES OF MINDFUL BREATHING
A short teaching video by Buddhist Master Thich Nhat Hanh.

7.5 PRESCRIPTION 5: CONSIDER QiGONG, YOGA, TAI CHI OR KINDRED

ACTIVITIES WHICH ENCOURAGE MINDFUL BREATING

7.6 PRESCRIPTION 6: ADDITIONAL READING ‘THE BREATHING CURE’ by

Patrick McKeown

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PART 8 : THE PSYCHOLOGY DIMENSION: CONFRONTING THE
PREDICAMENT AND DEVELOPING HEALTHY HABITS OF MIND.
Developing calm by putting first things first. Operating from your ‘circle of influence’
rather than getting trapped and stressed out in your ‘circle of concern’..

8.1 PURPOSE, MEANING, PERSPECTIVE AND THE WILL TO LIVE

It’s easier to say “no” to something when there is a bigger “yes” burning inside

8.2 CONFRONTING THE PREDICAMENT / CLEARING OUT YOUR GARAGE!

The predicament is all the things going on in your life and your mind that are
stressing you out and needing to be sorted before good health can return.

8.3 RECOGNISING HEREDITARY INFLUENCES AND ‘TYPE A BEHAVIOUR’

Epigenetics teaches that you are not a victim. Covey teaches that between stimulus
and response lies choice. Eliminate Type A behaviour once you become aware of it.

8.4 RECLAIM HEALTH: A RECOVERY STRATEGY WHEN DOCTORS CAN’T

EXPLAIN YOUR SYMPTOMS (BEALES et al)

8.5 COGNITIVE BEHAVIOURAL THERAPY FOR DUMMIES (WHITTEN)

8.6 EMOTIONAL HEALING FOR DUMMIES (BEALES)

PART 9 : TOWARDS TRANSFORMATION: SIX MAJOR ISSUES IN GENERAL

PRACTICE THAT HEALTH HUBS ARE DESIGNED TO OVERCOME
The top issues of concern to patients, doctors / practitioners and tax payers that
currently afflict general practice and which Health Hubs will eliminate by design

9.1 THE PATIENT / PROFESSIONAL RELATIONSHIP IS NOW BROKEN AND

WESTERN MEDICINE HAS LOST ITS WAY
The patient / professional relationship is at the heart of successful healthcare but has
now broken down. We need to value, redeem and reinvent this vital relationship.

9.2.DOCTORS PRESCRIBE WAY TOO MANY PILLS – A DANGEROUS AND

EXPENSIVE COP OUT
Succumbing to many pressures and without ready access to alternative treatment
modalities today’s doctors prescribe far too many pills which creates many problems

9.3 FUNCTIONAL MEDICING DOCTORS AND OTHER PRACTITIONERS ARE

NOT ALLOWED TO PRACTICE IN THE NHS, ONLY IN PRIVATE PRACTICE
There appears to be no good reason for this ruling that seriously restricts practitioner
treatment options and patient choice. It also leads to healthcare inequality

9.4 THE IMPORTANT PRINCIPLES OF PATIENTS GIVING INFORMED CONSENT

AND CHOOSING WISELY HAVE BEEN REPLACED WITH “TAKE IT OR LEAVE IT”
The Covid Crisis rode roughshod over this fundamental principle embodied in the
Neuremberg code. We need to restore it quickly to protect both doctors and patients.

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9.5. RECRUITING AND RETAINING BOTH THE QUANTITY AND CALIBRE OF
DOCTORS WE NEED IS NOW PROVING AN IMPOSSIBLE TASK.
Doctors dropping out of medical school, leaving General Practice to go abroad or
become Functional Medicine doctors are just some of the issues to be addressed

AND MEANWHILE.....

9.6 MEDICALLY UNEXPLAINED SYMPTOMS CONTINUE TO DRAIN NHS

RESOURCES FOR WANT OF A COMMITTMENT TO MIND-BODY MEDICINE
Until Mind / Body Medicine (including Breath Coaching) is brought into mainstream
general practice then many patients will be treated inappropriately at vast expense

PART 10: FROM SURGERIES TO HEALTH HUBS : A SYSTEMS SOLUTION

Health Hubs are designed as a system to overcome the failings of the current
system. Innovative surgeries will want to implement them. Others will be left behind.

10.1 THE HEALTH HUB CONCEPT – A SYSTEMS OVERVIEW

Diagram showing how different Health Hub elements relate to each other to form a
system whose purpose is to promote health and wellbeing in people and community

10.2 TWO STREAMS OF PATIENT: MEDICAL OR LIFESTYLE

Within the Lifestyle Stream patients could be treated predominantly with a Mind/Body
approach or a Functional Medicine approach with lead practitioners accordingly

10.3 THE INTEGRATED CARE TEAM PRACTITIONER ROLES AND JOB TITLES
GPs, Functional Doctors, Breath Coaches and Therapists – roles to enable Health
Hubs to offer Integrative Services embracing the three modalities from one location,

10.4 GENERAL PRACTIONERS OF MEDICINE (GP’s)

10.5 FUNCTIONAL MEDICINE DOCTORS AND PRACTITIONERS

10.6 BREATHING COACHES

10.7 HOLISTIC HEALTH COACH THERAPISTS

10.8 CREATING A CULTURE OF CONTINUOUS NEVER-ENDING

IMPROVEMENT IN PRODUCT AND SERVICE (W.EDWARDS DEMING)
Rating surgeries as ‘poor’, ‘excellent’ or whatever is bad news based on flawed
managerialist thinking. Culture change is needed like Deming taught the Japanese

10.9 ‘BRIDGING THE GAP’ – A PROFESSIONAL DEVELOPMENT PROGRAMME

FOR HEALTH HUB PRACTITIONERS (BEALES AND HAYWARD)
Improving Knowledge, Skills and Quality Of Care for patients with Medically
Unexplained Symptoms. An innovative joint education initiative.

10.10 OPERATIONAL MEASURES THAT ENCOURAGE CONTINUOUS

IMPROVEMENT RATHER THAN STIFLE PERFORMANCE OR MASK FAILURE

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PART 11: THE HEALTH HUB JOURNEY FOR NEW PATIENTS
The manner of inducting new patients sets the scene for mutual expectations under
the new way of thinking You never get a second chance to make a first impression

11.1 THE HEALTH EVENT / CRITICAL INCIDENT

A golden opportunity to set people on the right track for reclaiming their health by ,
coaching, encouraging, educating and helping them to take responsibility for it

11.2 OVERVIEW OF THE NEW PATIENT INDUCTION PROCESS

11.3 EXCLUDING PATHOLOGY – THE DOCTOR’s CRUCIAL INPUT

Medically trained doctors will conduct the initial assessment of patients and order
relevant tests. Patients are then assigned to the most appropriate treatment stream.

11.4 DIAGNOSTIC TRIAGE FOR NEW PATIENTS – DEMONSTRATING TO

PATIENTS THE CONDITION THEY’RE IN
Essentially as described in Part 5

11.5 THE HEALTH HUB INDUCTION SEMINAR / SETTING NEW PATIENTS OFF
ON THE RIGHT TRACK
Ensuring that new patients have all the information they need to get the best from
what is now on offer and motivating them to take responsibility for their own health

11.6 AFTER THE SEMINAR: THE MOTIVATIONAL INTERVIEW LEADING TO A

PERSONAL HEALTH PLAN

11.7 CASE CONFERENCING NEW PATIENTS

Team review of new patients looking at all the available information from a three
modality perspective to ensure that the best course of action is being taken

11.8 PHYSICAN HEAL THYSELF!

All Health Hub practitioners have a professional duty to first practice what they teach
otherwise their credibility and effectiveness is undermined

PART 12 : THE EDUCATIONAL COMPONENT / DE-MEDICALISING MEDICINE

To ignite patient curiosity and enthusiasm as individuals and in study groups for
gaining new knowledge with a view to them taking responsibility for their own health.

12.1 DE-MEDICALISING MEDICINE: THE DOCTOR AND PRACTITIONER AS

EDUCATOR AND LEARNER
Whereas biomedical interventions are necessary to treat acute emergencies, chronic
ailments may be better addressed by an education approach with motivated patients.

12.2 TARGETTED HEALTH EDUCATION AS A MEANS OF DE-MEDICALISING

MEDICINE AND MOTIVATING COHORTS OF PATIENTS
Patient education as a motivational tool with practitioners engaging, educating,
involving and, crucially, learning from patients in a two-way non clinical exchange

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12.3 RUDE HEALTH 100 SERIES: FOUNDATION COURSES FOR GETTING
HEALTHY AND STAYING HEALTHY
National training packages developed for local delivery by Health Hub practitioners

12.4 RUDE HEALTH 200 SERIES: COURSES ON CHRONIC AILMENTS AND

HOW TO OVERCOME THEM
National training packages developed for local delivery by Health Hub practitioners

12.5 ADDITIONAL EDUCATIONAL & RESEARCH RESOURCES

Tapping into the vast amount of medical wisdom now available on the internet with
advice and guidance from Health Hub practitioners as to its validity

PART 13: THE HEALTH HUB JOURNEY AND EXPERIENCE FOR EXISTING
PATIENTS
Re-imagining the way that patients are helped in light of the possibilities that the
Health Hub concept now gives rise to.

13.1 ANNUAL FUCTIONAL HEALTH REVIEWS

Preventive checks by Functional Medicine Doctors could remove swathes of people
from the medical GPs workload by promoting health and not having to treat illness.

13.2 PATIENT ATTENDANCE ON THE HEALTH HUB EDUCATION PROGRAMME

FOR CURING CHRONIC AILMENTS
Educational “treatment” in the classroom for cohorts of patients with similar
conditions who can support and help each other heal is an efficient way of working

13 3 DE-PRESCRIPTION CLINICS
It is entirely possible to reduce medications once patient education programmes and
alternative treatment modalities become available under an Integrative approach

PART 14 : IGNITING VIRAL OUTBREAKS OF RUDE HEALTH IN COMMUNITIES

People who have been healed without pills by Health Hubs are the best people to
recruit new patients to practices that operate in this way so they too can be healed

14.1HEALTH HUBS: A PROACTIVE FORCE FOR PROMOTING HEALING

WITHOUT PILLS IN THEIR COMMUNITY AREA
Led by the Patient Participation Group, how Health Hub Ambassadors / Champions
and Volunteers can spread the word about patients being healed without pills

14.2 THE ROLE OF LOCAL PARTNERSHIPS, LOCAL HEALTH-PROMOTING

ACTIVITIES AND SOCIAL PRESCRIBING,
Anything from gyms, swimming pools, sport centres, organic growers, cookery
classes, alternative therapies, dry stone walling, martial arts etc. etc,

14.3 THE HEALTH HUB CHARITABLE TRUST

To help fund activities and treatments ‘over and above’ what the NHS can
reasonably pay for

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PART 15 : THE CASE FOR HEALTH HUBS FROM A COST / BENEFIT
PERSPECTIVE
Not everything that is important can be costed. Not everything that can be costed is
important. Price is what you pay, value is what you get!

15.1 THE PURPOSE OF PRIMARY CARE

A true national health service where cure is important but prevention is paramount

15.2 DOING THE WRONG THING RIGHTER OR DOING THE RIGHT THING
Treating chronic diseases with acute medicine is doing the wrong thing and therefore
wasteful whereas providing integrated healthcare uses resources efficiently

15.3 THE PERENNIAL DILEMMA: ‘CAN WE AFFORD TO’ VERSUS ‘CAN WE

AFFORD NOT TO’
This dilemma is resolved by leaders who believe there is a better way to deliver
healthcare and have the courage of their convictions to get on and do it

15.4 LIKELY COSTS AND BENEFITS

Could health hubs offer better service at less cost to the taxpayer?

15.5 ACCOUNTING FOR THE UNKNOWN AND UNKNOWABLE

Things you cannot put a price on are things that are likely to matter most to patients.
What Deming called “unknown and unknowable”
15.6 BOTTOM LINE: THE BEST WAY FORWARD IS TO ‘SUCK IT
Small scale pilots run by practices that really want to do this because they believe in
it will be more successful than a top down approach imposed by government

PART 16 : SECURING THE INTRODUCTION OF HEALTH HUBS INTO

MAINSTREAM GENERAL PRACTICE – THE CUNNING PLAN!
A “ground up” approach whereby Health Hubs and their healed patients contribute to
a national movement tasked with influencing government and championing change.

16.1 BRINGING DOWN THE BERLIN WALL – THE SYSTEM CONDITIONS FOR
CHANGE
The crisis in general practice is economically unsustainable. Health Hubs offer a way
out of the crisis once circumstances force government to be receptive to them l

16.2 FORCE FIELD ANALYSIS – UNDERSTANDING THE DRIVING AND

RESISTING FORCES FOR CHANGE
Force Field Analysis commends strengthening the driving forces whilst
simultaneously weakening the resisting forces. Seems like a plan!

16.3 IF AUSTRALIA, NEW ZEALAND AND SOUTH AFRICA CAN OFFER

FUNCTIONAL MEDICINE WHY CAN’T THE NHS?
This Blueprint aims to make the UK a global leader in general practice provision
rather than a follower

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16.4 STRATEGIC ALLIANCES AND PROTAGONISTS FOR CHANGE:
ACTIVATING THE HEALTH HUB MOVEMENT
Doctors, practitioners, patients and like-minded organisations coming together to
push for and influence change from the ground up. The peasants’ revolt!
16.5 REACHING A TIPPING POINT FOR SECURING LEGISLATION TO CHANGE
THE SYSTEM
Transforming one surgery at a time is evolution not revolution; organic not imposed
change. Patient and practitioner led change is more likely to stick. Do or be done to!

16.6 BRINGING EVERYONE TOGETHER, SHARING INNOVATION,

CELEBRATING SUCCESS AND TASKING PEOPLE AT INFLUENCER
CONFERENCES
Influencers are tasked with lobbying 650 MPs whose votes would be needed to
secure legislation to change the system. Go forth and influence!

PART 17 : DESIGNING A SYSTEM THAT REWARDS SUCCESS AND DOING

THE RIGHT THING

17.1 METHODS OF REWARDING PRACTICES THAT DO THE RIGHT THING SO

THAT DOING THE WRONG THING NO LONGER PAYS

17.2 USE OF THE NETWORK CONTRACT DIRECT ENHANCED SERVICES

MECHANISM (DES)

17.3 USE OF THE LOCAL ENHANCED SERVICES MECHANISM (LES)

PART 18 : CONSEQUENTIAL ISSUES GOING FORWARD

18.1 ESTABLISHING A MINISTER FOR INTEGRATED GENERAL PRACTICE

18.2 RETHINKING EVIDENCE-BASED MEDICINE
18.3 RETHINKING THE HIPPOCRATIC OATH: DO NO HARM OR DO GOOD?
18.4 RETHINKING HOSPITAL PRESCRIBING PRACTICES

18.5 RETHINKING GP TRAINING

18.6 NECESSARY LEGISLATIVE CHANGES

PART 19 : CONCULSION: THE TIME FOR THE GREAT RESET OF GENERAL

PRACTICE, BUILDING BACK BETTER IS NOW!
Nothing changes unless everything changes. Are you a leader or a follower?

AFTERWORD

ACKNOWLEDGEMENTS

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POSTSCRIPT: THE SPIRITUAL DIMENSION IN WELLNESS

PS1: THE BIGGER SYSTEM / BIO PSYCH SOCIAL SPIRITUAL

The cost to health of living in a Godless society

PS2: THE HEALTH BENEFITS OF KNOWING YOU’RE IN GOOD HANDS

Give all your problems to God thereby removing stress and worry from your own
shoulders

PS 3: THE HEALTH BENEFITS OF PRAYER, MEDITATION AND GRATITUDE

Ancient wisdom gaining a comeback

PS 4: EILEEN CADDY: OPENING DOORS WITHIN

365 daily meditations to set your mind straight

APPENDIX 1: FORCE FIELD ANALYSIS: THE DRIVING AND RESTRAINING

FORCES OF CHANGE

APPENDIX 2: NATIONAL RESOURCES FOR SUPPORTING THE

DEVELOPMENT OF HEALTH HUBS

APPENDIX 3: PROVEN! - A LIST OF COMPLEMENTARY AND ALTERNATIVE

THERAPIES FROM THE SACRED SCIENCE VIDEO SERIES

APPENDIX 4: SELF-HELP WEB RESOURCES FOR PATIENTS

APPENDIX 5: SHOULD EVALUATION BE REQUIRED – THE PILOT STUDY

APPENDIX 6 : GLOSSARY

APPENDIX 7: REFERENCES, BIBLIOGRAPHY & PUBLISHED ARTICLES

APPENDIX 8: ‘HOPE FOR THE FUTURE’ – MAPPING THIS BLUEPRINT ONTO

THE COLLEGE OF MEDICINE’S MANIFESTO

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