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Summary In this episode, Ollie is joined by GP, lifestyle medicine doctor and health coach Dr Hussain Al-Zabadi to explore how behaviour change really happens in healthcare. Hussain shares his personal journey into lifestyle medicine, reflecting on how his own health challenges forced him to rethink the way he was living and working. What followed was a gradual shift in perspective – from focusing purely on medical knowledge and clinical targets, to understanding the deeper drivers of health: environment, community, relationships and personal motivation. The conversation explores the limitations of traditional healthcare approaches that rely on advice-giving and information alone. Hussain explains how discovering health coaching transformed the way he works with patients, helping him move from “telling people what to do” towards creating space for patients to explore their own motivations, priorities and barriers to change. They discuss the realities of working within the time pressures of primary care, and how coaching skills can still be applied in short consultations by planting seeds and helping patients reflect on what matters most to them. Hussain also highlights the power of group consultations and peer support, where patients often gain confidence and momentum from learning alongside others. The episode closes with a broader reflection on the NHS ambition to shift from a sickness model to prevention. Hussain offers a candid perspective on why this transition is difficult in practice, arguing that meaningful prevention will require better training, stronger collaboration between roles in primary care, and a deeper understanding that health is created largely outside the consultation room. Takeaways Health behaviour change rarely happens through information alone. Community, relationships and environment strongly shape health outcomes. Lifestyle medicine focuses on the root causes of illness, not just clinical targets. Health coaching helps patients develop autonomy, confidence and ownership. Creating the right conditions for change is more effective than prescribing solutions. Patients often know what they “should” do but struggle to implement it. Coaching skills can be applied even in short consultations by planting small seeds. Group consultations allow deeper conversations and peer-to-peer support. Many valuable community services remain underused because healthcare teams don’t know they exist. A shift towards prevention will require new skills, better collaboration and system change. Health is largely created outside the consultation room.