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Scenario from the White Paper

Dan is 50 and divorced. He has found his job difficult since his team was given a new leader. He sleeps badly and feels anxious. His GP signs him off work.

The GP also notices Dan has not updated his personalised health guide (PHG) since he left school and advises him to go for a 'health check'­ a new service for people entering their 50s. Dan is reluctant until he discovers he can access some of the service from home. He books time one evening to talk to an NHS Direct nurse, who appears live on his digital TV.

The health check shows Dan eats poorly and does little exercise. Dan agrees to look at some websites about healthy eating. He also agrees to try and go for a daily walk.

After some weeks, Dan's company sends an occupational health consultant to see him ­ he moves teams and returns to work part time. It also agrees to provide 'break out' rooms for staff in danger of stress. Dan calls up his PHG on the HealthSpace website and makes a note about what he agreed with the occupational health adviser, so his GP can see it.

Dan also decides to have a full health check and books an appointment at his surgery. The walks have helped to control his stress symptoms, so he asks the health check technician about the benefits of running. The two find a programme on a running magazine website. This is attached to his PHG. Dan also subscribes to the magazine, so he can receive a personal programme and eating tips.

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