Making Every Contact Count

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Making Every Contact Count (MECC) is a behaviour change approach which uses the everyday interactions we have with patients and the public to support positive choices about their health and wellbeing.

Our definition of MECC in London is as follows:

''MECC is a scalable, behaviour change approach that encourages positive health and wellbeing choices through individual, organisational and environmental interactions. It involves enhancing, identifying and acting on the opportunities to engage people in conversations about their health in a respectful way to help them take action for their own health and well-being.''

MECC is central in how we can better support people to get the help they need earlier. Often residents or patients will ask for help on issues outside of our own work area but we don’t know what advice to give, MECC is about spotting opportunities in the conversations we already have with residents to signpost them to support. Members of the health, public and voluntary workforce can be skilled up on how to 'Make Every Contact Count' so that they can be champions for prevention

MECC is one of the key enablers of prevention and is very closely linked to the social prescribing agenda.

MECC in London

MECC has been identified as a key priority in every Sustainability and Transformation Plan (STP) across London and is an important initiative in raising health behaviour topics in an effective way with a view to making an appropriate referral to local support services.

It has been rolled into a number of NHS organisations and local authorities in London in different ways to address local needs with varying success. For example:

  • 15-40 minute free e-learning for the wider workforce to spread the messages at scale and pace
  • Workforce training to address wider determinants of health within the local authorities, voluntary sector and wider workforce
  • CQuins for Alcohol and Smoking BI’s - IT strategies and clinical pathways.

MECC Framework

The purpose of the framework is to highlight what has already been achieved and what can be developed or strengthened within the environments, culture and health-promoting infrastructures to help MECC leaders make it as cost-effective and sustainable as possible.

This framework has brought together the information and guidance for all of the key elements required to support MECC. It aims to build on and optimise the behaviour change frameworks which currently exist and provide a one-stop hub where organisations can find (and contribute to) the relevant evidence, good practice and resources (both nationally and local off the shelf tools) required to effectively implement MECC. It is designed to help organisations who are thinking about implementing MECC or help those already doing so to improve their practice.

The framework is intended to be a live document which will continually evolve via an improvement collaborative approach ensuring the most up to date evidence, resources and good practice cases studies are captured and shared across London. 

File: MECC Framework

London Wide MECC Steering Group 

Healthy London Partnership, Public Health England, Health Education England, Public Health Academy, London Councils and the Association of the Directors of Public Health London have formed a partnership to take forward the Making Every Contact Count (MECC) agenda across London. 


"To provide system-wide leadership and oversight for a strategic pan-London approach to MECC within the context of the coordinated, integrated, person-centred care agenda’’

Further Reading/resources

  2. NHS Midlands and East An Implementation Guide and Toolkit for Making Every Contact Count: Using every opportunity to achieve health and wellbeing
  3. Public Health England, NHS England and Health Education England, Making Every Contact Count (MECC): Consensus statementApril 2016