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Making Every Contact Count

All organisations responsible for health, wellbeing, early years, education and care of the public can train their staff to use every encounter with a member of the public as an opportunity to promote health and wellbeing. Delivering healthy messages and signposting to healthy lifestyle resources in this way has become known as Making Every Contact Count or MECC.

This NHS led initiative aims to improve the lives of our population. Anyone can be easily trained to deliver MECC and the more people who can deliver MECC, the greater the impact in improving health outcomes for children and families. Although MECC happens at an individual level, if it is delivered systematically by large numbers of people across a health and social care community, it has the potential to produce significant health gain at a population level. Derbyshire Fire & Rescue Service is taking this opportunity for all members of its workforce to join up with health and care organisations across Derbyshire and together, make a concerted effort to improve public health.

MECC encourages all staff within a supporting organisation to engage with the public in conversations about smoking, healthy diet, healthy weight, exercise and alcohol intake. Providing simple, brief lifestyle information and being able to signpost members of the public to existing services where appropriate.

MECC is about taking an opportunity to help someone. For instance a person may comment "I really should give up cigarettes" and this is an opportunity to say: "If it's something you're serious about I can tell you where you can get help - and in the meantime remember not to smoke in bed".

What could MECC achieve?

Across the East Midlands there are 288000 staff members - with millions of contacts with the public every year.

  • If each member of staff delivers MECC just 10 times each year there will be 2.88 million new opportunities to change lifestyle behaviour every year.
  • If one in 20 of these people go on to make a positive change to their behaviour a total of 144000 people would be improving their health and well being.


This video is an introduction to the MECC initiative by the NHS.

Firefighters Perspective

This video is a general view of the MECC from the Firefighters perspective.

Managers Perspective

This video is a general view of the MECC from a managers perspective.

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