An understanding of these factors is important for practitioners involved in behaviour change, because while the support of behaviour change should be universal, more support is often needed for those who are socioeconomically disadvantaged. Evidence-based practice in relation to behaviour change interventions requires a seamless pathway for patients provided by a range of practitioners with various skills (National Institute for Health and Care Excellence (NICE) 2007). The Department of Health (DH) (2012) endorses the NHS Future Forum’s recommendation to ‘make every contact count’, in other words, to ensure that those working in the NHS use every opportunity to help people change their negative behaviours with regard to the four main lifestyle risk factors: smoking, alcohol, diet and exercise.