that NNT = 12 for exercise advice in primary care keep seeing on twitter. https://doi.org/10.1136/bmj.e1389 . the interventions were not done by GPs ad hoc. resourced, organised- eg 12 phone calls!, mainly done by other HCP.

appropriate lifestyle advice is usual care; but v hard when people holding together several zero hours contracts; caring for relatives; mental illness, etc. average 3 problems per consult. population access to exercise needs systemic joined up care, eg cycle infrastructure

ultimately I think primary care should be the resource of the community not the leader. an advocate not the manager. contributor but not in charge. not under pressure to be role modelling. no one is perfect. but we can all admire others for strengths no matter shape or size.