Health of people living in Portsmouth is worse than that of England average with a high rate of non-accidental premature deaths and Long Term Conditions, specifically Cancers, Type ii Diabetes, High Blood Pressure and Respiratory Disease linked to poor lifestyle choices explicitly diet, inactivity, smoking and overuse of alcohol.Currently, limited studies document adults attending minor injury/illness units. A profile study was conducted to record number and type of at risk behaviour in adult clients presenting. Mandatory form was adapted to ask about smoking, Body Mass Index and alcohol consumption over one month. Of 4025 clients, 2818 fell within the inclusion criteria (16-75), 1620 (58%) consenting for data to be used for research, with 48% males females 52% and 93% were White British. The mean age was 42 (SD 16.08), mode was 31, 76% (1225) were found to live with a high risk lifestyle choice, 27% being smokers, with 57% male smokers compared to female, 34% were overweight and 38% were obese and 5% were found to consume high levels of alcohol. The study concluded that 76% had unhealthy lifestyle choices, there is an opportunity to incorporate healthy conversations, ask, assess for readiness to change, advice and referral into consultation. Over 15.4 million people in England live with Long Term Conditions (LTC's), namely cancers, heart disease, chronic obstructive pulmonary disease and type ii diabetes, a number which is expected to rise to 18 million by 2025 (Department of Health [DH], 2010), with many people living with more than one condition, conditions for which there is currently no cure but managed by drugs and other treatment (DH, 2012a). The consequences of LTC's include around 170 000 non-accidental premature deaths every year (World Health Organization [WHO], 2013). According to the Department of Health (2012b) people with LTC's account 2for 50% of all GP appointments, 64% of outpatient appointment, 70% of inpatient bed days and 70% of health and care spent on 30% of the population.There is a strong link between avoidable unhealthy lifestyle choices, LTC's and high rates of non-accidental premature deaths (DH, 2009:2). NHS England (2013) observe that the risk of developing LTC is "greatly increased" by personal unhealthy at risk behaviour as alcohol, smoking, poor diet and inactivity, predicting that by 2035, 46% men and 40% women that are obese will result in an additional 550 000 people living with diabetes and 400 000 with stroke and heart disease. Office for National statistics, (2015), further postulate that 23% of deaths, of which 60% were male, could have been avoided through good quality healthcare or wider public health interventions. Current government agenda has set five main priorities to help people adopt healthier lives and live longer, which include tackling obesity, smoking, illegal drug use, alcohol consumption, increase exercise and reducing inequalities (Public Health England, 2015).Portsmouth, a city on the south coast of England, has a population of 205 500 people, 49.6% male ...