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Giaro Health Management, formerly known as Health in Balance Advisory Service, is a development of comprehensive and outcomes-based strategies for health and wellbeing which have been applied at pioneering health projects in collaboration with medical practitioners in East London since 1992.

GHM provides information on preventative methods and offers advisory support to develop health management strategies for people with a variety of health-related needs.

It is an independent organisation dedicated to promoting optimum health and wellbeing for people with a wide range of health-related challenges, ensuring the services are delivered with relevance to their needs. Development of educational methods in supporting people with diverse needs is an innovation in delivery of preventative methods.

The service has made a substantial contribution to enabling health and wellbeing in the local communities in both, Havering and East London since 1992. It provided the opportunity for people of all ages to access information on preventative methods and personal development training activities that connected them with their wellbeing and engaged proactively into developing the strategies for improved outcomes.

The attained evidence suggests that early referrals to the service enable people with long-term conditions to remain in control over their functional limitations. They can make informed choices, and remain connected to their community, be it in personal life or in workplace, which improves their quality of life.

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As a qualified Further Education lecturer, Krys introduced educational methods of advisory support at the BbB Centre in collaboration with the Medical Practice in Bow, East London in 1992.

Then, educational and preventative methods were applied at pioneering health projects in collaboration with medical practitioners in Tower Hamlets and physiotherapists from London hospitals, who referred their patients to the programme to improve their health alongside medical treatment.

The evidence demonstrated that referred participants developed the necessary skills enabling them to attain a level of control over limitations, caused by chronic pain and their long-term conditions. That in turn helped them achieve their own potential in becoming more proactive and confident making informed choices for their own health and wellbeing.

The study and research were carried out against the background of extensive educational, healthcare and medical resources.

Although many participants presented multiple and complex health conditions, which often required prolonged interventions to enable improvement, the sooner individuals gained access to the activity and at the earlier stages of ill health development, the better the results and increased chances to manage their optimum health more effectively in the future.

Preventative methods and 3-dimensional assessment tool have been evaluated at the “Integrated Approach to the Management of Long-Term Health Conditions” at the master's level module at London South Bank University - School of Health and Social Care.

This approach facilitated people's developmental progress enabling their behaviour change for the improved outcomes, not merely participation in the intervention.

Krys's expertise in delivery of preventative strategies using targeted personalised approach to health development through education, agreeing specific goals and self-management skills training, has proved effective in building people's resilience to their health-related challenges and improved outcomes among the clientele with diverse needs.

Personalised interventions have outcomes-based and multidimensional structure, which provide a level of educational and counselling support that empowers individuals to explore their coping potential and enables them to overcome the challenges in daily life.

By taking a holistic, comprehensive, preventive, behaviour-focused, empowering, long-term, and coordinated approach to health management, individuals can optimise their health outcomes, enhance their wellbeing, and achieve a higher quality of life, for longer.

The GHM- Giaro Health Management offers an integrated, quality service and is innovative in the delivery of preventative methods which have been tried and tested in over 30 years' practice in many educational and community-based settings in East London, Bow and the Havering. It delivers a vision for the future of health and care management and is not only cost-effective but beneficial to the most vulnerable members of our local communities.

My personal experience of health and preventative care...

My two daughters were diagnosed with asthma at the age of 2 and 4 years old. Repeated attacks, wheezing, side effects of the prescribed medication and difficulty to cope with daily routines started to put more and more pressure on their bodies. That was when I decided to pursue other ways of reducing the triggers of the symptoms.

Allergy tests were performed, which gave me an insight into the triggers that led to their asthma attacks. Limiting their exposure to these factors, combined with an active and healthy lifestyle, gradually eased the symptoms and the frequency of attacks.

They are no longer dependent on medication as they learnt how to control the symptoms through a busy and healthy lifestyle. This has enabled them to enjoy making choices for their long-term wellbeing.

They helped me recognise the gap between clinical treatment and patient involvement in the process of better control over the symptoms, and thus, achieving better outcomes.

Although people need to continue taking medication to control the symptoms of long-term conditions, development of a proactive approach to managing overall health would help them reduce the impact of illness with its limitations on their lives, for much longer.

The sooner preventative steps are taken, the better the outcomes.

K Giaro - Advisor at GHM