Background:Marmot and others have argued for ‘progressive universalism’ as an approach to addressing the social determinants of health and improving health outcomes.  Northern Adelaide Medicare Local, in partnership with others, has been funded by ANPHA to improve respiratory health through prevention across the continuum of care with enhanced support for those in greater need.

Methods:Informed by the data and the evidence about effective prevention practice the NRP is implementing:

·      Primary prevention strategies around smoking especially for Aboriginal residents; and health literacy and settings approaches for respiratory health

·      Secondary prevention maximising early detection and supporting good management of asthma and COPD

·      Tertiary prevention through smooth pathways with acute care and effective support for those with existing illness

·      A comprehensive and coordinated whole of community approach.

Results/Discussions: The data has provided a clear picture of those areas with poorest respiratory health, corresponding with greatest need and this underpins the project. A roundtable discussion has supported a more collaborative approach to helping Aboriginal people quit smoking and successful approaches are being progressed with the primary health care sector, particularly with pharmacies and GPs. Education settings are being supported to be asthma friendly and workplaces are planned.

The project commenced in April 2013 and runs for two years. The presentation will present successes to date as well as challenges including: progressing multiple strategies concurrently; applying the concept of progressive universalism in practice; and meaningfully integrating notions of health literacy.

Conclusions/implications: The NRP is ambitious in scope, befitting the evidence, and has strong participation from the partners. It also applies a prevention approach to a disadvantaged population with considerable disease burden. This project contributes to the evidence around how to translate the research on comprehensive approaches to health issues into practice.