T Level Health: Health Promotion and Wellbeing

This material covers health and wellbeing, the area of the core knowledge in the T Level in Health that deals with preventing ill health rather than treating it. In the specification used for students starting from September 2026, it belongs to the paper on working in the health sector, one of the two written exams that, with an employer-set project, make up the core assessment.

You start with the shift in the approach to healthcare, from treating illness towards promoting wellbeing and preventing disease, supported by joined-up working between health, social care and communities. You then compare the roles of the World Health Organization, the UK Health Security Agency and the Department of Health and Social Care, and work with the three levels of prevention: primary prevention such as vaccination and stop-smoking support, secondary prevention such as screening and blood pressure checks, and tertiary prevention such as cardiac rehabilitation.

Epidemiology is covered through incidence, prevalence, mortality and morbidity, with a calculation of incidence and prevalence per 1,000 people and what each figure tells a public health team. The material then turns to practice: how Make Every Contact Count uses routine appointments to raise smoking, diet, alcohol and inactivity through very brief interventions, and how lifestyle choices affect long-term health. You compare national campaigns, targeted campaigns, education programmes and policy change, such as the levy on high-sugar soft drinks, and finish with signposting and social prescribing: sending a person to the service that best fits their needs.

Most quiz questions are short scenarios in invented surgeries, schools and public health teams, each with one best answer, plus one calculation. The flashcards hold the key terms. The written work has eight longer tasks, such as explaining the three levels of prevention for coronary heart disease or calculating and interpreting incidence and prevalence, marked against key points. The exam is a conversation with an examiner who asks you to apply one idea at a time and gives brief feedback at the end.

The questions are original practice material and do not predict what a particular exam will ask. The material is for study only and is not personal health advice.

  • Explain the shift from treating illness to promoting wellbeing and the roles of the WHO, UKHSA and DHSC
  • Distinguish primary, secondary and tertiary prevention with examples
  • Calculate and interpret incidence and prevalence and define mortality and morbidity
  • Apply Make Every Contact Count and explain the health effects of lifestyle choices
  • Compare methods of health promotion and signpost people to suitable services

Practice material written by Zestly, based on the core content of the Pearson T Level Technical Qualification in Health specification (Version 1.2, July 2026, for students starting from September 2026), content area 6 (Health and wellbeing), sections 6.1 to 6.4; levels of prevention are a standard public health framework added for context. Not endorsed by Pearson or the Department for Education.

Sample question

Sarah, a healthcare assistant at Kirkby GP Surgery, learns during a routine blood pressure check that a patient smokes heavily. She briefly raises the risks, asks whether he would like help to stop and gives him details of the local stop-smoking service. Which approach is Sarah applying?

See the answer

Make Every Contact Count

Make Every Contact Count (MECC) encourages all health and care staff to use routine interactions to identify risk factors such as smoking, poor diet, alcohol and inactivity, deliver a very brief or brief intervention and help the person access further advice or services. The Caldicott principles concern confidential information, the duty of candour is openness when things go wrong, and safeguarding protects people from abuse.

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