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Patients will be offered a choice of hospitals for planned operations from December 2005 and will soon be offered choice in other areas of health care. This paper presents the key findings from ten focus groups held to explore public views about choice in health and health care, and aims particularly to describe attitudes to choice among people living with a long-term condition. It concludes with a discussion about the implications of findings for emerging policy. The findings will inform the design of a larger quantitative survey about choice, to be conducted towards the end of 2005. 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Failure to address avoidable ill health will put huge pressures on the future NHS while deepening health inequalities. This discussion paper asks why, until recently, helping people to stay healthy has had so little emphasis, and what mechanisms and incentives are needed to put wider population health at the heart of attitudes, policy and behaviour. It marks the start of the programme 'Putting Health First' which: analyses how the media influence public attitudes and policy; explores the structures, mechanisms and levers needed for change; highlights the need for clear evidence, and argues for stronger leadership at all levels.  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