 My name is Mark Harris, I'm the Director of Compare Primary Health Care, which is the Centre for Obesity Management and Prevention Research Excellence in Primary Health Care. We were trying to understand the problem of obesity in Australian community and in particular what the primary healthcare sector can do to try and address the problem of obesity. So what we did was we divided our work into three streams, one of which was working with young mothers and infants and providing them with through-practice nurses with electronic support. The second stream focused on patients with low health literacy who are obese and how they could be supported in general practice. And the third stream was looking at the referral pathway for patients from general practice to other services and the health economics of providing obesity care in general practice. Most of them are still going on. We've found that it's feasible and that it's acceptable both to practice nurses and young mothers to deliver support in that way, particularly using new technology like phone apps and text messaging and so on. In the second study we've found that health literacy is a significant problem in general practice with patients who are overweight and that again clinicians can see the value of tackling that and where the ongoing study is evaluating how effective their approach is. And in the implementation stream the study on referral behaviour found that there was a different pattern of factors that influenced GP's referral patterns to lifestyle programs versus surgery. And surprisingly that wasn't related to the availability of services or resources or it was more to do with the clinician's own beliefs about their effectiveness and their past limited past experience. So that was a surprising finding from that study. Well our findings have had quite a significant impact on the services that have been involved in the study. So the Medicare locals that have been involved in Sydney and Melbourne and Adelaide and the community health services have already started to change the way they go about things. And two clear areas has been in relation to using what's called the 5A's which is a framework for preventive care that's being used in the NHMRC obesity guideline as a organising principle for the Medicare locals work and secondly a recognition of the importance of health literacy or patients with low health literacy and dealing with that in a different way and dealing with weight management a different way for people with low health literacy.