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77SHARED UNDERSTANDING AND LANGUAGEPreventionPrimary Prevention is when we take action to stop a health problem or any other undesired outcome from ever developing in the first place. An example might be banning the use of asbestosin construction to prevent certain types of lung cancer, giving an immunisation, or developing green spaces in communities.Secondary Prevention is when we try to identify undesired outcomes early and intervene as soon as possible in order to limit the negative consequences. Screening programmes such as the bowel cancer screening programme (BCSP) and early help services are a good example of this.Tertiary Prevention is when we try to limit the negative impacts of an undesired outcome. This can be done by helping people to manage a health condition and live as full a life in their own home for as long as possible. Wider/Social Determinants of Health are the conditions in which people are born, live, work, and age which contribute to their health, wellbeing and life outcomes. These are sometimes referred to as the %u2018causes of the causes%u2019 - the factors in a person%u2019s environment which may make it difficult or evenimpossible to make healthy %u2018choices%u2019 or to fulfil their fullpotential. InequalitiesHealth Inequalities are unfair, systematic, and avoidable differences in health between different groups of people. Theyare directly influenced by the social determinants of health.Healthcare Inequalities are a specific type of health inequalitywhich refer to the systemic inequalities within healthcare organisations such as hospitals or GP surgeries. They can be caused by various factors such as the way healthcare systems are organised (for example locations and times of appointments) and funded, or the unconscious biases of staff.