be embedded within existing interventions or pathways of change, so to appreciate the wider determinants of health. For example, offering support for smoking cessation which both addresses the persons high levels of tobacco dependence (e.g. behavioural support and combination products, or e-cigarettes) while appreciating challenges in access to treatment and ability to reduce smoking within the persons lived circumstances due to heavier drinking (e.g. harm reduction versus abstinence orientated goals).