https://erj.ersjournals.com/content/early/2019/07/08/13993003.02194-2018
Given the considerable benefits associated with spending time in the natural environment, providing such opportunities for those with chronic conditions should be considered as part of XXX 
an opportunity as they face health issues on a daily basis, and have additional barriers in their life which may prevent them from easily accessing opportunities such as green spaces, accessibility issues being one example \citep{Meek_2018}.
Introducing green spaces into communities and care homes is one route through which those with chronic illness and/or disabilities can easily access nature when living in an urban environment. Research on 126 care facilities across 17 European cities found green spaces within the facility grounds had a significant impact on the quality of life for the residents, with increased physical activity, recreation and social engagement, benefits were also reported among staff and visitors \citep{Artmann_2017}
Traditionally, care homes were designed for the safety of residents, neglecting what potentially improve their health and wellbeing, but this is beginning to change \citep{Ausserhofer_2016}.
The introduction of green spaces should be a focal point for urban areas, which will moderate the climate change impact, help prevent disease over a life course model, improve health and wellbeing and subsequently lessen the burden on the health care services. Feasibility research has been carried out to investigate the impact of urban green spaces on health \citep*{Pearce2016} and further development in this area may provide substantial health-related data associated with green spaces across a life course model.
Urban paddy fields?? (as per BBC news story)
Concluding paragraph: Research suggests a variety of opportunities for improving personal wellbeing by focusing on the environment ranging from simple additions to indoor environments, such as indoor plants, to reduce stress for patients in hospital \citep*{Dijkstra2008} to larger scale solutions involving increasing urban tree density to impact on antidepressant prescription rates \cite{Taylor_2015}XXX LARGELY CORRELATIONAL XXX FUTURE RESEARCH OPPORTUNITIES?? XXX URGENT NEED FOR DEDICATED FUNDING TO INVESTIGATE THE POTENTIAL FOR COMBINING A FOCUS ON INDIVIDUAL, COMMUNITY AND ENVIRONMENTAL DOMAINS TO IMPROVE WELLBEING AT SCALE, AT THE SOCIETAL LEVEL. Solutions to the problems associated increasing urbanisation and the associated rise in chronic and non-communicable conditions have been described as self-evident and inexpensive \cite{Dye_2008}. However, these problems are being compounded by the climate crisis, rising inequality and international tensions, all of which contribute to the deteriration in community disconnection. These issues highlight the difficulties in identifying sociostructural solutions to address these major societal challenges, reinforcing calls \cite{Dye_2008} for 'healthy governance', social cohesion, and the empowerment of civil society. There is a need for greater political will for tackling the challenges imposed by the climate crisis,  XXX The wellbeing - and even the future of the human race - of current and future generations depends on XXX

Facilitating Behavioural Change 

Our GENIAL framework shows that positive health behaviours are critical in facilitating pathways to health and wellbeing. We argue that this has important implications for the understanding, prevention and management of people with chronic conditions. We have presented information which demonstrates the role that negative health behaviours have in contributing to the pathogenesis of chronic conditions (specifically in relation to diet, physical activity and sleep). We have also evidenced how such behaviours may exacerbate chronic conditions. Finally, we have shown how positive health behaviours can assist in the management of many chronic conditions (Marteau, Hollands & Kelly, 2015), lowering the risk of recurrence, reducing symptom severity, improving functioning and, in some cases, even extending longevity (Aldana et al., 2003; Jolliffe et al., 2001; Speck et al., 2010; Williamson et al., 2000). However, the contribution of health behaviours to the aetiology and amelioration of chronic condition has been well established. In response, healthcare providers have  created a plethora of guidelines and recommendations regarding optimal diet, physical activity etc. and this information is largely in the public domain. These guidelines are summaried in Table ???.  Often treatment approaches for people with chronic conditions includes educating them about healthier life choices. 
Despite such education, the majority of individuals fall short of pursuing a healthier lifestyle (Newsom et al., 2011)  \citep*{Van_Cappellen_2017}. Evidence shows that such strategies have minimal impact upon inducing sustained change, especially in individuals of a lower socio-economic status \citep*{Angermayr2010}.  That is, common knowledge is not common action. There is an inherent disconnect between what people know and what they do - often referred to as the intention-behaviour gap (Sheeran, 2002). It is this intention-behaviour gap that  creates a barrier to the uptake of evidence surrounding well-being activities into healthcare practice \citep*{Francis_2012}. This is because successful change requires more than education or communication of personalised risk information \citep*{French_2017}. Accordingly, in order to better understand how to effectively target health behaviours in order to prevent or better manage chronic conditions we must better understand how to facilitate behavioural change. The aim of the next section is therefore to briefly review theoretical models and frameworks of behavioural change. We then extract key factors across models and draw implications about how to better facilitate behavioural changes in order to both prevent and better manage chronic conditions.