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Social entrepreneurship is key to the success of health promotion and Healthy City development. An overview of entrepreneurial skills is provided, and a policy change model in which social entrepreneurs play a key role is described. The model has been tested in a selection of 10 European, officially WHO-designated, Healthy Cities. Recognition by the entrepreneur of the components of the model, and subsequent strategic action, indeed influenced urban policy agendas. However, the two cities thatdoi:10.1093/heapro/14.3.261 fatcat:ewg3ek57yrbzpguk4cdgihyduq