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4.
Perspect Public Health ; 129(1): 37-41, 2009 Jan.
Article in English | MEDLINE | ID: mdl-19338134

ABSTRACT

There is a long history of people expressing concern about the health, lifestyle and well-being of our population--and of proposals for action to address the inequitable experiences between groups within this population. Over time, our understanding of both the problem and its causal connections has changed considerably. This is reflected within an increasingly explicit articulation of the issues and a progressively more sophisticated and determined cross-sectoral approach to tackling health inequalities. This paper reflects on the progress we have made in England in addressing this challenge, suggesting that we need to engage more proactively with our population and with our international partners, taking a systematic partnership approach to inform policy, practice and delivery on the ground.


Subject(s)
Health Priorities , Health Promotion/ethics , Public Health Administration/ethics , Social Justice , State Medicine/ethics , England , Evidence-Based Medicine , Global Health , Health Care Reform , Health Status Disparities , Healthcare Disparities , Humans , Problem Solving , Social Marketing
5.
Public Health ; 122(2): 201-10, 2008 Feb.
Article in English | MEDLINE | ID: mdl-17889089

ABSTRACT

By focusing on the Masters of Public Health course, this study took a pragmatic approach to exploring the interface between public health education and public health practice. The commonly utilized 'three domains of practice' framework could provide a robust and explicit link between educational provision and practice for public health. This model provides the workforce, the university, the students and the potential funders of the course with an easily comprehensible framework for understanding how the modules of an MSc can support the development of competency within the context of practice.


Subject(s)
Education, Public Health Professional/organization & administration , Public Health Practice , Health Promotion/organization & administration , Humans , Professional Competence , Quality of Health Care/organization & administration
6.
J R Soc Promot Health ; 127(5): 219-23, 2007 Sep.
Article in English | MEDLINE | ID: mdl-17970354

ABSTRACT

The constant structural changes to the NHS in England have created instability and lack of job security within the public health workforce in the U.K. Since posts are linked to structures which keep changing, recent years have seen constant changes in titles, responsibilities and expectations. Effective public health practice involves teamwork across sectors and strong relationships with local communities, and this constant change has posed professional challenges. The changes in 2002 offered the Faculty of Public Health the opportunity to work with the Department of Health to consult with specialists, the main objective being to reach agreement on future roles and ways of working. The lessons learnt from this exercise are described here as they remain relevant as the structural changes continue. Key messages are that if the many opportunities of the current policy agenda are to be realized, the public health profession needs to be supported to play its full role in the three domains of practice: health improvement, health protection and developing better health services. This challenge needs professional bodies to be clear on expected competence of their members; employers to be clear on the potential contribution of public health specialists not only in promoting and protecting health in communities but also within the acute sector; organizational arrangements to be in place to sustain the capacity of the workforce whatever the structural changes occurring. This lesson has yet to be learnt.


Subject(s)
Education, Public Health Professional/standards , Public Health Administration/education , Public Health/education , State Medicine/trends , Attitude of Health Personnel , Education, Public Health Professional/economics , England , Health Policy/trends , Health Promotion , Humans , Organizational Innovation , Public Health Administration/trends , Surveys and Questionnaires , Workforce
7.
Public Health ; 121(11): 835-9, 2007 Nov.
Article in English | MEDLINE | ID: mdl-17889088

ABSTRACT

The main challenges today are complex systems problems, with equally complex solutions; there are problems that have the potential to affect all individuals at different levels, affecting health, the sustainability of health services, and potentially the long-term economic prosperity of the country. The evidence shows that unless people themselves are engaged, releasing their potential for action, supporting a cultural shift towards a health promoting society, it is unlikely that the necessary sustainable impact on obesity, diabetes and other chronic diseases will be achieved. By reflecting on experience in England, this article will provide an insight into the potential for change that can be generated by rebalancing the relationship between the state, the individual and civil society.


Subject(s)
Government Regulation , Population Surveillance , Public Health/legislation & jurisprudence , Delivery of Health Care , Ethics, Medical , Health Promotion , Health Status , Humans , United Kingdom
8.
Publ. Hlth (London) ; 120(12): 1102-1105, Dec. 2006.
Article in English | CidSaúde - Healthy cities | ID: cid-55640

ABSTRACT

The increasing policy focus on sustainable development offers new opportunities to align the public health narrative with that of sustainable development to promote both sustainable health for the population, and a sustainable health care system for England. This paper provides some insights into ways in which potential linkages between the two areas can be made meaningful across a wide range of policies at a national level. (AU)


Subject(s)
Health Policy/trends , Public Health/economics , Public Health/trends , Public Health Administration/trends , State Medicine/trends , Health Priorities , Health Promotion , Interinstitutional Relations , Social Justice , Social Welfare , Socioeconomic Factors , United Kingdom
9.
Public Health ; 120(12): 1102-5, 2006 Dec.
Article in English | MEDLINE | ID: mdl-17097119

ABSTRACT

The increasing policy focus on sustainable development offers new opportunities to align the public health narrative with that of sustainable development to promote both sustainable health for the population, and a sustainable health care system for England. This paper provides some insights into ways in which potential linkages between the two areas can be made meaningful across a wide range of policies at a national level.


Subject(s)
Health Policy/trends , Public Health Administration/trends , Public Health/trends , State Medicine/trends , Health Priorities , Health Promotion , Humans , Interinstitutional Relations , Public Health/economics , Social Justice , Socioeconomic Factors , United Kingdom
10.
Public Health ; 120(11): 1008-12, 2006 Nov.
Article in English | MEDLINE | ID: mdl-17034824

ABSTRACT

A brief glance through the national papers and medical press shows the depth of concern with the cost of delivering high quality, free at the point of access healthcare to the population. However, at a time of increasingly greater demands being placed on public health systems across the globe, the question of how we can make health and healthcare both accessible to everyone and sustainable in the long term is being posed. In this paper we provide an insight into how England is responding to these challenges.


Subject(s)
Health Behavior , Health Priorities , Health Promotion/methods , Public Health/methods , State Medicine/organization & administration , Chronic Disease/economics , Chronic Disease/epidemiology , Chronic Disease/prevention & control , England , Food Labeling/standards , Health Expenditures/statistics & numerical data , Health Promotion/economics , Health Services Accessibility , Humans , Public Health/economics , Smoking/economics , Smoking/epidemiology , Smoking Prevention , Social Marketing , Socioeconomic Factors , State Medicine/economics
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