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Cholera to the Coalition
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The first digital-only ebook taster of Unequal health: The scandal of our times by Danny Dorling. Competitively priced, it gives a flavour of one of the major themes: public health and contains three chapters from the book, preceded by an all-new introduction specially written by Danny Dorling. This ‘must-read’ will introduce an even wider readership to his work.

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Understanding the development of the modern workforce

Including the voices of key protagonists in the development of the public health workforce, this book is an important addition to the history of public health in England. It charts events leading to the unique achievement, from 2003, of specialist status, equivalent to public health medical consultants, for those from non-medical backgrounds. Setting these changes in context it discusses implications for practitioners and the wider UK public health workforce. A lively and comprehensive review of policy change, Multidisciplinary public health: Understanding the development of the modern workforce concludes with a reflection on the new public health system under way in England, making useful comparisons with the rest of the UK. This is an invaluable resource for anyone with an interest in public health, including public health academics and relevant postgraduate students.

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The crisis of public health The UK faces a health crisis. In 2018–20 growth in life expectancy stalled for women and declined for men, taking men back to the level in 2012–14 ( ONS, 2021 ). Although the immediate cause was the outbreak of COVID-19 in 2020, a slowing-down in improvements in life expectancy had been happening for a decade, particularly affecting the most deprived 10 per cent of the population, and falling or stagnating for some groups ( Marmot, 2022 ). In other comparable economies, life expectancy has increased at a faster rate ( OECD, 2023

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IntroductIon Public health: Cholera to the Coalition This is the first of three short ‘Policy Press bytes’, writing taken from a much longer work on health inequalities and public health (Dorling, 2013). Here it is argued that in order to better understand the causes and consequences of our current public health crisis, and how it might in future be alleviated, it can help to look to the past. When cholera struck Britain the causes were partly nineteenth-century globalisation aiding the spread of a disease from abroad, and the creation at home of

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Introduction In the previous chapter we saw how Public Health England (PHE) was the product of the Lansley broader reforms of the NHS, reforms that also included the return of public health functions to local government. A notable feature of the transformation of the UK since 1998 has been the extension and devolution of powers from Westminster and Whitehall to Scotland, Wales and Northern Ireland. Devolution means that in areas of policy that are not reserved to the UK government, which in health policy are very few, the governments of the home nations

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Chapter 1 laid out the challenges of public health together with the intrinsic dilemmas and conflicts involved in making health truly public. The source of those dilemmas is to be found in the fact that public health identifies many sources of ill health in the determinants that are formed in complex social and economic systems. Ill health is the effect of multiple causes. In terms of governmental organisation, this means that a public health body must interact with a wide range of agencies and sectors across government. However, it also means that any such

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We have argued that there is a fundamental puzzle at the heart of the public health crisis that now faces the UK. Although the problems are large, there are many policy measures capable of addressing them that are highly cost-effective and for which there is robust evidence. The importance of these measures has been recognised for decades by informed commentators on health services, the latest example of which has been the creation of integrated care systems (ICSs) and the proposals from the Hewitt Review for government to give a lead in prioritising preventive

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17 TWO Public health and a public health system As already noted in Chapter One, public health is a contested term, without a single or a simple definition. Its amoeba-like nature means its parameters change in line with perceptions of the key influences on the health and wellbeing of populations, while the components of a ‘public health system’ not only reflect how public health is defined but also inform the myriad of organisational routes through which public health problems are galvanised and addressed. In 1948, the World Health Organization (WHO

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Improving Health and Wellbeing

Health and wellbeing are significantly influenced by how professionals plan, design and manage the environment.

This book supports those working in the built environment and public health sectors, with the knowledge and insight to maximise health improvement through planning and land use decisions. Supported by examples of policy and approaches, it focuses on implementation and delivery, and sets out what is needed to achieve healthier environments within the parameters of legislative and policy frameworks.

It demonstrates how when we harness the art and science of public health spatial planning, can we begin to effect changes to the policies and decisions that shape population health.

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Part One Public health: contexts

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