Intended for healthcare professionals

Reviews Personal views

Changing titles

BMJ 2006; 332 doi: (Published 09 February 2006) Cite this as: BMJ 2006;332:370
  1. Sam Ramaiah, director of public health medicine (
  1. Walsall Teaching Primary Care Trust, Walsall

    Another season of reorganisation hits the NHS, and over the next few months many public health doctors will be anxiously wondering where their future lies—assuming they have one. This is a time when the government wants the public health sector to lead on the implementation of its white paper Choosing Health and to be involved in its much heralded new initiative of “practice based commissioning.” What we need, therefore, is stability not disruption. Why are we in this position, and why haven't we learnt lessons from other recent reorganisations?

    Public health doctors are in the front line of any reorganisation in the NHS, and many end up having their job title and content changed as a consequence. How many other types of doctor in the NHS are affected every 3-5 years by organisational disruption such as this? Very few, if any.

    Some years ago a colleague was affected by an internal reorganisation, and not being able …

    View Full Text

    Log in

    Log in through your institution


    * For online subscription