Intended for healthcare professionals

Views & Reviews The Bigger Picture

Life assurance

BMJ 2013; 346 doi: (Published 12 June 2013) Cite this as: BMJ 2013;346:f3722
  1. Mary E Black, global health doctor, London
  1. drmaryblack{at}

Fragmentation in the English health system means that it is often now not clear who is in charge. We have multiple new partners (see, and the old codes of organisational behaviour seem dated but the new ones untested. On 1 April 2013 I emerged from the familiar enfolding recesses of the NHS into the welcoming arms of local government. For public health there are senses of both liberation and loss.

As director of public health I am exhorted to inspire, lead, and generally be rather amazing and make sure that lots of important things for the health of the public get done. …

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