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Letters New masters of public health

Leadership, facilitation, and relationships are key to countering the waning influence of public health

BMJ 2013; 347 doi: (Published 30 July 2013) Cite this as: BMJ 2013;347:f4792
  1. Kathryn A Oliver, research associate1
  1. 1Manchester Business School, Manchester M13 9PL, UK
  1. kathryn.oliver{at}

Directors of public health and public health more widely may struggle to influence local government processes. Despite regular reorganisations in the NHS, health spending has steadily increased over the past decades. By contrast, many local governments have had their budgets viciously slashed in the 2013 government budget, particularly those in more deprived areas. More to the point, public health staff are employed on NHS terms and …

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