Toggle Main Menu Toggle Search

Open Access padlockePrints

Directors of public health as 'a protected species': qualitative study of the changing role of public health professionals in England following the 2013 reforms

Lookup NU author(s): Dr Shelina Visram, Emeritus Prof David Hunter



This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).


Background: The Health and Social Care Act 2012 gave councils in England responsibility for improving the health of their populations. Public health teams were transferred from the NHS, accompanied by a ring-fenced public health grant. This study examines the changing role of these teams within local government. Methods: In-depth case study research was conducted within 10 heterogeneous councils. Initial interviews (n=90) were carried out between October 2015 and March 2016, with follow-up interviews (n=21) 12 months later. Interviewees included elected members, directors of public health (DsPH) and other local authority officers, plus representatives from NHS commissioners, the voluntary sector and Healthwatch. Results: Councils welcomed the contribution of public health professionals, but this was balanced against competing demands for financial resources and democratic leverage. DsPH – seen by some as a ‘protected species’ – were relying increasingly on negotiating and networking skills to fulfil their role. Both the development of the existing specialist public health workforce and recruitment to, and development of, the future workforce were uncertain. This poses both threats and opportunities. Conclusions: Currently the need for staff to retain specialist skills and maintain UKPH registration is respected. However, action is needed to address how future public health professionals operating within local government will be recruited and developed.

Publication metadata

Author(s): Jehu LM, Visram S, Marks L, Hunter DJ, Davis H, Mason A, Liu D, Smithson J

Publication type: Article

Publication status: Published

Journal: Journal of Public Health

Year: 2018

Volume: 40

Issue: 3

Pages: e203-e210

Print publication date: 01/09/2018

Online publication date: 07/11/2017

Acceptance date: 15/10/2017

Date deposited: 16/10/2017

ISSN (print): 1741-3842

ISSN (electronic): 1741-3850

Publisher: Oxford University Press


DOI: 10.1093/pubmed/fdx154


Altmetrics provided by Altmetric