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Who contributes to the public health function?

D C Smith1, L Davies

  • 1NHS Executive Trent, Sheffield.

Journal of Public Health Medicine
|February 19, 1998
PubMed
Summary
This summary is machine-generated.

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The public health function in England is multidisciplinary, with varied staff contributions across Health Authorities. Recognizing all disciplines is key for effective local public health delivery and training.

Area of Science:

  • Public Health
  • Health Services Research
  • Healthcare Workforce Analysis

Background:

  • Assesses the composition and distribution of staff involved in public health functions within English Health Authorities.
  • Aims to evaluate the multidisciplinary nature of public health services.
  • Examines the public health capability within the National Health Service.

Purpose of the Study:

  • To determine the current nature and distribution of staff contributing to the public health function.
  • To assess the extent to which the public health function is multidisciplinary.
  • To inform considerations regarding National Health Service public health capability.

Main Methods:

  • A pre-piloted questionnaire was distributed to District Directors of Public Health (DDsPH) by Regional Directors of Public Health (RDsPH).

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  • Data collected covered staff categories including Public Health Physicians, Dental Public Health Consultants, Public Health Medicine Trainees, Epidemiologists, Nurses, Pharmacists, and Health Promotion Directors.
  • The survey encompassed all Health Authorities in England between June 1995 and April 1996.

    • Main Results:

    • Public Health Physicians constituted the largest group (32%), followed by Research/Information Officers and Epidemiologists (16%), and Trainees in Public Health Medicine (16%).
    • Nurses (8%), Pharmacists (6%), and Medical Advisers (5%) also made significant contributions.
    • Other specific public health roles comprised 11% of the workforce, with Dental Public Health Consultants at 3%.

    Conclusions:

    • The public health function is confirmed as multidisciplinary, though the skill mix varies across Health Authorities.
    • There is a need to acknowledge the contributions of all disciplines to public health functions.
    • Recognition through training, accreditation, and professional development is essential for an effective local public health service.