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Dismantling the NHS?Evaluating the Impact of Health Reforms$
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Mark Exworthy, Russell Mannion, and Martin Powell

Print publication date: 2016

Print ISBN-13: 9781447330226

Published to University Press Scholarship Online: May 2017

DOI: 10.1332/policypress/9781447330226.001.0001

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date: 22 August 2017

Public health: unchained or shackled?

Public health: unchained or shackled?

Chapter:
(p.191) Ten Public health: unchained or shackled?
Source:
Dismantling the NHS?
Author(s):

David J Hunter

Publisher:
Policy Press
DOI:10.1332/policypress/9781447330226.003.0010

As in the case of other parts of the UK wider health system, it has been a turbulent time for public health since 2010. Not only has the function undergone major structural and cultural change following its return to local government from the NHS, where it had been located since 1974, but it has had to confront new challenges in public health arising from lifestyle behaviours and a widening health gap between social groups. All of this has occurred during a period of unprecedented financial austerity affecting public services in general but local government in particular. This chapter reviews the state of public health in the lead up to the changes announced by the Coalition government in 2010. It then summarises the reforms before offering an interim assessment of their impact. Finally, it discusses the evidence to date concerning the reforms and speculates on likely prospects in the years ahead.

Keywords:   Coalition government, NHS, health system, austerity, reforms, public health

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