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© 1997 Faculty of Public Health Medicine of the Royal Colleges of Physicians of the United Kingdom

research-article

Public health in hospitals: new steps in old directions


John Wright, Consultant in Epidemiology and Public Health Medicine
Philip Ayres, Consultant in Epidemiology and Public Health Medicine
Peter Hill, Deputy Regional Director of Public Health, NHSE Northern and Yorkshire, and Honorary Lecturer, Department of Epidemology and Public Health, University of Newcastle upon Tyne

Bradford Royal Infirmary, Duckworth Lane Bradford BD9 6RJ
St James NHS Trust Beckett Street, Leeds LS9 7TF
John Snow House, Durham University Science Park Durham DH1 3YG


Address correspondence to Dr J. Wright

A pilot scheme of hospital epidemiologists in the Northern and Yorkshire region has provided an exciting opportunity to promote a public health perspective among hospital clinicians. Responsibilities and roles of the posts include the promotion of clinical effectiveness and evidence-based practice, epidemiological support for audit, research and clinical evaluation, liaison with primary care and public health colleagues in health authorities, and the development and implementation of clinical guidelines. Although the posts are not restricted to public health specialists, public health training and skills provide an excellent foundation from which to meet the challenges that arise from the posts. We discuss some of the lessons learnt by two public health doctors from the early steps in this new direction.

Keywords: effectiveness, evidence gathering, clinical audit, professional education, evaluation


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