TY - JOUR T1 - Public health medicine skills in the NHS: vital and very vulnerable JF - British Journal of General Practice JO - Br J Gen Pract SP - 462 LP - 462 DO - 10.3399/bjgp11X583416 VL - 61 IS - 588 AU - Chris Packham AU - Mike Robinson Y1 - 2011/07/01 UR - http://bjgp.org/content/61/588/462.abstract N2 - In 2004, a major Treasury report1 estimated that, for the country to afford a comprehensive NHS by 2020, a step change in the delivery, effectiveness, and engagement of preventative activity was required. It was envisaged that the NHS would be a major contributor to that public health effort, not withstanding the obvious importance of upstream roles of local councils and others.2 Even if the NHS only contributes 20–30% of the health improvement seen in recent years in conditions such as cardiovascular disease, this impact could be felt … ER -