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The Evolution of Public Health Education and Training in the United Kingdom

Public Health Reviewsvolume 33, pages87–104 (2011) | Download Citation

Abstract

The United Kingdom has a long and evolving history of public health education. From the initiation of formal standardised training for Medical Officers for Health in the early 1900s, to the current national public health training programme, public health education has adapted to the changing contexts of public health practice. Whilst the profession was originally only a medical specialty, subsequent recognition of the skills and contribution of the wider public health workforce has led to changes in professional specialist training for public health, which is now open to non-medical applicants. This well-established professional training scheme allows the formal accreditation of competence in a broad range of public health skills. The academic component of public health training is provided by a rapidly growing number of postgraduate courses. Once confined to the UK’s first school of public health, the London School of Hygiene and Tropical Medicine and a handful of British Universities, the current 60 or so courses across the country are found in diverse university settings. Quality and standards in higher education are monitored by the Quality Assurance Agency for Higher Education but there are no other professional accreditation schemes for postgraduate courses in public health nationally. Public health education and training continues to face challenges in the UK, notably the current government plans for major restructuring of the National Health Service (NHS) which threatens the loss of traditional NHS training placements and has created uncertainty around how professional training might be structured in the future. Whilst the long established tradition of public health education and more recent adoption of competency-based approaches to training gives some flexibility to meet these challenges, insight and innovative responses are required to ensure that public health education and training are not destabilised by these challenges. Revisions of the curricula of postgraduate courses and the competencies required for professional accreditation along with provision of experience in the new locations where public health is to be practiced in the future will be key to ensuring that public health professionals are ready to tackle the key issues that confront them.

References

  1. 1.

    Chadwick E. Report on the sanitary condition of the labouring population of great britain. A supplementary report on the results of a special inquiry into the practice of internment in towns. London: Her Majesty’s Stationery Office; 1843.

  2. 2.

    Black D. Inequalities in Health. Public Health. 1991;105:23–7.

  3. 3.

    Sims M, Maxwell R, Bauld L, Gilmore A. Short term impact of smoke-free legislation in England: retrospective analysis of hospital admissions for myocardial infarction. BMJ. 2010;340:c2161.

  4. 4.

    Warren MD. The origins of the Faculty of Public Health Medicine (formerly Faculty of Community Medicine). London: Faculty of Public Health; 2000.

  5. 5.

    Fee A, Acheson R, (editors). A history of education in public health. Oxford: Oxford University Press; 1991.

  6. 1.

    Chadwick E. Report on the sanitary condition of the labouring population of great britain. A supplementary report on the results of a special inquiry into the practice of internment in towns. London: Her Majesty’s Stationery Office; 1843.

  7. 2.

    Black D. Inequalities in Health. Public Health. 1991;105:23–7.

  8. 3.

    Sims M, Maxwell R, Bauld L, Gilmore A. Short term impact of smoke-free legislation in England: retrospective analysis of hospital admissions for myocardial infarction. BMJ. 2010;340:c2161.

  9. 4.

    Warren MD. The origins of the Faculty of Public Health Medicine (formerly Faculty of Community Medicine). London: Faculty of Public Health; 2000.

  10. 5.

    Fee A, Acheson R, (editors). A history of education in public health. Oxford: Oxford University Press; 1991.

  11. 6.

    Frazer WM. A history of English public health, 1834–1939. London: Bailliere, Tindall and Cox; 1950.

  12. 7.

    Flexner A. Medical education in the United States and Canada: a report to the Carnegie Foundation for the Advancement of Teaching. New York: The Carnegie Foundation for the Advancement of Teaching; 1910.

  13. 8.

    Welsh WH, Rose W. Institute of Hygiene: a report to the General Education Board of Rockefeller Foundation. New York: The Rockefeller Foundation; 1915.

  14. 9.

    Wilkinson L, Hardy A. Prevention and cure. The London School of Hygiene and Tropical Medicine. A 20th century quest for global public health. London: Kegan Paul Limited; 2001.

  15. 10.

    Acheson D. Public health in England. Report of the committee of inquiry into the future development of the public health function. London: HMSO; 1988.

  16. 11.

    Public Health Online Resource for Careers, Skills and Training (PHORCaST). Available from URL: http://www.phorcast.org.uk (Accessed 22 January, 2011).

  17. 12.

    Find a Masters. Available from URL: http://www.findamasters.com/search/courses.aspx?keywords=public+health (Accessed 24 January, 2011).

  18. 13.

    The Quality Assurance Agency for Higher Education, Master’s degree characteristics. QAA; 2010.

  19. 14.

    UCAS. Available from URL: http://www.ucas.ac.uk/ (Accessed 24 January, 2011).

  20. 15.

    Faculty of Public Health. FPH Training Curriculum. Available from URL: http://www.fph.org.uk (Accessed 24 January, 2011).

  21. 16.

    Skills for Health UK. Public health skills and career framework. Public Health Resource Unit; 2008. Available from URL: http://www.skillsforhealth.org.uk (Accessed 23 January, 2011).

  22. 17.

    Bologna Process. Available from URL: http://www.ond.vlaanderen.be/hogeronderwijs/bologna/ (Accessed 13 April, 2011).

  23. 18.

    Faculty of Public Health. Faculty of Public Health Training Currciculum 2010. Available from URL: http://www.fph.org.uk (Accessed 23 January, 2011).

  24. 19.

    Faculty of Public Health. Faculty of Public Health Part A Examination. Available from URL: http://www.fph.org.uk/part_a_exam (Accessed 23 January, 2011).

  25. 20.

    Faculty of Public Health. Faculty of Public Health Part B Examination. Available from URL: http://www.fph.org.uk/part_b_exam_osphe (Accessed 23 January, 2011).

  26. 21.

    Yach D. Redefining the scope of public health beyond the year 2000. Curr Issues Public Health. 1996;2:247–52.

  27. 22.

    National Public Health Preformance Standards Program. 10 essential public health services. NPHPSP, Centers for Disease Control and Prevention. Available from URL: http://www.cdc.gov/nphpsp/essentialServices.html (Accessed 8 July, 2011).

  28. 23.

    General Medical Council. Good medical practice. Guidance for doctors. London: GMC; 2006. Available from URL: http://www.gmc-uk.org/static/documents/content/GMP_0910.pdf (Accessed 11 July, 2011).

  29. 24.

    Chief Medical Officer, Department of Health. The report of the Chief Medical Officer’s Project to Strengthen the Public Health Function. London: DOH; 2001. Available from URL: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4062359.pdf (Accessed 11 July, 2011).

  30. 25.

    Sim F, Lock K, McKee M. Maximising the contribution of the public health workforce: the English experience. Bull World Health Organ. 2007; 85:935–40.

  31. 26.

    Department of Health. Healthy lives, healthy people White paper: our strategy for public health in England. London: DOH; 2010. Available from URL: http://www.dh.gov.uk/en/Publichealth/Healthyliveshealthypeople/index.htm (Accessed 11 July, 2011).

  32. 27.

    Department of Health. Review of the regulation of public health professionals. London: DOH; 2010.

  33. 28.

    Department of Health. Equity and Excellence: Liberating the NHS. London: DOH; 2010.

  34. 29.

    Faculty of Public Health. UK Faculty of Public Health response to healthy lives, healthy people: our strategy for public health in England. London: FPH; 2011 Available from URL: http://www.fph.org.ukuploads/FPH%20response%20to%20Healthy%20Lives,%20Healthy%20People%20-%20Our%20strategy%20for%20public%20health%20in%20England%20-%20FINAL.pdf (Accessed 4 April, 2011).

  35. 30.

    Anderson B. Trained on the future? Public Health Today. February 2011, p. 11.

  36. 31.

    Browne J. Securing a sustainable future for higher education. An independent review of higher education funding and student finance. 2010. Available from URL: www.independent.gov.uk/browne-report (accessed 4 April, 2011).

  37. 32.

    University and College Union. UCU Summary and Observation of Browne Report. UCU; 2010.

  38. 33.

    British Medical Association. Response to healthy lives, healthy people. BMA; 2011. Available from URL: http://www.bma.org.uk/images/healthyliveshealthypeoplemainresponse_tcm41-205192.doc (Accessed 4 April, 2011).

  39. 34.

    McKee M, Hurst L, Aldridge RW, Raine R, Mindell JS, Wolfe I, Holland WW. Public health in England: an option for the way forward? Lancet. Feb 2011. [Epub ahead of print] DOI: 10.1016/S0140-6736(11)60241-9.

  40. 35.

    Gruppen LD, Mangrulkar RS, Kolars JC. Competency-based education in the health professions: implications for improving global health. Commission paper. 2010. Available from URL: http://www.healthprofessionals21.org/docs/CompBasedEd.pdf (Accessed 11 July, 2011).

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Author information

Affiliations

  1. London School of Hygiene and Tropical Medicine, Department of Health Services Research and Policy, University of London, 15-17 Tavistock Place, London, WC1H 9SH, UK

    • Katie Cole BSc, MBChB, MscPH, DFPH
    • , Fiona Sim MB, BS, MSc, LLM, FFPH, FRCP
    •  & Helen Hogan MB BS, MSc, FFPH

Authors

  1. Search for Katie Cole BSc, MBChB, MscPH, DFPH in:

  2. Search for Fiona Sim MB, BS, MSc, LLM, FFPH, FRCP in:

  3. Search for Helen Hogan MB BS, MSc, FFPH in:

Corresponding author

Correspondence to Helen Hogan MB BS, MSc, FFPH.

Additional information

Recommended Citation: Cole K, Sim F, Hogan H. The Evolution of Public Health Education and Training in the United Kingdom. Public Health Reviews. 2011;33:87–104.

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Key Words

  • Public health education
  • training
  • United Kingdom
  • Master of Public Health
  • Faculty of Public Health
  • professional competency

Public Health Reviews

ISSN: 2107-6952

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